摘要
目的构建基于AI语音的传染性疾病临床护理数据采集系统,并评价其应用效果。方法以AI语音转文字技术为核心设计思路,构建以护理端AI语音知识库模块、AI语音系统与医院信息系统的对接集成模块、体温单和危重护理记录单内容解读及实时结构化处理模块、一次口述多表单同步提交模块、数据实时质控模块为一体的临床护理数据采集系统。于2020年5月—2021年10月在某三级传染病专科医院进行系统运行,比较护理文书书写质量指标、住院患者生命体征数据录入医院信息系统用时和护士使用体验。结果基于AI语音的传染性疾病临床护理数据采集系统使用后,护理文书书写质量指标明显提高,与传统数据采集方式比较,差异有统计学意义(P<0.001)。系统使用前后新入院患者初次生命体征采集上传完成及时性差异有统计学意义(χ^(2)=74.02,P<0.001)。系统使用后住院患者生命体征数据录入医院信息系统用时明显缩短(t=19.115,P<0.01)。在培训质量、服务质量、信息质量、使用意愿维度护士使用体验较好。结论将基于AI语音的传染性疾病临床护理数据采集系统嵌入护理文书书写环节,提高了护理文书书写的完整性、及时性,且护士对该系统总体体验良好。
Objective To construct an AI-powered speech-based clinical nursing data collection system for infectious diseases and evaluate its application effect.Methods With AI-powered speech-to-text transcription as the core design idea,a clinical nursing data collection system was constructed with AI speech knowledge base module at the nursing end,interfacing and integration module of AI speech system with hospital information system(HIS),content interpretation and real-time structured processing module for temperature sheets and critical care record sheets,simultaneous submission module for multiple forms in one dictation,and real-time data quality control module.The system was run in a tertiary specialized hospital for infectious diseases from May 2020 to October2021 to compare the quality indicators of nursing document writing,time spent on inpatient vital sign data entry into HIS,and nurses’using experience of the system.Results Compared with traditional data collection method,AI-powered speech-based clinical nursing data collection system for infectious diseases helped to significantly improve the quality of nursing document writing and the difference was statistically significant(P<0.001).There was statistically significant difference in the timeliness of completing and uploading initial vital sign collection for newly admitted patients before and after the use of the system(χ^(2)=74.02,P<0.001).The time taken for inpatient vital sign data entry into HIS was significantly shorter(t=19.115,P<0.01).Nurses were satisfied with the system in the dimensions of training quality,service quality,information quality,and willingness to use.Conclusion The combination of AI-powered speech-based clinical nursing data collection system for infectious diseases with nursing document writing improves the completeness,timeliness of nursing records writing,and nurses have a generally good experience with the system.
作者
侯绪娜
隋伟玉
韩凤萍
朱洁宏
赵海芹
王静
李启虹
卢鹏章
HOU Xu-na;SUI Wei-yu;HAN Feng-ping;ZHU Jie-hong;ZHAO Hai-qin;WANG Jing;LI Qi-hong;LU Peng-zhang(Dept.of Nursing Administration,Qishan Hospital,Yantai 264000,China;Dept.of Hepatology,Qishan Hospital,Yantai 264000,China;Dept.of Infectious Disease,Qishan Hospital,Yantai 264000,China;Information Center,Qishan Hospital,Yantai 264000,China;Teaching and Research Office of Basic Courses,School of Nursing,Peking University,Beijing 100191,China;Dept.of Integrated Traditional Chinese Medicine and Western Medicine,Unit I,Beijing Ditan Hospital Affiliated to Capital Medical University,Beijing 100015,China)
出处
《护理学报》
北大核心
2022年第19期20-24,共5页
Journal of Nursing（China）
基金
烟台市科技计划项目(2021YD088)。
关键词
AI语音
人工智能
传染性疾病
临床护理数据采集系统
AI-powered speech
artificial intelligence
infectious disease
clinical care data collection system
