ICU bed number four years growth of 16.4% Serious medicine will usher in the development of information technology?

Wen: Whenever Hu Wei encounters a major public health event, the department of intensive medicine will arouse wide public concern and attention.
, for example, in the early stages of this year's fight against neo-crown pneumonia, the high mortality rate of critically ill patients has caused great alarm in society.
end of January, the National Health and Safety Commission to the fastest speed of the country's first-class serious medical experts transferred to Wuhan, thus quickly controlling the development of critical illness and reduce the death rate.
, according to the National Health and Wellness Commission, more than 14,000 medical personnel were sent to Wuhan before and after that time, accounting for 10% of the country's medical personnel resources.
in addition to rushing ahead in major disaster events, the Department of Severe Medicine is also the last line of defense to continue life in the course of daily disease treatment.
In hospitals, the Intensive Medicine Department specializes in treating critically ill patients in all departments of the hospital, and closely monitors and effectively treats these potentially life-threatening patients to help them return to a stable state, thereby reducing the risk of death.
is so important, but in this year's fight against the epidemic, it has exposed the problem of insufficient resources for severe medical treatment in China.
the outbreak, under the unified deployment of the government, 46 hospitals were urgently arranged to set up intensive care units, and two serious hospitals were specially built, Lei Shenshan and Fire Mountain.
addition, according to the 2019 article "Management to the East: Forty Years of Severe Medicine in China", the proportion of ICU beds in total hospital beds in 2015 was 1.7%, still not meeting the country's minimum standards (2%-8%).
, of course, the construction of a serious medical department cannot be achieved overnight.
as a pearl of modern medical achievements, severe medicine in a limited time to face a variety of difficult conditions, which requires not only professional quality medical personnel, but also the support of information systems.
, the critical medical information system is the necessary key factor to support the clinical and scientific development of critical medicine.
, at the 3rd Ice City Serious Disease Forum held in Harbin, IDC, a well-known consulting firm, and Dongso soft group jointly released the "China Severe Medical Information System Development Trends Research Report".
In view of the relevant contents of this report, the current situation of the development of China's severe medical information system and future trends and other related issues, Arterial Network interviewed Li Dong, general manager of the clinical medical division of The East Soft Medical Solutions Division, and Xiao Hongliang, senior research manager of IDC China's medical industry, in order to comb through the opportunities and challenges facing China's severe medical information system.
can a serious medical information system solve? Every time an emergency patient is pushed into the ICU, a heavy department door stands out: inside the door is a race against time ICU medical staff, outside the door is anxious patients' families.
in order to save lives, department medical staff need to fight death day and night, using all resources to save lives.
However, in the traditional treatment process, the treatment of seriously ill patients mainly rely on experience and limited equipment, which is particularly high for the ability of health care workers, coupled with the processing of various data indicators more cumbersome, more types of instruments, making the task of treatment time is tight, difficult, large uncertainty factors.
, it is particularly important to have a serious medical information system that simplifies processes, improves efficiency and improves the quality of care.
According to IDC's research, for hospitals that have not yet installed a critical medical information system, their daily work will face many problems, including the top three major pain points: First, manual operation is cumbersome and complex, doctors and nurses labor intensity is large;
" the establishment of a serious medical information system is a necessary condition to solve these pain points. Li Dong, general manager of the clinical medical division of
's Dongso soft medical solutions division, told Arterial Network that the key needs of establishing a serious medical information system include three aspects: first, the deep integration of diagnosis and treatment data, second, various advanced applications based on data, and third, regional coordination based on data.
around these three needs, the three main pain points mentioned above will also be addressed one by one.
By integrating patient clinical data and integrated medical device monitoring and treatment data, we can solve the problem of manual operation and data accuracy, and the use of big data and artificial intelligence technology is a very effective means to establish medical quality control, timely access to patients in various departments of the hospital, including scientific research and other advanced applications, to support the needs of intensive care departments and other departments, and can establish regional synergies with other hospitals.
it is not difficult to see that the severe medical information system is an information system for managing various medical equipment resources and supporting nursing and treatment processes.
From the point of view of application, the system includes the doctor's workstation, nurse's workstation, the network management of severe equipment and the main modules of severe scientific research, severe medical management and quality management.
"From the situation we have investigated, there is currently no establishment of a serious medical information system in the hospital, the department of intensive care still uses the hospital's core system (traditional HIS) and electronic medical record system (EMR), although these systems have a certain role, but basically can not support the serious medical work in the level of treatment and the quality of treatment of serious illness control.
," said Xiao Hongliang, senior research manager for IDC China's healthcare industry.
why can't the hospital core system do that? This is due to its inability to perform real-time monitoring in use and the need to log on to multiple systems at work to obtain patient inspection data.
Not only that, but core systems (HIS systems) are being upgraded to support the continued high quality of intensive care work, and development based on core systems (HIS systems) is more complex than building specialized systems.
four stages of the development of critical medical information system in China started in the early 1980s, after more than 30 years of arduous process, the important role of critical medicine in the treatment of critically ill patients has been widely recognized.
but the informationization of intensive medicine has just started, and it is still in exploration and perfection.
, the informationization of intensive medicine has played a huge role in the fight against the new crown pneumonia epidemic.
according to IDC, 61.8% of hospitals that already have a critical medical information system have been remodeled and upgraded to cope with the outbreak to meet the needs of the new crown pneumonia treatment.
" from this outbreak, China also needs to speed up the informationization of intensive medicine.
how does that measure the stage at which hospitals are being built and upgraded? To this end, we divided the development of the serious medical information system into four levels, four levels are progressive step by step.
," Xiao Hongliang told Arterial Network.
, the first level is the digitization of the tools for the treatment of severe illnesses: the automatic collection of data in the department of intensive care.
some hospitals have traditionally taken on the responsibility of using core systems and electronic diseases, but more and more hospitals have set up specialized intensive care information systems for data collection.
second level is the informationization of the operation of severe treatment: through the systematic combination of clinical data, medical equipment data and clinical knowledge base, to provide doctors with a full range of 360-degree clinical data display of patients.
ideally, it would be possible to integrate more patient disease and health-related data, as well as various clinical research papers, clinical guidelines, etc., to establish a large clinical data center for critical care.
the third level is the intelligence of severe treatment technology: artificial intelligence for big data, machine learning, deep learning, etc., generating a clinical knowledge base and personalized treatment programs, carrying out telemedicology, and promoting the development of clinical diagnosis and treatment.
The fourth level is the wisdom of the treatment process of severe illness: the system combines medical equipment and equipment as well as precision medical database, global resource bank, etc., to achieve in-room intelligent solutions, through human-machine interaction, etc., to provide patients with more accurate treatment and care solutions, so that treatment more intelligent, accurate, humane, and comprehensively improve the level of serious medical treatment, and can be extended to carry out health management innovation.
" from the current progress of China's critical medical information system, is currently in a comprehensive information construction and intelligent transition stage.
" Xiao Hongliang said, the development of critical medical information system can be seen from three dimensions.
First, from the point of view of nursing, the severe medical information system can realize the automatic collection of data, realize the electronic data, and realize the automatic import of data in the hospital core system (HIS), electronic medical record, examination and examination system (LIS) and medical imaging system (PACS), and automatically generate nursing records.
is from a medical point of view, can fully grasp the patient's condition view, improve the level of treatment and quality of medical care.
3. From the perspective of management, we can fully grasp the department dynamics and statistics, improve management efficiency and satisfaction of health care workers, and promote the construction of regional clinical database of severe cases, share medical resources, support regional treatment of serious diseases, and promote the development of clinical research.
are there still some shortcomings in the medical information system of severe illness? "There is still a long way to go in the construction of the information system for severe medical treatment.
" Li Dong told Arterial Network, many hospitals are still using the critical medical information system is still in the initial information stage, only to meet the basic requirements for intensive care and treatment, but to improve the level of treatment of critical medicine is still insufficient.
Specifically, for the director or deputy director of the Department of Critical Medicine, the biggest deficiency of the current information system is "insufficient support for clinical research" and for the critical care physician, the biggest deficiency of the current information system is the "lack of clinical diagnosis and treatment support programs".
In addition, the serious medical information system also exists with the hospital core system, electronic medical records and integrated platform integration is not in-depth, patient consultation data is not sufficient and other issues, the medical staff of the serious medical department in the daily operation has not been able to do a good job.
addition, patient monitoring data and equipment data are not well timely access to the system.
IDC survey found that the needs of health care workers in different positions also have their own priorities.
First, in addition to having a clear need for "systematic support for clinical research" and "using artificial intelligence technology", the Director of Critical Medicine expressed strong demand for "integrated medical equipment and mobile care";
addition, hospitals need more communication and display device integration, as well as audio and video integration, to manage family visits for seriously ill patients.
in view of these market demands, many manufacturers have also begun to gradually force the field of medical information, there are currently three main types.
The first is the integrated medical information system manufacturers, which are mainly hospital core system manufacturers, usually have a wealth of experience in hospital information construction, as well as medical information system integration and medical data management, as well as big data and artificial intelligence technology capabilities, but in the integration of medical equipment data needs to be strengthened, on behalf of the enterprise is The Soft East Group.
, with many years of technology, business, knowledge accumulation, to fight the problem, in 2016 launched a major intelligent severe illness solution (E-CARE).
The program focuses on the field of critical medicine, patient-centered, around the critical care, nursing, scientific research, management and other work scenarios, the critical medical knowledge and the Internet of Things, artificial intelligence and big data and other key technologies deeply integrated, to assist health care to achieve accurate diagnosis and security treatment, to help managers improve the level of department management, to help the development of critical medical information.
The second is a specialist medical information system manufacturer, which usually provides networking solutions for intensive care information systems and intensive care equipment, but needs to be strengthened in terms of the integration capabilities of the intensive care information system with other clinical information systems in hospitals, as well as in data analysis and mining.
The third is a medical device manufacturer, which provides medical equipment, based on medical equipment to provide a serious medical information system, has strong capabilities in intensive care and equipment management, but needs to be strengthened in the integration of information systems with other clinical information systems in hospitals and in the use of comprehensive data analysis.
" In selecting the manufacturers of severe medical information systems, we must focus on whether we have comprehensive medical information technology capabilities, in addition, it is best to have a mature core hospital product architecture, stable data collection capabilities, sustainable service capabilities and the concept of information transformation, so that in the development of severe medical information systems to intelligent and intelligent development of innovative technology development and application.
," Mr Xiao said.
future trend of the new crown pneumonia outbreak this year, so that the community's demand for and attention to the serious medical department is increasing.
according to the NHS And Care Quality and Safety Report 2019, the proportion of hospital beds in the intensive care department rose from 1.9 per cent in 2014 to 2.2 per cent in 2018, an increase of 16.4 per cent.
the number of beds, the corresponding medical equipment and medical information will maintain high growth.
li Dong said that the next 3-5 years of intensive medical information development in about three directions: First, the information system front end of the ICU-related equipment and related IT systems of deep integration, not only monitors, ventilators, blood filters, micro-pumps, blood gas analyzers and other traditional equipment connection It also includes connections to devices such as in-body membrane pulmonary oxygenation (ECMO), continuous heart drain monitoring (PICCO), intraartal balloon anti-bo (IABP), smart beds, etc.;
second, the construction of the information system back-end clinical data platform for severe cases, the formation of a serious clinical data set and specialized disease library, specialized disease knowledge base, for the serious clinical treatment domain to provide basic support.
with a data platform, AI-assisted decision-making in the therapeutic field has a stage to perform, it is possible to play a role in diagnosis, treatment, medication, nutrition four areas;