数字化手术室临床信息共享平台的构建与应用

摘要

目的 探讨数字化手术室临床信息共享平台的临床应用效果.方法 选取2016年1—4月实施腹腔镜手术的50例患者为对照组,选取2016年5 —8月实施腹腔镜手术的50例患者为试验组.对照组使用传统移动工作站进行术中数据采集,试验组采用数字化手术室临床信息共享平台进行数据采集.分别统计两组手术护士视频采集准备工作耗时、医生编辑及下载视频耗时、使用者满意度分值.结果 手术室护士视频采集准备工作平均耗时由(10.040±1.641) min降至(3.460±0.930) min,差异有统计学意义(t=26.756,P<0.01).医生编辑手术视频时间由(32.360±3.795) min降至(11.580±2.467) min,差异有统计学意义(t=32.355,P<0.01).医生下载手术视频耗时由(9.780±1.329) min降至(9.540±2.305) min,差异无统计学意义(t=0.586,P>0.05).使用者对术中视频采集及观摩工作满意度分值由(99.400±1.846)分升至(99.948±0.352)分,差异有统计学意义(t=-3.360,P<0.01).结论 数字化手术室临床信息共享平台可实现手术过程全面数字化记录,规范手术音视频资料管理,缩短护士准备、医生编辑手术音视频资料时间,提供病例研究的实时数据,提升学术交流、教学培训效果及医护满意度.%Objective To explore the clinical effect of the digital operation room clinical information sharing platform. Methods A total of 50 patients who underwent laparoscopy from January to April 2016 were selected as the control group, and 50 patients who underwent laparoscopy from May to August 2016 were selected as the experimental group. Traditional mobile workstation was used to collect the operation data of the control group, while the digital operating room clinical information sharing platform was used to collect data of the experimental group. The nurses' preparing time for video acquisition, doctors' editing and downloading time and the user satisfaction were compared between the two groups. Results The nurses' preparing time of video acquisition decreased from (10.040±1.641) min to (3.460±0.930) min, with statistical significance (t=26.756, P< 0.01). The time of surgeons editing the video decreased from (32.360±3.795) min to (11.580±2.467) min, with statistical significance (t=32.355,P<0.01). The time of surgeons downloading the video decreased from (9.780±1.329) min to (9.540±2.305) min, but the diffevence was not statistically significant (t=0.586, P>0.05). The users' satisfaction of the video increased from (99.400±1.846) to (99.948±0.352), with statistical significant (t=-3.360, P< 0.01). Conclusions Digital operating room clinical information sharing platform can realize comprehensive digital recording of the operation process, standardize audio and video management of audio and video data, shorten the preparing time of the nurses and editing time of the doctors, provide real-time data of case studies, enhance academic communication, teaching and training effect and medical care satisfaction.