Design And Implementation Of A Nursing Decision-making Decision-making System In A Top Three Hospital

With the information technology and computer technology developing in then medical and health area,hospital information system becomes to clinical medical services from financial management.Through accurate records and collects of patient information and diagnosis data,and intelligent analysis,improve the quality of medical services.Through the doctor and nurse record,delve deeper by computer,macros key word,complex analysis by pre-defined logic,design a clinical electronic assistant decision system,has become the future of de hospital information development.Nursing assessment is the first step in the nursing process,throughout the whole process of nursing activities,nurses are responsible for the implementation of the basis of nursing work.Nursing assessment is the nurses in the process of communication with patients in the process of collecting the basic information of the patient records,but also the establishment of nu rse-patient relationship the first step,it is to provide personalized care for patients based evidence-based.Therefore,the patient's assessment of care must be objective,true,timely and complete reflection of the basic situation of patients.Evaluation stage is to provide a solid basis for the implementation of high-quality personalized care stage,but in clinical practice,the assessment process for patients due to the quality of nurses and nursing work status and other factors,often only in the form of,can not be true,objectively reflect the patient's health problems.The main shortcomings include:(1)Most of the hospitals will formulate nursing evaluation form,but the content is not enough detailed,only a simple record of the patient's vital signs,cultural background,personality habits,health status,self-care ability,but failed to assess the physiological status of patients,The quality did not get in-depth and sustainable development;(2)a few hospitals also established by the system of assessment alone,but failed to achieve high-risk groups of people at risk screening and early warning funct ion;so that nursing care assessment only play a simple record of patient information;(3)There is no report on the hospital According to the contents of patient care evaluation information,the function of automatically classifying the grade of care on the day is generated automatically,which makes the determination of the grading nursing grade of most hospitals have certain randomness.(4)In most hospitals,doctors and nurses are not consistent with the professional skill level and judgment ability of the patients,which is the key legal problem in the potential malpractice dispute.This project aims to design a set of skills to help nurses to improve writing efficiency,but also to assist nursing staff in-patient comprehensive assessment of care,but also for nursing assessment of the core business(critical screening,high-risk screening,Care level)to carry out intelligent decision-making to support electronic information systems.In this paper,by using.Net C # + XML + HTML and related dynamic programming technology,the document editor can help the document content rule setting,picture insertion,graphic display and hide,text up and down logo,writing assistant and other handwritten medical records can not be completed.Features.To meet the nursing staff to write fast norms,but also to the State Health Commission and the hospital management functions of the nursing history of quality control requirements.Using XML self-description and storage content flexibility,preservation of the assessment of care in the structure of the content,in order to build high-risk early warning platform for risk preparedness.The system uses the current three-tier architecture,whether it is its own nursing evaluation assistance decision system,or external HIS,PACS,LIS,RIS and other systems,by calling a unified standard interface to obtain services,improve system security,Compatibility and scalability,and the development of key technologies for assistive decision making systems for nursing assessment,as well as meeting the flexible clinical needs.