Inpatient Information System

1. 1 Inpatient Information System Feipei Lai National Taiwan University

2. 2 ?????? PAT?? (???) ???? ?????... ????? (???????) ???? ?? ??VS ????

3. 3 ?????? ???? ???? ????? ?? (????????? ICU) ?? ???? ??VS ????????

4. 4 ?????? ???? ???? ???? ?? ?? ??????? ?? ???? ????? ???? ???? ????

5. 5 ?????? ???? TPN (???) UDD ?? (????) ?? (???) ??? (????)

6. 6 TPN?? ??:TPN-PED, TPN-NEO, CPN-A2, CPN-B2, CPN-G, CPN-G2, Aminomix, Nutriflex? TPN??????:?????? ??????????????TPN,????????,????,?????????,?????? ???????,?CHECK??????

7. 7 Unit Dose Drug (UDD) medications are contained in single unit packages; they are dispensed in as ready-to-administer form as possible; and for most medications, not more than a 24-hour supply of doses is delivered to or available at the patient-care area at any time. (1) safer for the patient, (2) more efficient and economical for the organization, (3) a more effective method of utilizing professional resources.

8. 8 ?????? ?????? ?? (????) ?? (????) ??? (????) CT/MRI/PET ?? ???? ??? ?? ?? ?? ??

9. 9 ?????? ???????? ???? case payment DRG ?? ?? ?? ????? ?????

10. 10 ?????? ?? ?? ???? ?? ?? ?? ??

11. 11 ?????? ?? ???? ?? ?? ????? (????) ???? ???? ???? (??)

12. 12 ???? (1)????--?????? ???????????? ???????????,?????,????????? ???????????????,?????,??????,?????????,?????,???????,?????????????? (2)????--???????? ??????,??????????,??????????????????????????????????,????????????,??????????????????????????? (3)????--?????? ???????????????,????????????????;??????????,??????????,??????????

13. 13 ?????? ?????????,? A, B, C, D, X ?????? A ???????,???????????????????,??????????,????,????????????????????????????????? ?????? B ??????????????,?????????????????????????????????,???????????????,??????????????????????????penicillin,????????

14. 14 ?????? ?????? C ??????????????,?????????????????????????????????????????,???????????????????????????????????????:Lorazepam, Haloperidol (??1081??? ),??????????? ?????? D ???????????????,??????????????,??????????????,?????????????????;???????,???????????????,????????????:Carbamazepine (???1260???NFCD3? )?Phenytoin (??? )

15. 15 ?????? ?????? X ???????????????????????????????????,??????????????,?????????????????????????????????????????????:Isotretinoin??????????????????

16. 16 ?????? ?????? / ?? ???????? / ?? ?????? ? ??????

17. 17 ???? ???? ?????? ?????? ??????? ???? ?? (every 3 month)

18. 18 ????

19. 19 ??????: ???? ??? (?????) Arguable Case (??????)

20. 20 ??????: ????:???????? ?????:???LOGIN ?????? ???&ICU??? : ?????????? LAB(??)??:???LOGIN ?????? ???&???&?? :???????? ??? : ???????? UDD? :?????????? RAD (????) : ???LOGIN ?????? ????:???????????

21. 21 ?????? 1:???? 2:??????? : ????,????,??? 3:????(??) : 50????? 4:???? : B, C ?, ?????????

22. 22 ????? ?????(by case, by order) ?????? (by case) ??????? (Total)

23. 23 ???? ?????(by case, by order) ????? (by case) ?????? (Total) ???????? (????? , ? :?? , ???…)

24. 24 ???? ??????????? ?????? ?????,??? ???? (variance management) ?????(quality improvement)

25. 25 ?????? ???? : ?????????? (DRG) Case-Payment ???????? ????Case-Payment ??????? ????????

26. 26 ?????? ?? ?? ?? ??? ??? ?? ???? ??? ??? ???

27. 27 Case-Payment ???????? ?????? ??? : ????? ??? : ??????? ???? ????

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30. 30 ??????? ???????? ????????? ??????????

31. 31 ???????? ???????????????(???)? ?????????,?????????????? ?????????,???????????? ????????????????????? ??????????login?????(???) ? login???batch ?????????????

32. 32 ???????? Input Delete Select Print Display Precharge

33. 33 ????????? ?????????????????? ?????????,?????????????? ??????????????????? ?????????login??????

34. 34 ????????? ????????? ????? ? ?????&?????? ? ?????? ? ????&?? ? ??????????(??????) ? ????? ?????

35. 35 ?????????? ?????????????????(?????????)? ?????????,???????????????? (?????????)? ?????????????????????????? ????????login????????

36. 36 ?????????? ????????? ?????? Login(??),?????? ?????????(??)? ???????? ???????? ??????? ??????? ??????? ??????? ????????? ????????? ????????? ???/?/?????????????? ????????

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50. 50 ?????????

51. 51 ????????? ??/??/??/????????? ??/??/??/????????(??)

52. 52 ?? ????????? ?????????

53. 53

54. 54 ???????

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59. 59

60. 60 ???? ???? Insert Date ????? Executor ???? Remove Date ???? Remove Reason

61. 61 ?????? Catheter Category ???????? One Way CVP ???????? Two Way CVP ???????? Three Way CVP ???? Port-A ???? Artery-Line Catheter ???? Sheath ????? AV shunt ?????? PICC ??? IV Catheter ????? Subcutaneous Catheter ????????? Perm Catheter ????????? Double-lumen Catheter ????? Hickman’s Catheter ????? Swan-Ganz Catheter

62. 62 ???????? Catheter Insert Side ?????? Left subclavian vein ?????? Right subclavian vein ???? Left jugular vein ???? Right jugular vein ????? Left femoral vein ????? Right femoral vein ???? Left radial Artery ???? Right radial Artery ???? Left brachialis  Artery ???? Right brachialis  Artery

63. 63 ????? Left femoral  Artery ????? Right femoral  Artery ????? Left dorsal pedal  Artery ????? Right dorsal pedal  Artery ?? Other

64. 64 ????? Drainage tube Category ??? Pig-tail ???? PTCD ??? PCN Hemovac Hemovac vacuum ball Vacuum ball ?? Chest tube ????? Intracranial drain ????? Abdominal drain ????? Lumbar drain Penrose drain Penrose drain Ileoconduit Ileoconduit suprapubic drain Suprapubic drain ureteral cath Ureteral cath Double – J tube Double – J tube ENBD ENBD

65. 65 ??????? Drainage tube Insert Side ??? Left Front Chest Wall ??? Left Back Chest Wall ??? Right Front Chest Wall ??? Right Back Chest Wall ??? Left Upper Abdomen ??? Left Lower Abdomen ?? Other

66. 66 ???? Drainage amount

67. 67 ????? Drainage Color ???? Yellowish ???(??)Pink ??? Green ?? Yellowish Pus

68. 68 ???? Endo Tube ?????? Endo Tube Size ???????? Endo Tube Deep

69. 69 ???? Tracheostomy tube ???? Low Pressure tube ???? Shilley ??(Neo)shilley??(Neo) Shilley ??(Ped)shilley??(Ped) bivona Bivona T?? T-tube speech canula Speech Canula ??(???)Button

70. 70 ?????? Insertion Site Appearance ?? Noraml ? Redness ? Swelling ?? Pus ?? Leakage

71. 71 cardioversion Through electricity or drug therapy, cardioversion converts heart arrhythmias to normal rhythms. Similar to defibrillation, electrical cardioversion differs in that it uses much lower electricity levels, and is only performed on patients that are not currently in cardiac arrest. Pharmacologic cardioversion uses medication instead of an electrical shock.

72. 72 A-V fistula arteriovenous fistula <surgery> The surgical joining of an artery and a vein under the skin for the purpose of haemodialysis. Larger arteriovenous shunts can place strain on the heart since arterial blood is diverted back to the venous circulation before it has a chance to deliver nutrients and oxygen to the body tissues.

73. 73 CVP central venous pressure <cardiology> The venous pressure as measured at the right atrium, done by means of a catheter introduced through the median cubital vein to the superior vena cava, the distal end of the catheter being attached to a manometer.