A Development of New Integrated Management System for Nursing Information

1.为实现医院信息系统(HIS)、手持护理信息终端(HT)和护理信息管理计算机站(ST)的集成，开展了以下工作：(1)开发了护理记录中常用的标准叙事描述编码词典；(2)开发了标准护理计划电子版的框架和行动清单生成系统；(3)研究了用于收集系统生成的行动清单的手持终端的体系结构；(4)开发了可从护理信息管理站检索到的电子版内科教科书的原型开发。2.根据在神经外科病房进行的评估研究，HIS、HT、HIS和HIS之间的数据同步而ST是系统成功的重要因素，并揭示了仅使用现有的商用HTS不能达到必要的因素。原因是：(1)无线通信系统对于数据的实时同步是必要的，(2)由于电池充电所需的时间很长，所以需要足够数量的备用终端，(3)需要实时双向通信功能，特别是从HIS、ST到HTS，以便随时使用任何终端。(1)系统需要实时双向通信功能；(2)护理记录需要计算机化，常用的典型描述以字典的形式系统化和编码；(3)建立了电子护理计划的基本数据模型；(4)建立了交换电子护理记录的DTD。

1.To integrate hospital information system(HIS), handheld information terminal for nursing(HT), and computer station for nursing information management(ST), the following subjects have been conducted ; (1) development of coding dictionary of standard narrative description usually used in nursing records, (2) development of framework for electronic version of standard nursing plan and generation system for action lists, (3) investigation of an architecture of handheld terminals for gathering action lists generated by the system, (4) prototype development of electronic version of internal medicine textbook which can be retrieved from the nursing information management station.2.According to the evaluation study conducted in the ward of neurosurgery, data synchronization among HIS,HT,and ST is important factor for success of the system and it is revealed that the necessary factor could not be achieved only by the use of current commercial-based HT.The reasons are that (1) wireless communication systems are necessary for real-time synchronization of the data, (2) enough number of alternative terminals is necessary because the time needed for charging the batteries is so long, (3) real-time bidirectional communication functions, especially from the HIS,the ST toward the HTs, are needed to use any terminals at any time.3.The overall results are as follows, (1) it is found that the real time bidirectional communication functions are necessary for the system, (2) it is necessary to computerize nursing records and the typical descriptions usually used are systematized and coded in thr form of dictionary, (3) a basic data model for electronic nursing plan is created, and(4) the DTD for exchanging electronic nursing record has been created.