电子版肺功能报告诊断软件推广应用
发布时间：2019-02-13 07:35
【摘要】：随着临床肺功能检查的广泛应用,检查项目逐步增多,对肺功能报告的要求越来越高。特别是对肺部疾病的功能分级诊断和围手术期风险评估意义重大,涉及临床各科室,有些医院胸腹部手术和其他重大手术肺功能被纳入临床路径,由于大部分非呼吸专业的临床医生对肺功能报告的解读依赖于肺功能诊断医生的书写报告,肺功能结果是通过报告的形式表现出来,反映出所有的检查内容、质量控制、诊疗标准、专业知识背景及进一步的诊疗建议等信息,一份合格的肺功能报告可以从多层面诠释呼吸疾病的病理生理改变,帮助临床对呼吸疾病的诊断与鉴别诊断、疗效评价、风险评估、估计预后提供准确信息。但在我们的实际工作中关于肺功能结果判断标准存在认识上的差异,缺乏规范化的标准,加之肺功能检查仪型号各异,检查项目不同,因此在书写肺功能诊断报告时难免存在多个版本,出现地域之间和各医院之间诊断标准不统一、随意性、个性化等问题,在不同的医院或不同的肺功能检查室相同的检查结果,不同的诊断结论的事件频出,不利于医疗风险的控制,与当今现代医学发展和规范化管理的模式不相适应。针对肺功能书写过程中存在的问题,如:书写格式、内容、措辞、随意性等,依据肺功能诊断分级标准及COPD肺功能诊断标准,研发创建了电子版《M.H肺功能诊断应用软件》系统,获国家计算机软件著作权。经过一年的试用其性能稳定、资料电子存档便于查询、功能可扩展、可与医院网络系统对接。规范了本实验室肺功能诊断报告,提高了肺功能诊断水平,同时也利于质量控制、进修带教、培训考核等工作。
[Abstract]:With the wide application of clinical pulmonary function examination, the item of examination is increasing gradually, and the requirement of lung function report is higher and higher. In particular, it is of great significance for the functional grading diagnosis and perioperative risk assessment of lung diseases, involving all clinical departments, and some hospitals have included chest and abdomen operations and other major operations in the clinical pathway. Since most non-respiratory clinicians interpret lung function reports on the basis of written reports by the pulmonary function diagnostics, the results of lung function are expressed in the form of reports, reflecting all the examination contents and quality control. A qualified lung function report can interpret the pathophysiological changes of respiratory diseases in many ways, help the clinical diagnosis and differential diagnosis of respiratory diseases, and evaluate the curative effect. Risk assessment, estimation of prognosis provides accurate information. However, in our practical work, there are differences in understanding of the criteria for judging the results of lung function, lack of standardized standards, and different types of pulmonary function examination instruments and different examination items. Therefore, in writing the pulmonary function diagnosis report, there are inevitably many versions, and there are problems such as inconsistent, arbitrary and individualized diagnostic criteria between regions and hospitals, and the same results in different hospitals or different lung function examination rooms. The frequent occurrence of different diagnostic conclusions is not conducive to the control of medical risk and is not suitable for the development of modern medicine and standardized management. In view of the problems existing in the process of pulmonary function writing, such as writing format, content, wording, randomness, etc., according to the criteria of pulmonary function diagnosis and grading and COPD diagnostic criteria of lung function, Developed and created the electronic version of "M.H lung function diagnosis application software" system, the national computer software copyright. After one year's trial, its performance is stable, data archiving is easy to query, its function can be expanded, and it can be docked with hospital network system. The diagnostic report of pulmonary function in our laboratory is standardized, and the diagnostic level of pulmonary function is improved. It is also beneficial to quality control, further education, training examination and so on.
【作者单位】： 新疆维吾尔自治区人民医院呼吸功能检查科;
【分类号】：TP319;R563
，
本文编号：2421325
[Abstract]:With the wide application of clinical pulmonary function examination, the item of examination is increasing gradually, and the requirement of lung function report is higher and higher. In particular, it is of great significance for the functional grading diagnosis and perioperative risk assessment of lung diseases, involving all clinical departments, and some hospitals have included chest and abdomen operations and other major operations in the clinical pathway. Since most non-respiratory clinicians interpret lung function reports on the basis of written reports by the pulmonary function diagnostics, the results of lung function are expressed in the form of reports, reflecting all the examination contents and quality control. A qualified lung function report can interpret the pathophysiological changes of respiratory diseases in many ways, help the clinical diagnosis and differential diagnosis of respiratory diseases, and evaluate the curative effect. Risk assessment, estimation of prognosis provides accurate information. However, in our practical work, there are differences in understanding of the criteria for judging the results of lung function, lack of standardized standards, and different types of pulmonary function examination instruments and different examination items. Therefore, in writing the pulmonary function diagnosis report, there are inevitably many versions, and there are problems such as inconsistent, arbitrary and individualized diagnostic criteria between regions and hospitals, and the same results in different hospitals or different lung function examination rooms. The frequent occurrence of different diagnostic conclusions is not conducive to the control of medical risk and is not suitable for the development of modern medicine and standardized management. In view of the problems existing in the process of pulmonary function writing, such as writing format, content, wording, randomness, etc., according to the criteria of pulmonary function diagnosis and grading and COPD diagnostic criteria of lung function, Developed and created the electronic version of "M.H lung function diagnosis application software" system, the national computer software copyright. After one year's trial, its performance is stable, data archiving is easy to query, its function can be expanded, and it can be docked with hospital network system. The diagnostic report of pulmonary function in our laboratory is standardized, and the diagnostic level of pulmonary function is improved. It is also beneficial to quality control, further education, training examination and so on.
【作者单位】： 新疆维吾尔自治区人民医院呼吸功能检查科;
【分类号】：TP319;R563
，
本文编号：2421325
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