A hybrid approach for managing a medical record facility information system

The concept of totally computerizing an organization is appealing; however, this may not always be a practical solution. A medium size medical group, housing 64,000 medical records, located in a mid-eastern state was the basis of this study. The immediate problem was the development of a comprehensive medical records control system. The proposed hybrid solution provides automation with respect to controls while relying on manual methods for execution of process.     

病案信息为医院管理服务

目的:通过病案信息资源的分析,为医院管理提供依据.方法:从六个方面阐述病案信息在医院管理中的作用.结果:病案信息对医院的内部管理及公安、司法、商业保险等外部单位提供帮助.结论:对病案信息的充分利用,提高了医院的现代化管理水平.     

Homecare and the informal information grapevine: implications for the electronic record in social care

This article explores informal information exchange in social care, and implications for formal monitoring with an electronic social care record (ESCR). Six homecare settings were studied over 14 months between 2001 and 2002. Participant observation methods were used with the recipients of homecare (n = 7) and in-depth interviews plus participant observation with formal care workers (n = 31). Allied healthcare professionals (n = 9) and homecare managers (n = 5) were interviewed, as were two family members. The findings show that assumptions about monitoring of care processes may be faulty, and that trust and negotiation are important aspects of the care delivery. Modelling of the business processes indicates that roles and responsibilities for managing a care plan may shift, with the consequence that information can be omitted from a formal record if care workers selectively withhold information from care managers. The article concludes that any formal record needs to allow for the extensive negotiation involved in needs assessment and monitoring of care plans.     

基于PKI的电子病历系统安全

利用PKI技术提供的信息安全服务能够解决电子病历系统安全中所遇到的一系列问题。讨论如何将PKI技术运用到电子病历的安全中，以及PKI在解决电子病历安全所遇到的一系列问题。     

Total medical record: an automated medical information system

The strength of the TMR system lies in its integration of medical and business information in a practical, easy-to-use design. It eliminates the delay, inefficiency, and bulk found in other medical information systems.     

浅谈病案信息的利用

病案信息资源丰富 ,对其功能应当充分开发和利用。文章具体论述了病案信息在制定医疗卫生业务发展计划 ,深化内部改革 ,解决医疗纠纷和为医、教、研提供服务等方面的重要作用。提出搞好病案利用要从传统管理向现代化管理迈进 ,管理方法应从被动整理转向主动服务 ,管理方式应从封闭式改为开放式 ,并要加强病案信息的环节质量管理