一種整合式信息技術(shù)系統(tǒng)(IT)被設(shè)計(jì)用于將整個(gè)患者處理過程進(jìn)行結(jié)構(gòu)化以及計(jì)算機(jī)化，從患者的首次求診開始一直到治療結(jié)束。

軟件提供了廣泛的功能，從入院到患者離院，包括急診科、重癥監(jiān)護(hù)室、麻醉科、醫(yī)療檔案、護(hù)理部以及收費(fèi)部。這套軟件叫做Matrix Box，是由Yuse公司(Leuven, Belgium)研制開發(fā)的。重復(fù)臨床途徑只需

要一次輸入即可，此后所有科室都能夠進(jìn)行多學(xué)科隨訪。這種途徑確定了處理過程以及確定了患者處理程序。

Yuse已經(jīng)研究了系統(tǒng)對(duì)比利時(shí)10多所醫(yī)院12個(gè)科室的工作質(zhì)量、工作效率以及工作環(huán)境改善的影響。第一階段著重于急診科、手術(shù)室以及重癥監(jiān)護(hù)室。結(jié)果顯示如果所有比利時(shí)醫(yī)院使用Matrix Box，醫(yī)院

將因?yàn)橘|(zhì)量和效率的提高而每年節(jié)約1千萬(wàn)歐元。質(zhì)量平均提高了39％。協(xié)助Yuse公司此項(xiàng)研究項(xiàng)目的是來(lái)自Vlerick Leuven Gent管理學(xué)校的一個(gè)小組。

Yuse公司執(zhí)行總裁Jo Vandebergh指出：“迄今為止，已經(jīng)部署了數(shù)個(gè)所謂的孤島系統(tǒng)。這些都是一些孤立的項(xiàng)目，彼此之間很少能夠相互兼容。由于傳統(tǒng)的技術(shù)、鏈接和患者資料安全性之間的差異，這種

方法是一條死胡同，因?yàn)榛颊吲R床資料差異極大。”

她另外還說(shuō)：“唯一的解決途徑就是適合整個(gè)醫(yī)院的、整合的軟件，并且強(qiáng)調(diào)患者的核心地位。”
 
IT System for Hospital Care Processes
 
An integrated information technology (IT) system is designed to structure and computerize the entire patient care process in a hospital from the first consultation to the end of treatment.

The software offers extensive functions, from admittance to patient dismissal, including the emergency department, the intensive care unit, anesthesia, medical records, nursing department, and billing. Called

Matrix Box, the software was developed by Yuse (Leuven, Belgium). Repetitive clinical pathways are entered into the program only once, after which all departments can follow up the multidisciplinary care

program. This pathway determines the process and, as such, directs the sequence of the care process.

Yuse has researched the impact of the system on quality, efficiency, and improvement of working conditions in 12 departments in more than 10 hospitals in Belgium. The first phase was focused on the

emergency department, operating room, and intensive care unit. The results showed that if all Belgian hospitals used the Matrix Box they would realize annual savings of more than one billion euros because of

gains in quality and efficiency. Quality would be improved by an average of 39%. Aiding Yuse in its research program was a team from the Vlerick Leuven Gent Management School.

“Up to now, a number of so-called island systems have already been implemented. These are separate programs, which are rarely ever compatible with one another,” noted Jo Vandebergh, CEO of Yuse. “

Besides the traditional problems such as different technologies, links, and security of patient data, this approach is a dead-
end street, since it is completely at odds with the patient’s clinical pathway.”

She added, “The only solution is hospital-wide, integrated software where the main focus is on the patient.”