电子病历系统的应用
| 作者: |
1王伟
1 南京医科大学附属无锡人民医院信息中心，江苏 无锡 214023 |
| 通讯: |
王伟
Email: wangwei@wuxiph.com |
| DOI: | 10.3978/j.issn.2095-6959.2018.03.038 |
摘要
电子病历系统是医院信息化建设的重要工程，能极大提高医院工作效率，改善医疗数据的收集分析流程。本文从电子病历系统的功能着手，分析电子病历系统在临床应用中所存在的病历信息不完整、数据准确性及法律效力等问题，并从软件系统和业务管理流程两个方面进行挖掘，从而建立起电子病历系统的操作标准和质控监管流程。
关键词：
电子病历；质控管理；医院信息系统
Application of electronic medical record system
CorrespondingAuthor: WANG Wei Email: wangwei@wuxiph.com
DOI: 10.3978/j.issn.2095-6959.2018.03.038
Abstract
Electric medical record system is an important project of hospital, which can greatly improve the work efficiency and improve the collection and analysis process of medical data. Based on the functions of electric medical record system, the paper analyzes and studies the problems (such as incomplete information, inaccurate data and illegal effect issues) to get the solution from the software system and business management, which establishes the operation standard and the quality control supervision process of the electronic medical record system.
Keywords：
electric medical record; quality control management; hospital information system