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基于HIS对接的住培电子轮转手册应用实践与探索
引用本文:罗茜,刘黎,康宝丽,朱亚琴,孙晓靓,丁敏,夏新,徐增光,宋黎翼,陈迟.基于HIS对接的住培电子轮转手册应用实践与探索[J].中华医学教育探索杂志,2024,23(1):128-133.
作者姓名:罗茜  刘黎  康宝丽  朱亚琴  孙晓靓  丁敏  夏新  徐增光  宋黎翼  陈迟
作者单位:1.同济大学附属东方医院信息管理办公室,上海 200123;2.同济大学附属东方医院医务部,上海 200123;3.同济大学附属东方医院毕业后继续教育办公室,上海 200123;4.同济大学附属东方医院神经科,上海 200123
摘    要:轮转登记手册所记载内容既是评估住院医师培训质量的量化指标,也是培训考核和颁发培训合格证书的重要依据。针对住培轮转登记手册数据真实性、信息滞后及重复录入的问题,同济大学附属东方医院开展住培电子轮转手册与医院信息系统(hospital information system,HIS)对接项目。通过组建项目团队、制定工作机制和项目实施,充分运用数据分析,进行流程改造和系统优化,在解决问题的同时不断提高管理效率,提升医疗安全,在实践中形成一套具有借鉴意义的实施体系。

关 键 词:轮转登记手册  医院信息系统  病种字典  住院医师规范化培训
收稿时间:2023/2/20 0:00:00

Application of electronic rotation registration manual for residency training based on hospital information system docking: Practice and exploration
Luo Xi,Liu Li,Kang Baoli,Zhu Yaqin,Sun Xiaoliang,Ding Min,Xia Xin,Xu Zengguang,Song Liyi,Chen Chi.Application of electronic rotation registration manual for residency training based on hospital information system docking: Practice and exploration[J].Chinese Journal of Medical Education Research,2024,23(1):128-133.
Authors:Luo Xi  Liu Li  Kang Baoli  Zhu Yaqin  Sun Xiaoliang  Ding Min  Xia Xin  Xu Zengguang  Song Liyi  Chen Chi
Institution:1.Department of Information Management, Shanghai East Hospital, Tongji University School of Medicine, Shanghai 200123, China;2.Medical Department, Shanghai East Hospital, Tongji University School of Medicine, Shanghai 200123, China;3.Department of Graduate and Continuing Medical Education, Shanghai East Hospital, Tongji University School of Medicine, Shanghai 200123, China;4.Department of Neurology, Shanghai East Hospital, Tongji University School of Medicine, Shanghai 200123, China
Abstract:The contents recorded in the rotation registration manual is not only the quantitative indicators for evaluating the quality of residency training, but also the important basis for training assessment and issuance of training certificates. In order to solve the problems of data authenticity, information delay, and repeated entry in the rotation registration manual for residency training, Shanghai East Hospital, Tongji University, launched a project to dock the electronic rotation registration manual with the hospital information system. Through the establishment of the project team, the development of working mechanisms, and the implementation of the project, data analysis was used for process reformation and system optimization, so as to continuously improve management efficiency and medical safety while solving problems and form a set of implementation system with reference significance in practice.
Keywords:Rotation registration manual  Hospital information system  Disease dictionary  Standardized residency training
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