新型病人呼叫系統整合至醫院資訊系統的個案研究

Abstract

病人或護士呼叫系統是提供住院病人需要協助時，方便找到護理人員前往處理的通信系統，是醫院中必要但少被探討的設備。實務上有建置經費不便宜，處理整個呼叫流程繁複，以及早期通訊不良的狀況。 本研究以方便使用與提升品質為原始理念，研發過程中加入整合與加值理念。技術上運用現有科技做整合。開發並完成建置一套於TS醫院護理之家。 本研究產品主要關鍵在： 1.通信整合：將病人呼叫系統與醫院電話整合，讓護理人員在病房內任何地方，都可以輕易的接收到病人呼叫訊息；2.資通整合：將病人呼叫系統整合至醫院資訊系統，讓呼叫病人的基本資訊，輕易地顯示在護理站或行動護理車的電腦螢幕；護理人員需要他人協助時，可以輕易地接通電話或傳送簡訊；整個病人呼叫及處理流程，可以方便地經由電腦紀錄。 此系統初步反應良好，需時間做大規模研究。於護理人力缺乏的時刻，應善用資訊來減輕人力負荷。 本研究的改良過程，進一步發現TS醫院醫療資訊的整合，要達到方便、品質、整合與加值的目標，應以整合至病人照顧資訊系統為最高目標。回顧國內以往好的醫療資訊系統中的病人照顧系統，不易在國內推廣，分析原因後，提出一些建議。期望各醫院找到自己方向，在有限的資源下，逐步整合病人呼叫系統、護理資訊系統、及病人照顧系統，才能把資訊與通信的優點在醫療系統完全發揮,讓醫療照顧成為輕鬆有效的事。 本研究產出仍需實務來驗證，也需要持續改善才能顯現出其特色。

Patient or nurse call system is a necessary communication system that provides patient to inform the nurse for assistance and has been seldom discussed in hospital. According to personal experience, the system is expensive in building and maintenance, complexity in managing the calling process, and poor communication quality. In this study, a new patient call system was developed by extending and integrating the original functions, including easy use, quality improvement, as well as addition of concept of integration and value-added. The main differences of this new system over traditional system were integration of patient call system with telephone communication system and hospital information system together within a hospital. A set of the new system has been set in TS hospital. The most importance of this study was to a) integration of communication system by in combination of patient call system with telephone system to provide the nurse to receive the patient calling information at any position in the ward; b) integration of patient call system with hospital information system to let patient information appearing in any computer screen in any nurse station or mobile nursing station. Therefore, nurse can easily use telephone system or transfer the information to ask for assistance. Further, whole calling and treating process was conveniently recorded in computer. After preliminary testing this new system, the early response of nurses was good, but further evaluation is necessary. During the Improvement of the system, I found integration of medial information in TS hospital to provide the best patient care system as the ultimate integration goal through the ideas of simplification of the patient care, improvement of quality, integration and value-added. The implementation of an excellent medical information system, especially commercial system, is difficult in Taiwan. Therefore, I propose a strategy to integrate patient call system, nurse call system and patient care system together in each hospital based on its requirement and financial support. This system can present the advantages in information and communication system in medical care system completely. Patient cares will become easy and efficient. Further studies and persistent improvement of the system is necessary.