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WS/T 547-2017: The basic function specification of healthcare-associated infection management information system
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The basic function specification of healthcare-associated infection management information system
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WS/T 547-2017
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Basic data | Standard ID | WS/T 547-2017 (WS/T547-2017) | | Description (Translated English) | The basic function specification of healthcare-associated infection management information system | | Sector / Industry | Health Industry Standard (Recommended) | | Classification of Chinese Standard | C07 | | Word Count Estimation | 10,185 | | Date of Issue | 2017-07-25 | | Date of Implementation | 2017-12-01 | | Regulation (derived from) | State-Health-Communication (2017) 8 | | Issuing agency(ies) | National Health and Family Planning Commission of the People's Republic of China | WS/T 547-2017: The basic function specification of healthcare-associated infection management information system
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The basic function specification of healthcare-associated infection management information system
ICS 11.020
C 07
WS
People's Republic of China Health Industry Standard
Basic function specification of hospital infection management information system
2017-07-25 released
2017-12-01 implementation
Issued by the National Health and Family Planning Commission of the People's Republic of China
Table of contents
Foreword...Ⅲ
1 Scope...1
2 Normative references...1
3 Terms and Definitions...1
4 Basic requirements for hospital infection management information system...1
5 Basic requirements for hospital infection monitoring functions...1
6 Monitoring function requirements for key departments, key links and key populations...3
7 Functional requirements for the monitoring of occupational exposure of blood-borne pathogens of medical personnel...5
8 Disinfection and sterilization effect monitoring function requirements...5
9 Functional requirements for quality control and monitoring of disinfection supply center...6
Foreword
This standard was drafted in accordance with the rules given in GB/T 1.1-2009.
The main drafting organizations of this standard. National Health and Family Planning Commission Hospital Management Institute, Chinese People's Liberation Army General Hospital, Central South University Xiangya Medical
Hospital, Peking University Third Hospital, Shaoxing People’s Hospital, Second Affiliated Hospital of Zhejiang University School of Medicine, Peking University People’s Hospital, Peking University
Xue first hospital.
The main drafters of this standard. Gong Yuxiu, Liu Yunxi, Xing Yubin, Ren Nan, Zhang Yu, Yuan Xiaoning, Shu Ting, Zhong Chulei, Lu Qun, Wu Ying
Hong and Li Liuyi.
Basic function specification of hospital infection management information system
1 Scope
This standard specifies the basic requirements for the hospital infection management information system, the hospital infection monitoring function requirements, key departments, key links and key
Point population monitoring function requirements, medical personnel occupational exposure monitoring function requirements of blood-borne pathogens, disinfection and sterilization effect monitoring function requirements,
The quality control and monitoring function requirements of the drug supply center.
This standard applies to the design, development and data sharing of hospital infection management information systems in medical institutions with inpatient beds.
2 Normative references
The following documents are indispensable for the application of this document. For dated reference documents, only the dated version applies to this document.
For undated references, the latest version (including all amendments) applies to this document.
WS/T 312 Hospital Infection Surveillance Specification
Nosocomial infection outbreak report and treatment management standard in.2011, former Ministry of Health
3 Terms and definitions
The following terms and definitions apply to this document.
3.1
Hospital infection management information system
Collect, store and analyze hospital infection related clinical data from the hospital information system, and implement intelligence around improving the level of hospital infection management
Computerized information processing system with integrated monitoring, target monitoring, reporting and auxiliary analysis management functions.
4 Basic requirements of hospital infection management information system
4.1 The need to obtain clinical data related to nosocomial infection of inpatients from the hospital's various information systems should be met.
4.2 The requirements for automatic screening of hospital infection cases, real-time warning, confirmation and exclusion, and intervention feedback should be met.
4.3 It should meet the requirements of medical staff's occupational exposure monitoring of blood-borne pathogens, disinfection and sterilization effect monitoring, and quality control process of the disinfection supply center.
Functional requirements for monitoring.
4.4 Data sharing with other information systems in the hospital shall be realized and the data security of this system shall be ensured.
5 Basic requirements for hospital infection monitoring functions
5.1 Data collection function
5.1.1 Collect clinical data related to nosocomial infection of inpatients, establish an infection information database, and collect the following basic information.
a) Basic information of the patient. hospitalized patient identifier, number of hospitalizations, medical record number, name, gender, date of birth, valid ID
Document number, admission date and time, discharge date and time, discharge method, admission code, admission date and time, discharge area
Date time etc.
b) Patient’s hospital infection related information. device-related treatment information, bacterial and fungal pathogenic test information, antimicrobial drug sensitivity
Test information, vital signs information, routine inspection information, imaging reports, pathology reports, etc.
c) See Chapter 6 for the data to be collected for monitoring of key departments, key links and key populations.
5.1.2 Except for data related to nosocomial infection judgments, surgical return visits, ICU patient condition rating and other business systems that have not been recorded
Except for a small amount of content that needs to be manually entered, the system should automatically collect clinical data related to hospital infections.
5.2 Automatic screening function
The hospital’s own characteristics should be combined to define the nosocomial infection case screening strategy, real-time and automatic screening, and timely detection of risk factors and suspects
Cases of infection.
5.3 Real-time warning function
5.3.1 It should be equipped with the function of setting an outbreak early warning threshold for the nosocomial infection index, and timely warning of a suspected outbreak when the threshold is exceeded.
5.3.2 It should have the function of visual display of the infection time of nosocomial infection cases and the distribution of beds in the ward.
5.3.3 There should be a real-time warning function for the hospital's antibacterial drugs exceeding the standard value in real time.
5.3.4 There should be a real-time warning function for the rate of bacterial resistance exceeding the standard value.
5.4 Auxiliary confirmation function
5.4.1 A reminder function of suspected nosocomial infection cases should be provided, in the form of a work list for the nosocomial infection monitoring staff to confirm and schedule
except.
5.4.2 It shall have the functions of auxiliary confirmation and elimination of suspected outbreaks.
5.4.3 As the result of nosocomial infection monitoring, the professional staff of nosocomial infection monitoring should produce nosocomial infection judgments through daily monitoring
Relevant data. name of nosocomial infection site, nosocomial infection date and time, nosocomial infection outcome, nosocomial infection outcome date and time, whether
New nosocomial infections, nosocomial infection attributes, names of surgical site infections, infection types of pathogens detected in the laboratory, etc.
5.5 Intervention feedback function
5.5.1 There should be a function of communicating the diagnosis of suspected cases of nosocomial infection between hospital infection management professionals and clinicians.
5.5.2 It shall have the function of pushing intervention measures, and timely push the contents of case diagnosis suggestions and infection prevention and control points to doctors for intervention.
5.5.3 It shall have a feedback evaluation function to record the implementation of interventions.
5.5.4 It is advisable to provide relevant knowledge training and learning modules for hospital infection diagnosis, prevention and control.
5.6 Statistical analysis function
5.6.1 The number of inpatients in the whole hospital and each ward at any period of time, the number of hospitalization days, the number of people discharged, and urethral intubation should be automatically recorded and counted by category
Thousand days usage rate, central vascular catheter usage rate per thousand days, ventilator usage rate per thousand days, number of operations, number of multi-drug resistant bacteria detected, antibacterial drugs
The number of users, etc., and convenient inquiries
5.6.2 On the basis of the confirmation of new cases of nosocomial infection every day, according to the preset standard algorithm, it should automatically count the whole hospital at any time
And the incidence of nosocomial infections (cases) in each ward, the incidence of nosocomial infections (cases) in Thousand Days, the current incidence of nosocomial infections (cases), surgery
Incidence of surgical site infection, urinary tract infection related to urethral intubation, central vascular catheter related bloodstream infection, respiratory
The incidence of machine-related pneumonia, the incidence of multi-drug-resistant bacteria infection (cases), the incidence of multi-drug-resistant bacteria
Statistical indicators such as the incidence of planting cases per thousand days.
5.6.3 The monitoring results related to hospital infection monitoring in all key locations, key departments and key links should be provided (see Chapter 6 for details).
5.6.4 Reports of various indicators should be automatically generated and divided into levels of the whole hospital, departments (or wards), etc., and displayed in graphics, tables, etc.
And directly export the document format that can be edited and analyzed.
5.6.5 The "drilling" function of each indicator should be provided, that is, click on the number to browse the original data corresponding to the number, such as clicking on a certain period of time
The "incidence rate" number of the ward can see the list of hospitalized patients in the ward at that time period, the list of new cases of nosocomial infections in that time period, and so on. should
With statistical analysis data sorting and export functions.
5.6.6 It should be able to query the status of hospitalized or discharged cases at any time or time, and query the statistics of nosocomial infections in the whole hospital and each ward at any time.
The function of analyzing the results should have the function of displaying the indicators of 5.6.1 and 5.6.2, the whole hospital and each ward, and the function of providing indicator changes on a yearly basis.
5.7 Data reporting function
5.7.1 The clinician’s active reporting function should be set up to monitor the nosocomial infection cases diagnosed by clinicians that are not automatically screened by the system.
Reported. Report hospital infection cases diagnosed by clinicians that are not automatically screened by the system
5.7.2 There should be hospitals in accordance with the requirements of the higher administrative department (based on WS/T 312 to report basic data) to report the residents that meet the basic data set standards
The function of clinical data related to nosocomial infection of hospital patients; the reported data should adopt a public data storage format, and use non-specific systems or software
The software can interpret the data; the direct network reporting should meet the definition requirements of the standard and adopt the specified reporting method.
5.7.3 It should have the function of reporting in accordance with the content requirements of the "Nosocomial Infection Outbreak Report and Treatment Management Regulations".
6 Functional requirements for nosocomial infection surveillance in key departments, key links and key populations
6.1 Surgical site infection monitoring
6.1.1 Data Collection
In addition to the data specified in 5.1.1, the name of the operation, the ICD code of the operation, and the start date of the operation should also be collected.
Period, surgical end date and time, surgical incision type code, surgical incision healing grade code, American Association of Anesthesiologists (ASA) evaluation
Classification, emergency surgery, general name of antimicrobial drugs used by surgical patients after entering the operating room, and antimicrobial drug administration days after operating patients entering the operating room
Period, surgeon (code), implant usage, blood loss, blood transfusion, surgical skin preparation method and time, etc.
6.1.2 Data Statistics and Analysis
6.1.2.1 The incidence of infection at the surgical site of surgical patients in the whole hospital and each ward should be automatically counted at any time, and the postoperative lung infection of surgical patients should be automatically calculated.
Incidence rate, nosocomial infection rate of patients undergoing elective surgery, surgical site infection incidence rate according to ICD-9 code, clean operation grade A healing rate,
Infection rate of clean operation site, percentage of antibacterial drugs used for clean operation, per capita use of antimicrobial drugs for clean operation
Indexes, such as the percentage of administration 0.5h-2h before the operation, and the additional implementation rate of antibacterial drugs during the operation when the operation time is greater than 3h.
6.1.2.2 The incidence of infection at the surgical site of various risk indices shall be calculated according to the risk index.
6.1.2.3 According to the surgeon (code), statistics should be made on the incidence of infection by surgeons.
6.1.2.4 Statistics should be based on surgeons (codes), physicians’ infection incidence rates according to different risk indexes, average risk indexes, and physician’s sense of adjustment
Specific rate of infection.
6.2 Intensive Care Unit (ICU) Infection Surveillance
6.2.1 Data Collection
In addition to the data specified in 5.1.1, scores of serious conditions should also be collected.
The entry/exit day of the ICU should be automatically calculated based on the admission code, the date and time of entering the ward, and the date and time of leaving the ward collected in 5.1.1
Period, automatic generation of ICU patient logs, etc.
6.2.2 Data Statistics and Analysis
6.2.2.1 It should be able to automatically count the incidence of nosocomial infection (cases) and the incidence of nosocomial infections (cases) in each ICU ward at any time
rate.
6.2.2.2 The thousand-day usage rate of urethral intubation, the thousand-day usage rate of central vascular catheter, and ventilator in each ICU ward at any time should be automatically counted.
Thousand-day usage rate.
6.2.2.3 It should be able to automatically count the incidence of urinary tract infection related to urethral intubation in each ICU ward at any time, and the blood related to central vascular catheter.
The incidence of influenza infection and the incidence of ventilator-associated pneumonia.
6.3 Nosocomial infection surveillance in neonatal wards
6.3.1 Data Collection
In addition to the data specified in 5.1.1, birth weight, Apgra score, etc. should also be collected.
Entry/exit neonates should be automatically calculated based on the admission code, the date and time of entering the ward, and the date and time of leaving the ward collected in 5.1.1
Ward date and time, automatic generation of neonatal ward log, etc.
6.3.2 Data Statistics and Analysis
6.3.2.1 It should be able to automatically count the incidence of nosocomial infections of neonatal patients in each neonatal ward at any time, and the new births of different birth weight groups
The incidence of infection in children per thousand days.
6.3.2.2 It should be able to automatically count the usage rate of umbilical or central vascular catheters of newborns in different birth weight groups in each neonatal ward at any time.
Usage rate of neonatal ventilator in different birth weight groups.
6.3.2.3 It should automatically count the blood flu related to the umbilical cord or central vascular catheter of the different birth weight groups in each neonatal ward at any time
The incidence of infection and the incidence of ventilator-associated pneumonia among newborns in different birth weight groups.
6.4 Device-related infection surveillance
6.4.1 Data Collection
To collect the data specified in 5.1.1, the start date and time of device-related treatment and the end date and time of device-related treatment should also be collected.
6.4.2 Data Statistics and Analysis
It should be able to automatically count the thousand-day usage rate of urethral intubation, the thousand-day usage rate of central vascular catheter, and the thousand-day usage rate of ventilator in the whole hospital and each ward at any time.
Daily usage rate, incidence of urinary tract infection associated with urethral intubation, incidence of bloodstream infection associated with central vascular catheter, incidence of ventilator associated pneumonia
It should have the function of displaying the annual change trend of each index in the whole hospital and each ward.
6.5 Monitoring the use of clinical antimicrobials
6.5.1 Data Collection
In addition to the data specified in 5.1.1, at least the general name of the antibiotics used by the inpatients and the start date of use should be collected.
Time, end of use date and time, grade, purpose of medication, method of administration, prescribing physician’s name, job title, operation after the patient enters the operating room
Use the generic name of antimicrobial drugs, the date and time of antimicrobial drug administration after surgery patients enter the operating room, etc.
6.5.2 Data Statistics and Analysis
6.5.2.1 It should be able to automatically count the use rate of antibacterial drugs for discharged patients in the whole hospital and each ward at any time, the use rate of antibacterial drugs for inpatients,
The composition ratio of preventive use of antibacterial drugs, the composition ratio of treatment use of antibacterial drugs, the number of types of antibacterial drugs used per discharged patient, the number of hospitalized patients
The number of days of using antibacterial drugs, the etiology inspection rate of antibacterial drugs used by discharged patients, and the etiology inspection rate of antibacterial drugs used by discharged patients for therapeutic use
Rate, etiology submission rate of inpatients before antimicrobial treatment, etiology submission rate of inpatients before the therapeutic use of restricted antibiotics,
Etiology submission rate before the therapeutic use of special antibacterial drugs in hospital patients, the percentage of antibacterial drugs used for clean operation prevention, and antibacterial treatment for clean operations
The average number of days of drug use per capita for drug prophylaxis, the percentage of administration 0.5h-2h before the operation, and the addition of antimicrobials during the operation when the operation time is greater than 3h
The implementation rate, etc., should have the function of showing the annual change trend of the above indicators in the whole hospital and each ward.
6.5.2.2 It should be able to automatically count the percentage of each surgeon's administration 0.5h-2h before surgery at any time, and the hand whose surgery time is more than 3h
Intraoperative additional implementation rate of antibacterial drugs.
6.5.2.3 It should be able to automatically count the types of antibacterial drugs whose resistance to each pathogenic bacteria exceeds the standard value in the whole hospital and each ward on a quarterly basis.
6.6 Monitoring of bacterial resistance
6.6.1 Data Collection
Collect the data specified in 5.1.1.
6.6.2 Data Statistics and Analysis
6.6.2.1 It should be able to automatically count the detection rate of multi-drug-resistant bacteria in the whole hospital and each ward at any time, and the isolation and extinction of multi-drug-resistant nosocomial pathogens.
Logarithmic, multi-drug resistant nosocomial infections, the rate of pathogenic bacteria resistant to antimicrobial drugs, the incidence of multi-drug resistant bacteria infections (cases), multidrug resistant bacteria
Incidence rate per thousand days, multi-drug resistant bacteria colonization rate per thousand days, composition ratio of pathogens of different hospital infections, resistance of pathogens of hospital infection
The antimicrobial drug resistance rate should have the function of showing the annual trend of the above indicators in the whole hospital and each ward.
6.6.2.2 It should be able to automatically count the absolute number and composition ratio of each pathogen separated from blood samples in the whole hospital and in each ward at any time, and nosocomial infections
The absolute number and composition ratio of pathogenic bacteria should have the function of showing the annual trend of the above indicators in the whole hospital and each ward.
6.6.2.3 It should be able to automatically count the susceptibility of different drugs in the antimicrobial susceptibility test of nosocomial infection pathogens in the whole hospital and each ward at any time
The total number of plants, the number of sensitive, the number of intermediates, the number of resistant, the sensitive rate, the intermediate rate, and the resistant rate.
7 Functional requirements for occupational exposure monitoring of blood-borne pathogens of medical staff
7.1 Data collection
The basic situation of the exposed person, the method of this exposure, the description of the occurrence, emergency treatment after the exposure, the evaluation of the blood source patient, and the immune water of the exposed person
Level assessment, post-exposure preventive measures, post-exposure follow-up testing, conclusions on whether they are infected with blood-borne pathogens, etc.
7.2 Basic functions
7.2.1 Input function.
7.2.2 The confidentiality function to protect the privacy of medical staff.
7.2.3 Functions such as reminding vaccination and tracking test when due.
7.2.4 Statistical analysis function.
8 Functional requirements for disinfection and sterilization effect monitoring
8.1 Data collection
Air disinfection effect monitoring, object surface disinfection effect monitoring, hand disinfection effect monitoring, main performance monitoring of clean medical rooms, medical treatment
Instrument disinfection and sterilization effect monitoring, disinfectant monitoring, ultraviolet lamp irradiation intensity monitoring, dialysis water quality monitoring, food hygiene monitoring, etc.
8.2 Basic functions
8.2.1 Manual entry of monitoring data or importing from the laboratory information system (LIS) system.
8.2.2 Automatically judge whether the monitoring result is qualified.
8.2.3 Export and print function of standard format report.
8.2.4 Statistical analysis function.
9 Quality control and monitoring function requirements of disinfection supply center
It should be equipped with the docking function of the disinfection and sterilization equipment traceability management system of the disinfection supply center to realize the monitoring of the quality control of the disinfection supply center
It should be able to trace and trace the recovery, cleaning, disinfection, packaging, sterilization and use of surgical instruments.
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