Medical consulting support system for the purpose of decreasing medica expense In the intensive Care Unit

1.现有网络基础设施的使用和改造在我们的重症监护病房，我们已经建设了医院内局域网、大学内部局域网和病历单位内局域网。我们将医院内局域网与单位内局域网连接起来，用于病历记录。目前所建立的医疗咨询支持系统是在医院内局域网和单位内病案局域网上建设的。我们使用无线局域网和小型便携式计算机在床和数据库服务器之间进行数据传输。医疗咨询支持系统网络系统的构建我们采用WINDOWS 4.0 NT SERVER作为网络操作系统，使用TCP/IP作为网络协议。客户端操作系统为Windows 98、2000和4.0 NT工作站Macintosh OS 8.5和9.0。数据库软件采用Microsoft SQL SERVER、Access 97和FileMaker 5.0。医疗咨询支持系统数据库系统的开发。药品处方咨询支持系统。在我们的系统中，我们可以输入药品处方…通过使用窗口菜单轻松实现更多选项。我们还可以列一张护士治疗的清单。实验室处方查询与阅览系统利用该系统，我们可以从实验室数据库服务器上调用实验室数据。我们可以评估疾病的严重程度。医疗费用开具咨询支持系统我们利用小型便携式计算机开具医疗费用单据，并通过无线局域网将数据传输到数据库服务器。我们建立了网络服务器，用于查询最新的医疗费用信息，并为下一步的治疗提供反馈信息。4.该医疗咨询支持系统的有效性和评估。患者：共58例冠状动脉旁路移植术(CABG)和食道次全切除术(STIG)术后患者。冠状动脉旁路移植术29例。STEG有29名患者。CABG患者分为两组：数据库组(n=11)和非数据库组(n=18)。STG患者也被分成两组：数据库组(n=15)和非数据库组(n=14)。使用医疗咨询支持系统后，总医疗费用下降10%。在CABG患者中，使用该系统可以减少剂量、注射和检查费用。在STAG患者中，注射剂量、检查、X光和食品费减少。较少

1 .Use and Reconstruction of existing network infrastructureIn our Intensive care uni, We had constructed Intra-hospital LAN, Intra-university LAN and Intra-unit LAN for medical records. We connected Intra-hospital LAN with Intra-unit LAN for medical records. The medical consulting support systems that has made in this time was constructed on Infra-hospital LAN and Intra-unit LAN for medical records. And we use wireless LAN and small portable computers for data transfer between bed and database server2. Construction of network system for medical consulting support systemWe used windows 4.0 NT server as network operating system and use TCP/IP as network protocol. Windows 98,2000 & 4.0 NT workstation Macintosh OS 8.5 & 9.0 were used as client operating system. We used Microsoft SQL server ,Access 97 and File Maker 5.0 as database soft.3. Development database system for medical consulting support systema. Drug prescription consulting support system.In our system, We can input Drug prescri … More ption by using window menu easily. And we can make a list of nurse treatment.b. Laboratory prescription consulting support and reading systemBy using this system, we can transfer laboratory data from laboratory database server. We can evaluate the severity of illness.c. Consulting support system for making a bill of medical expensesBy using small portable computers, We make a bill of medical expenses and transfer data to database server through wireless LAN. We set up web server for the purpose of referring for information about newest medical expenses and feed back information for the next therapy.4.Efficancy and Estimation of this medical consulting support systemPatients: A total of 58 postoperative patients who received coronary artery bypass graft (CABG) and subtotal esophagectomy (STEG). CABG is 29 Patients. STEG is 29 Patients. CABG patients were allocated to two groups: a database group (n=11) and a non database group(n=18). STEG patients were also allocated to two groups: a database group (n=15) and a non database group (n=14). Total medical expense decreased 10% by using medical consulting support system. In CABG patients, Dosage, Injection and Examination charges decreased by using this systems. In STEG patients, Dosage Injection, Examination, X ray and food charges decreased. Less