Exploitation And Application Of Digital Management System For Pacing Patients

Objective To exploit special management software and implement digital management forpacing patients by utilizing computer information system technology. To explore the digitalsystem in the aspects of feasibility, effectiveness, security, simplification, integrality andstandardization compared with the traditional manual management system. To provide initialexperience in the application of computer technology that is used in the digital managementsystem of pacing patients.Methods According to patients' basic information,, the fundamental information of theimplanted device, operation information and follow-up information, 10 data-books wereconstructed and 7 modules were compiled by utilizing the personal computer, Microsoft WindowsXP₂ operating system, Microsoft Access 2003 relational-like database and Visual Basic 6.0programming software. There are 7 different functions in the digital management system, i.e.,input, storage, display, inquiry, statistics, printing and system maintenance. The information of 400patients implanted with pacemaker, ICD or CRT was collected and entered into the database so asto implement all-around management for patients, optimize the digital system and improve thebasic system at the same time. 50 patients were randomly selected in the comparison ofinformation management between the traditional system and digital system. Evaluation was madeon correctness, security, integrality, effectiveness, standardization, flexibility and practicabilitybetween the two systems.Results The structure of the whole system database and the management modules of thedigital system were exploited in this study; programming of 7 modules was completed; theexpected function, including quick input, storage, inquiry, statistics and printing of pacing patients'information, was realized. The digital system has now been put into practice of the follow-upmanagement for pacing patients. The paperless office work has saved the cost, decreased thefollow-up time, offered the better medical service for patients and made long-term data storageand clinical research more convenient. The database was composed of 887 fields describing theinformation of patients. The software included 12,353 program lines. After utilizing the digitalfollow-up system, information integrity, correctness, security and effectiveness had a greatimprovement (p＜0.05) compared to the traditional system. Good evaluation (p＜0.05) was also obtained. Each patient's follow-up time is 37.4% shorter than that using the traditional system.Digital system can complete the inquiry and statistics in a few seconds, while the manual systemneeds many hours or days for the same assignment. Using the digital system, inquiry andstatistical results can be readily drawn as pictures and tables in Microsoft Excel, thus creating thesecond statistical outcomes. In this system, the interface is concise, friendly and easy tounderstand. Clinical doctors could handle it after 2 hours of training.Conclusions The quality and effectiveness of the pacing patients' follow-up are improvedevidently. The digital system is better than the traditional manual system in terms of data integrity,correctness, security and effectiveness. The design of this system is reasonable, the interface isfriendly, and the operating system is convenient. Clinical doctors can operate it quickly. Afterfurther improvement, this digital management system is expected to have a good prospect ofgeneralization and application.