新版电子病历系统试点工作体会

我院是全军选取的36家“新版电子病历系统”的试点医院之一.根据工作安排部署,我院于2011年8月份开展了“新版电子病历系统试点工作”,经过全院上下共同努力,新、旧版电子病历转化过程顺利,运行至今整体情况良好,本文就我院在新版电子病历试点工作开展中试点工作启动前的准备工作、试点工作推广的组织实施、试点工作推广中存在的问题及建议等试点推广工作情况的体会进行总结.并对组织推广工作中具体举措如搭建软硬件环境、组织技术测试、组织技术与应用培训、组织病历模板制作和迁移、抓好应用测试、抓好新系统的正式使用等进行汇报说明.最后对目前运用过程中存在瓶颈问题进行归纳及建议.     

新版电子病历系统实施与改进研究

目的 :通过实施新版电子病历系统,实现医院信息化建设的总体升级。方法 :将各系统参照国内国际相关行业标准进行接口改造,提升系统的互联互通能力,并进行基础架构建设;突出以电子病历为核心的整体临床信息系统建设;结合实际需求,改进与完善新版电子病历系统功能。结果:改进了新版电子病历系统体系模式和结构,优化了性能,提升了培训管理水平。结论:通过项目实施,医院信息化基础架构得到了改善,整体集成度得到了提升,给其他医院同类工作提供了借鉴。     

安徽省立医院积极推进新版电子病历模板化建设

为推进新版电子病历专科模板构建工作,安徽省立医院举行新版电子病历高级客户培训会,会议由医务处申主任主持,共计34个临床科室电子病历高级客户及院电子病历项目组成员参与培训。申主任首先强调模板制作的重要意义,并就开展全院电子病历模板构建工作进行部署。软件公司工程师详细介绍新版电子病历使用操作特点、病历模板制作的操作流程及注意事项。     

我院试点应用浙大中控新版电子病历系统的做法与体会

介绍了医院在实施浙大中控新版电子病历系统过程中的主要做法,针对实施过程可能出现的问题总结了几点体会,并针对测试和试点使用过程中遇到的问题给出了几点建议,对其他医院实施该系统具有一定的借鉴意义。     

结构化电子病历系统实施及体会

军队医院在2011年3月启动新版电子病历系统试点工作,本院作为第一批试点医院,于今年6月启用新版电子病历系统,该系统在病历质量和病历管理方面有更高的标准和更严的要求。本文针对系统实施过程中的一些技术难点及组织管理方面的做法进行总     

住院电子病历打印管理存在问题及对策

电子病历(ElectronicMedicalRecord,EMR)尤其是住院电子病历在越来越多的医院得到应用,由于电子病历签名的合法性、数据安全性等关键问题尚未有一个有效的解决方案,因而,目前很多医院都采取在每个环节将病历打印出来,再由医务人员每页手工签名后进行归档保存。通过加强管理、完善软件功能及改善签名流程,电子病历的打印成本不会增加,打印病历手写签名的问题得以解决。     

新版电子病历系统应用效果分析

目的探讨新版电子病历系统的实施方案及应用效果。方法从管理层面设计系统的实施细则,从技术角度分析系统的特征优势,从应用需求阐述系统需完善的内容。结果新版电子病历系统实现了医疗过程的全面信息化及实时、标准化的病历质量控制,并为医护人员提供满足临床诊疗的信息需求。结论新版电子病历系统的应用,可有效提高医护质量和效率,实现医疗事务的科学管理。     

电子病历在医院信息系统中的应用与融合

随着医院信息化建设的深入，电子病历系统作为数字化医院核心之一，其应用日益受到医院与社会的广泛关注。如何确保电子病历系统在医院中顺利的实施、如何同原有系统适当的耦合逐渐成为医院管理层、电子病历使用者以及开发人员高度重视的新课题。本文分析了电子病历在作为医院信息系统的一部分的实施应用及电子病历与已有系统的融合的过程是全院级信息系统建设的必要条件与有益经验。     

EMR系统与LIS、HIS的接口设计及实现

目的:完成电子病历系统(EMR)、医院信息系统(HIS)与实验室信息系统(LIS)的无缝连接,完善医院的信息化建设。方法:设计接口程序来实现3个系统的无缝链接。结果:EMR系统、HIS与LIS间可实现信息交互,使患者基本信息、电子病历信息与检验结果信息全院联网,实现信息共享。结论:通过系统融合,优化和规范了业务流程,提高了医院的工作效率和管理水平。     

电子病历质控系统研发与应用

以信息技术为手段,在新版电子病历系统应用基础上,开发电子病历质控系统.该系统可在线实时检查病历质量及反馈质控信息,并对检查结果作出进一步统计分析,明显提高了电子病历的完整性和及时性,使病历内涵质量得到保证,病历质控效能全面提升,提高了医疗管理水平.     

基层卫生检测机构实验室资质认定

对新的公共卫生形势下,提升基层卫生检测机构整体综合能力作了探索,提出通过计量认证、实施全面质量管理,促进人员综合素质、专业技术能力提和管理水平提高。达到卫生监督监测和疾病控制工作步入法制化、程序化、科学化和网络化管理目标。     

IEC60601-1-2医用电气设备电磁兼容标准研究

研究了YY0505．2005标准与IEC60601-1-2第2．1版标准的差异．得出以下结论：两者在试验项目、试验方法等方面相同在对分类、基本性能、风险分析的要求方面有较大差异．并对fEC60601-1-2第2．1版标准在我国转化实藏提出了建议。     

医院职能部门新员工轮岗培养模式探讨

通过对轮岗模式的架构、目标、对象、实施过程、评估等相关情况进行介绍,文章认为经过轮岗实践,在加速新员工职责身份转换,提高人才与岗位的匹配度,增强部门间沟通和交流等方面都有重要意义。职能部门新员工轮岗培养模式是一个培养人才、储备人才、建立医院管理人才梯队的有效模式。     

规范化培训护士岗位管理实践

对规范化培训的新护士实施岗位管理,包括完善垂直管理体系,设置规培护士岗位;纳入分级进阶体系,推行双向选择;改革薪酬分配方案,成立培训专项资金;加强分层岗位培训,实行积分考核等。对实施岗位管理前后完成第一阶段培训的规培护士进行问卷调查,采用Epidata 3.1软件和SPSS 22.0软件进行数据录入和统计分析。岗位管理前后,规培护士临床护理综合能力、工作投入水平、组织公平感、工作满意度、不良事件发生率、参培率等的差异有统计学意义（P<0.05）。以岗位准入、岗位培训、岗位激励为主题,对规范化培训护士实施岗     

医院集中岗前培训流程再造

岗前培训是医院人才培养的首要环节和重要途径,是新员工入职打基础的良好开端,科学、规范、有效的岗前培训流程对提高新员工的素质,尽快熟悉适应岗位要求行之有效.本文从当前医院离职率高、进出人员多,培训不到位等现状入手,分析传统岗前培训方式存在的缺陷,探讨新形势下的岗前培训模式,分别从岗前培训制定计划、组织实施进行归纳和总结,提出医院集中岗前培训流程构建合理化建议.     

Short-term effectiveness of an outcomes research training curriculum within a coordinated program

The fourth edition of the Commission on Accreditation for Dietetics Education Standards of Education mandated outcomes research training. Our objective was to determine the short-term effectiveness (<5 years) of the outcomes research training curriculum in the Coordinated Program in Dietetics (CP) at the University of Missouri-Columbia, which exceeds these minimum standards. Toward this end, a survey tool was administered to University of Missouri-Columbia CP graduates before the implementation of the fourth edition of Standards of Education and to University of Missouri-Columbia CP graduates with two semesters of outcomes research training; graduates of two other CPs from different universities from the same years were also surveyed. Graduates who went through CPs after implementation of the fourth edition of the Standards of Education showed notable improvement in attitudes, interest, and participation in most of the outcomes research skills queried, compared with those who completed their education under the earlier standards; knowledge was only slightly improved. Of these areas, only enhancements in attitudes and interest were consistently more pronounced in food and nutrition professionals trained using the University of Missouri-Columbia's outcomes research curriculum compared with other CP graduates. Both the Commission on Accreditation for Dietetics Education and program directors can use the findings described herein to further assess and develop the research competencies and/or to strengthen their programs.     

Flawless information system implementation

When it was decided to replace the homegrown materiel management information system at Barnes Hospital, a 1,200-bed hospital in St. Louis, Missouri, with a more comprehensive one, the aim was to have a swift, error-free selection, testing and implementation process. It met these goals by dedicating the following resources to the process: 1) a dedicated, full-time user responsible for requirements definition, testing, training and user support, 2) a dedicated IS support team for selection, testing and implementation of the software package, 3) availability of additional personnel in Materiel Management for general assistance, 4) a team approach, both at the project team level, and hospital wide, 5) a total commitment to quality at every phase, 6) a thorough approach to testing, both at the system level, and at the unit, or program level and 7) the vendor commitment of extra time, money and energy to help us make the system work to the best of its ability.     

Interpreting and implementing the 2006 CDC recommendations for HIV testing in health-care settings

On September 22, 2006, the Centers for Disease Control and Prevention (CDC) announced recommendations to expand the role of health-care providers in human immunodeficiency virus (HIV) testing. These clearlyjustified guidelines aim to remove traditional testing barriers, and thereby increase the rate of earlier diagnosis. This overarching strategy to increase testing in all health-care settings also includes less traditional sites such as emergency departments and correctional health-care facilities. The motivation for the guidelines is intuitive, as the need for augmented testing is well supported. Of those infected with HIV in the U.S., approximately one-quarter are unaware of their disease status. People who are unaware of their infection disproportionately account for new transmissions and are unable to benefit from treatment. The HIV incidence has not fallen below approximately 40,000 new diagnoses per year, of which approximately 40% are diagnosed late in the course of infection. Universal screening, even in populations with a disease prevalence of 0.1%, has been shown to be cost-effective. While the guidelines have been reviewed in depth, current interpretations do not adequately outline a structure for further debate or facilitate incremental or partial implementation of the recommendations. This must be remedied, as comprehensive implementation of the guidelines will be controversial or logistically impossible in many settings for the foreseeable future. Herein, we provide a clarified interpretation by outlining the core guideline elements individually and within the context of current barriers to implementation. We then discuss potential combinations of the core elements that would enable increased testing in settings where comprehensive guideline implementation is not possible.     

核磁共振成像系统的质量保证与质量控制

本文概括介绍了核磁共振成像系统在安装前后和使用过程中实行质量测试的重要性和具体方法步骤。主要包括系统验收测试、日常检查、基本测试,以及年度系统评估。建立一个完整合理的质量保证、质量控制方案,并能按时全面执行这一方案,对于保证磁共振成像系统的高质、高效运行,提高临床和科研能力起到十分重要的作用。     

会聚观视阈下新医科人才培养的主要路径

会聚观与新医科在提出背景、建设目标、主要任务和实施策略等方面具有较大相似性。会聚观的提出与实施对新医科建设具有重要启示,主要体现在理念树立、学科建设、人才培养和组织建设方面基于这些启示,可以从教育理念确立、学科建设、人才培养模式改革和机制体制创新等方面探索新医科人才培养的主要路径。