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目的通过对上海市医院信息系统(HIS)建设情况及其在传染病及症状/症候群监测情况的现况调查,为基于HIS系统的严重临床异常病例/事件监测项目开展可行性研究。方法 2012年1-6月,对上海市公立医疗机构采用自填式问卷方式,对医疗机构HIS系统概况、系统在病例、症状/症候群监测中的利用、开展严重临床异常病例/事件监测项目前景进行调查。结果上海市399家公立医疗机构HIS系统由39家软件公司开发,10个区的社区卫生服务中心系统由相同软件公司开发;各医疗机构HIS系统字段设置、筛选排序、导出构成、编码方式不同;38家医疗机构开展传染病症状/症候群监测,其中32家机构症状采集界面嵌入HIS系统;从全市医疗机构诊疗能力、HIS系统开发公司覆盖面、系统基础、监测经验以及参与项目意向进行综合评价,选取项目试点区(县)及机构。结论选取杨浦区中心医院、上海市同仁医院、闵行区吴泾医院作为基于HIS系统的严重临床异常病例/事件监测项目监测点,项目开展可行性较高。
OBJECTIVE To conduct a feasibility study of a serious clinical abnormal case / event monitoring project based on HIS system through the investigation of the status of Shanghai Hospital Information System (HIS) and its status quo in the monitoring of infectious diseases and symptoms / syndromes. Methods From January to June 2012, a self-administered questionnaire was used in Shanghai public medical institutions to conduct a survey on the status of the HIS system in hospitals and the use of the system in the monitoring of cases and symptoms / syndromes. Investigate. Results The 399 public medical institutions in Shanghai were developed by 39 software companies. The community health service centers in 10 districts were developed by the same software company. The HIS system fields of each medical institution were set, screened, derived and coded differently. Thirty-eight medical institutions conducted symptom / symptom surveillance of infectious diseases, of which 32 institutions were embedded in the HIS system for symptom acquisition interfaces; comprehensive evaluation was conducted on medical service capacity, HIS system development company coverage, system foundation, monitoring experience and project intent. Project pilot areas (counties) and institutions. Conclusions Yangpu District Central Hospital, Shanghai Tongren Hospital and Wujing Hospital of Minhang District were selected as monitoring points of serious clinical abnormal case / event monitoring project based on HIS system. The feasibility of the project was high.