大型医院信息化网络平台的建设

现代化医院需要一个能够承载生命信息的数字化网络平台,面临大量的设备和众多的应用系统,网络架构的先进性、可扩展性、稳定性、可靠性和安全性是必须的.以瑞金医院信息网络平台建设为例,提出了大型现代综合性医院网络建设的难点和要点,认为网络系统建设可采用模块化、层次化的结构,提高网络的可扩展性和可管理性,减少网络广播的危害性,同时对关键节点采用冗余设备进行备份,对关键应用系统采用QoS、负载均衡技术优化网络总体性能,可加强网络运行的稳定性和安全性.     

谈医院后勤信息化管理的优势和意义

随着医院的后勤社会化的推进,现有的管理方法已经不能适应新的形势的发展,因此后勤工作实施信息化管理是必然的选择,在后勤工作中如何实施信息化管理,以优化医院的后勤工作,成了一个值得研究的课题.本文从医院后勤信息化管理的概念、目标、基本构架、可行性分析以及优势和意义方面进行了一系列探讨.     

建设"数字后勤"提高医院后勤管理水平

本文阐述了医院后勤管理与信息化的关系,深入分析了后勤管理信息化的需求,给出了我院后勤信息系统的主要功能和特点.     

21世纪医院信息化管理

随着信息技术的迅速发展，信息化、数字化已经进入各行各业和人们生活中的许多方面，各级医院也不知不觉地进入了数字化和信息化时代，不仅CT、MRI、彩超等大型的数字化医疗设备在医院中广泛使用，而且从单机到计算机网络的各种医疗收费系统、管理系统和医疗信息处理系统等正在普及。所有这一切都说明：医院正在使用信息技术，     

医院信息化创造效益

阐述医院信息化管理的重要性，用本院使用信息化管理后具体数据来论证医院信息化产生的经济效益和社会效益，医院信息化是医院未来发展的必然趋势。     

完善信息化管理加强医院"核心能力"

本文对医院实行全面信息化管理的必要性和可行性进了初步探讨。信息技术的飞速发展，已使医院处于应用高科技成果的前沿。医院面对这种机遇和挑战，要想在竞争激烈的现代医疗市场上取得优势地位，就必须要加强信息化管理，这是医院致胜的“核心能力”。信息化管理的水平对于医院管理者做出正确决策、提高医院整体竞争能力将产生越来越重要的影响。     

信息化--医院现代化的基础

信息化是继工业化之后世界经济的又一场革命,是当今世界经济和社会发展的大趋势。随着人类向信息社会的迈进,世界竞争的优势越来越依赖于信息化。世界上,大到整个国家,小至某个部门都在努力完善自身的信息基础设施,促进自身的信息化进程以适应竞争的需要。对于正在走进现代化的     

依托信息化网络平台 构建医院物流管理系统

医院物流在现代医院管理中拥有战略性地位,构建医院物流管理系统对提高医院物资管理的科学性、合理性,改善医院整体运营绩效,促进医院长远发展具有重要战略意义。本文介绍了该系统的主要模块和关键要素,并重点阐述了它在医院物料数据集中化管理、提高物流作业效率、网络一体化及提高管理效率、增强节约意识等方面的作用,以及在实践中的体会和思考。     

医院信息化领域的发展和挑战

21世纪，随着全球化知识经济时代的到来，科学技术将进一步相互融合、渗透，规模和层次将更广泛与深入。通信技术、微电子技术和网络技术的发展直接影响了社会信息技术发展程度。新疆依托特殊的地貌和人文资源，信息技术的需求量大且科学信息技术的发展有其自己的特色。但因地处内陆，信息交流较内地省市闭塞，技术人才分布不均，制约     

依托信息化网络平台构建医院物流管理系统

医院物流在现代医院管理中拥有战略性地位,构建医院物流管理系统对提高医院物资管理的科学性、合理性,改善医院整体运营绩效,促进医院长远发展具有重要战略意义.本文介绍了该系统的主要模块和关键要素,并重点阐述了它在医院物料数据集中化管理、提高物流作业效率、网络一体化及提高管理效率、增强节约意识等方面的作用,以及在实践中的体会和思考.     

医院多通道冗余信息网建设

本文首先介绍了浙江大学医学院附属妇产科医院的概况与网络建设需求,然后提出了大中型医院信息网建设的设计原则。依据这些设计原则,提出了医院多通道冗余信息网建设的技术实现方案。经过长时间的运行,证明多通道冗余信息网是稳定可靠的。     

医院网络资源的开发和利用

随着我国计算机网络事业的发展,绝大多数大型医院已经建立了自己的医院网络,并与Internet相联接。但是,目前很多医院的网络还仅仅用于内部办公,广大的网络资源亟待开发。医院网络资源开发和利用,将对医院建设和运行起到积极的作用。1建立医院网站医院的网站是医院与患者及其家属在网络上交流的平台,可包含以下几个板块。1.1宣传与介绍医院要分利用互联网这一媒体宣传和介绍医院的情况,如软硬件资源、人力资源等,同时突出自身的优势,使网民充分了解该医院院并留下良好的印象。由于每一位网民都可能成为患者,了解该医院的网民越多,网民对该医…     

加强网络信息管理 促进医院可持续发展

本文就医院信息化管理的可持续发展提出主要实践与做法:要建立可行的网络管理和监控制度;要制定严密、详尽、可行的应急方案;要及时进行网络系统的检修和维护。以确保网络高效、安全和稳定。     

医院信息数据转换与HIS资源共享

信息资源共建共享是知识经济社会发展的必然产物,本文介绍了大型医院信息系统(HIS)中的信息资源进行数据转换,使其为其它管理系统所利用,达到资源共享的目的。     

Newly-developed drug information services provided by hospital pharmacists

Modern health care is supported by many health care professionals. Hospital pharmacists are required to accept increasing responsibilities for appropriate medication use, moving into more important roles within the health care system. Accurate drug information is indispensable for appropriate medication use, however, drug information is not always sufficiently utilized by physicians, and thus it is suggested that there is a need for providing individualized drug information (one to one advice to physicians). Hospital pharmacists must have access to patient-specific health care information and must monitor drug therapy directly in order to provide individualized drug information. Hospital pharmacists, with proper access to patient-specific health care information, can promote safer prescribing practices by advising both patients and physicians, and so can reduce patients' risk for medication-related problems and improve the quality of their health care. Optimal drug therapy is the goal for every patient. Together, using their respective knowledge bases, pharmacists and physicians could provide optimal drug therapy, benefiting both patients and the health care system.     

Pharmacist-conducted medication reconciliation at hospital admission using information technology in Taiwan

ObjectivesObtaining an accurate medication history upon admission to the hospital can be challenging and time-consuming. This study evaluated the efficacy of a medication reconciliation program, conducted by pharmacists, with the assistance of medication usage data from the Taiwan National Health Insurance (NHI). Characteristics of patients at high risk for drug discrepancies were also determined.MethodsPatients admitted between May 2008 and September 2009 were recruited. The type and class of medication discrepancies reported by pharmacists, the medication discrepancy rate, physician acceptance rate, and time taken for the intervention were studied. The degree of harm that could have resulted from the discrepancies was independently evaluated by four pharmacists. The association between selected variables and the occurrence of drug discrepancies was analyzed.ResultsAmong 3013 patients interviewed, the pharmacists identified 243 patients (8%) with at least one medication discrepancy between the patient's medication history and admission orders. There were 576 discrepancies identified. About 19% of the errors prevented could have potentially caused moderate to severe harm. The average time for one intervention was 18 ± 9.8 min. The number of preadmission medications, age, frequency of outpatient visits within 3 months prior to this hospital admission, and the number of specialist outpatient clinics the patient had visited within 3 months before the admission were determined to be risk factors for drug discrepancies.ConclusionsThis medication reconciliation program, conducted by pharmacists, was made more efficient by medication usage data from the Taiwan NHI. Pharmacists can reconcile medications more effectively by selecting patients at high risk for unintentional drug discrepancies.     

Clinical information sources used by hospital doctors in Mongolia

BACKGROUND: Information technology presents new opportunities to facilitate clinicians' access to up-to-date clinical information. Developing countries have special needs in this area and the problems encountered in obtaining clinical information have not been well researched, particularly for hospital doctors. No previous study has examined which clinical information sources Mongolian hospital doctors' use and the problems they may encounter in obtaining information. This study addressed an important knowledge gap by examining clinical information-seeking practices of Mongolian hospital doctors. The objectives of the study were to ascertain: (a) which clinical information sources were used in clinical decision-making; (b) the level of confidence in these information sources, and (c) the impact these information sources had on clinical decision-making. Also investigated was proficiency in English language and computer skills, as these factors could influence ability to obtain clinical information electronically. METHODS: Self-administered questionnaires were given to 263 doctors from the two largest hospitals in Ulaanbaatar, the capital city of Mongolia. Respondents answered questions about 10 information sources: colleagues; local and foreign textbooks; local and foreign journals; personal notes; computer-aided literature searches; Mongolian clinical practice guidelines; and brief updates and health policies developed in Mongolia. Parameters of interest included: frequency of use; confidence in the sources; and perceived impact of the sources on clinical decision-making. RESULTS: The response rate was 87% (229). The respondents indicated that discussion with colleagues was the most frequently used information source, foreign medical textbooks most commonly inspired high confidence, and discussion with colleagues was the source most often perceived as having a high impact on clinical decision-making. For all sources, high confidence and high impact were strongly associated with each other. Only 26% of respondents understood English well, and only 41% had excellent/good computer skills. English language and computer skills were strongly associated with undertaking computer-aided literature searches and with age. Female respondents were less likely than males to have excellent/good computer skills and less likely to undertake computer-aided literature searches. CONCLUSIONS: Satisfying the clinical information needs of doctors in less developed countries is particularly challenging and even though improvements in information technology can facilitate access to knowledge, there still exist barriers. Health policies which promote computer skills and English language among doctors may contribute substantially to best medical practice in Mongolia.     

医院网络及信息安全

网络及信息安全是网络世界中很重要的话题。文章就“医院信息系统的网络安全”从治理基础、管理策略和规章制度、安全产品的应用等方面谈论了我们医院网络信息安全的建设情况。