System Overview:
The surgical anesthesia clinical information system realizes the information management of surgery and anesthesia processes, which can promote the reasonable, effective and safe operation of hospital surgery and anesthesia management, and leave complete surgical records, full tracking, and record of surgical applications (appointments), approvals, The operating room and the anesthesia department arrange and other related information for the operation, complete all records involved in the operation, and accurately record and track the vital sign data of the surgical patient during the operation, such as heart rate, blood pressure, blood oxygen saturation, etc.
The surgical anesthesia clinical information system realizes the process of "issuance of surgery notice → implementation of surgical staffing → preoperative anesthesia assessment → intraoperative parameter setting → intraoperative information collection → adding anesthetic drugs, surgical events, and rehydration → postoperative anesthesia summary → surgical record The automation and informatization of the entire process of "single → view anesthesia records → statistical analysis" realizes the automation of information collection of surgical and anesthesia process monitoring equipment, improves the efficiency of surgical preparation and implementation, achieves real-time tracking of the surgical process, and massive storage of anesthesia and medication during surgery Information purposes and make all resources highly shareable. The system stores data output from monitors and ventilators, and provides automatic alarms and trend analysis.
The surgical anesthesia clinical information system can standardize the workflow of the anesthesiology department and operating room, realize the digitization and networking of information during anesthesia and surgery, automatically generate various medical documents during anesthesia surgery, and completely share HIS, LIS, PACS and other surgical patients. Information to realize the management of the anesthesia process, thereby improving the level of the entire anesthesia and operation management.
System function modules:
1. Preoperative management:
The anesthesiologist can check the basic information of the surgical patient and relevant surgical diagnosis, preoperative discussion and other information according to the surgical schedule, and review the patient's medical orders, disease course records, laboratory results, inspection reports and other information; and write anesthesia plans on the computer, including anesthesia Methods, precautions during anesthesia, special treatment that needs to be done, etc., list the anesthesia steps, the list of required equipment, and the patient's blood preparation requirements, etc.
2. Intraoperative management:
The anesthesiologist sets the collection indicators, such as collecting the average arterial blood pressure, setting the collection time interval of each indicator, etc.;
During the operation, the parameters of the monitor are collected and the blood pressure, heart rate, blood oxygen, body temperature and other indicators of the traced patient are automatically saved, which is convenient for postoperative analysis;
Assist doctors to handle and automatically record events that occur during the operation, including: infusion, oxygen delivery, extubation, tube insertion, assisted breathing, medication, etc., combined with changes in vital sign parameters obtained by the acquisition function, to form an anesthesia record report.
3. Postoperative management:
After the patient's surgery is completed, the doctor can quickly and easily input the patient's post-operative supplementary content through various pre-set templates to form an anesthesia summary, postoperative visit records, pricing sheets, anesthesia recovery records, etc., and issue an anesthesia report.
1. Event review: You can query the events recorded during the surgery.
2. Surgical follow-up: the follow-up information of surgical patients can be recorded at any time.
3. Postoperative doctor's order: The doctor will issue a postoperative doctor's order according to the patient's condition.
4. Postoperative information record: You can browse the basic information of the patient, intraoperative medication and intraoperative events, and issue an anesthesia summary report.
5. Anesthesia pricing: Automatically generate the patient's anesthesia expense list according to the medication and equipment preparation during the operation
6. Statistical inquiry: Complete the workload statistics and case statistics of the anesthesiology department, as well as the inquiry of patients who have been operated on and those who were operated on the same day.
4. Department management:
The director of the auxiliary department or the head nurse realizes functions such as scheduling, workload statistics, and statistical analysis of anesthesia costs.
5. Query:
The system provides various regular reports and personalized search queries, and also supports fuzzy queries to meet the statistical needs of scientific research.
6. Consultation teaching:
After the operation, the anesthesiologist can play back the data saved during the operation in real time. On the one hand, it is convenient for doctors to summarize anesthesia and make a fair evaluation of anesthesia effects; on the other hand, it can be combined with patient information for medical teaching.
