การพัฒนาระบบสารสนเทศติดตาม ตัวตามรอยทางคลินิก (Clinical Tracer) ผู้ป่วยโรคซึมเศร้า หน่วย ตรวจโรคจิตเวชศาสตร์ โรงพยาบาล ศิริราช

Abstract

Objective: This study examined the needs and development of Clinical Tracer information system for patients
diagnosed with major depressive disorder in psychiatric outpatient department of Siriraj Hospital.
Methods: This study employed mixed method research. The interviews of 20 registered nurses and practical
nurses were conducted to examine the needs of Clinical Tracer information system for patients diagnosed with
major depressive disorder. The information obtained from the interviews were evaluated by content analysis
and the questions had IOC value of 1, derived from 5 experts. The satisfactory survey of the new system were
conducted in 20 of the system’s users. Descriptive statistics were used to conclude and discuss the results.
Results: The results of the qualitative data revealed that participants expressed the needs, at a significant
level, for a suitable information system. By implementing system such as Clinical Tracer for patients diagnosed
with major depressive disorders, it would improved the documented system which enhanced the quality of care
provided and follow up for treatments. The information system that was developed is safe, simple to use, and
able to assess the scores quickly, accurately, and precisely reported the date of appointments. After the system
was implemented, the results showed that the system simplified the process of keeping records of patients, and
able to tabulated the results quickly. The satisfaction survey revealed that the system was user-friendly, highly
precise, and highly secure as shown with most scores rated ‘highly satisfied.’
Conclusion: The development of Clinical Tracer information system for the purpose of recording data of
patients with major depressive disorders which replaced the traditional document process created a systematic
data collection which was completed, simple to use and look up data, convenient and processed information
quickly, decreased duration in recording performance indicators, and longer period where nurses can serviced
the patients. The information system’s users and administrators would also be able to utilized the data for enhanced
treatment plans. Future research should connected the Clinical Tracer system on the LAN network and
linked to the hospital database in order to regulate data and prevent duplicates.