智慧化健康照護創新系統之應用和綜合效能

An Innovative System for Intelligent Healthcare:Application and Comprehensive Efficiency

目的：為提升人力效能及醫療品質，設計一套以使用者為中心的智慧化健康照護系統（iSMART）。本文呈現iSMART架構及應用成效。方法：開發生理數值傳輸系統串聯醫、護資訊系統，並應用資訊科技減少床邊測量、警訊判定與發送、護理處置與記錄等病房工作的人工作業。以導入前、後成效指標評估應用成效。結果：系統導入後人員作業效能、資訊品質與醫療品質皆有改善，系統輔助功能亦減低人員工作壓力，且資深、資淺使用者均能快速熟悉。結論：許多資訊系統逐年地被開發供各職類臨床作業之用，使用者需在繁忙的臨床工作下迅速適應改變，導入iSMART是以最低異動獲取最高效能改善的計畫，其模組化的設計適於推廣應用，可供其他機構參考如何藉由逐步改善既有成果，改善醫療資訊系統。

Objective: An intelligent system for monitoring/measuring, alerting, and real-time transmission (iSMART) of clinical signs was developed in a user-centered manner for improving manpower effi cacy and the quality of medicare. This paper presents the construct and application effi ciency of iSMART. Methods: A physiologic value transfer system was used to connect medical and nursing information systems. Information technologies were incorporated to reduce the manual operations in bedside measurement, determination, transmission, disposal, and recording of alerts. The reduction in coding time, manpower costs, and typing errors before and after the introduction of iSMART was used to assess system effi ciency. Results: All assessments indicated that the system is helpful in improving manpower effi cacy and the quality of medicare. Both senior and junior nurses can become familiar with the system quickly and sense a reduction in work stress with the support of user-friendly system functions. Conclusion: A number of information systems are developed yearly for use in clinical practice by various clinical professionals. Users must adapt to changes in a busy work environment. This paper expresses a way of achieving maximum efficiency with the least amount of change. The modular design of iSMART makes it suitable for wide application. Therefore, our experience could be useful for other hospitals to gradually improve their medical information systems based on existing systems.