以電腦輔助醫療相關感染監測與感染管制之實例探討

An Overview of Computer-assisted Hospital-acquired Infection Surveillance and Infection Control System

現今醫院作業流程中資料處理及管理的資訊化程度越來越高，由於資訊系統穩定且快速的特性，不但能提升醫療品質和病人就醫的安全性，就醫資料的資訊化和電子病歷的推行也讓醫護人員進行資料統計分析的過程變得容易。本篇文章整理以電腦輔助醫療相關感染監測與感染管制的各國實例，並將各系統提供輔助的方法統整如下：（1）整合相關病歷資料，呈現在友善的介面中，以利醫護人員檢視是否符合醫療相關感染個案標準，簡化判定作業流程；（2）建立醫療相關感染的電腦化規則，每日自動且即時的將符合條件的個案挑出；（3）提供流行病學資料供抗生素選用之參考，減少不當使用抗生素；（4）運用資料探勘技術，預測感染發生的風險；（5）提供感染資料查詢和統計分析等；分項概述其輔助醫護人員的方法與成效。藉由資訊系統省下來的時間，讓感染管制人員能著力於單位查核等事項，以提升醫療品質與病患就醫的安全性。

The health information system provides medical staffs and patients with stable and fast services, coordinationg with electronic medical records, the data in database can be analyzed easily and conveniently, and the quality of medical services has been advanced by efficiency improvements. Several studies show that information technology can support the physician through software services for the surveillance of Healthcare associated infections (HAI) and infection control. This article provide a comprehen-sive survey of computerassisted HAI surveillance and infection control researches, and the following is a summary of the funcions of computer-assisted system: (1) provision patients, simplify the workflow of infection control; (2) establish the candiline; (3) provide alerts and suggestions of antibiotic therapy; (4) use data mining to predict the outbreak of infection disease;(5) design a user interface to process data analysis and provide statistic function; There are many excellent researches of computer-assisted healthcare decision support system, with these systems, the healthcare quality would get better and better.