The informationization is being upgraded for medical care

The informationization is being upgraded for medical care
Now, every one comes to Chinese Medical Sciences University to attach to and hold the patient in hospital in Beijing hospital and must wear a wrist strap. At first glance, the wrist takes simple patient's name, gender and age information. However, in seeming to be the unattractive two-dimentional code of fine long hair, are recording the invisible important content - -The admitted to hospital for time, disease information and life physical sign,etc.ing of the patient. The starting point of patient's electronic case history that the wrist strap is in hospital, it is the epitome of the informationization of the whole hospital too. Hold secretary of Beijing hospital Wang DaNan and say: "At our side, are being taken place by an enormous change that information revolution brings. " " electronic medical treatment " Doctors and patients experience by November 11 morning,it is finish by chest aneurysm excisions main just not to hold by Beijing auntie Li where the hospitals in hospital. At over 1 o'clock in the afternoon, responsibility nurse Gao LiMin of thoracic surgery goes to the ward to make an inspection tour. After exchanging a few words of greetings with auntie Li, she has swept the wrist strap that palmtop computer aimed at auntie Li's wrist in the hand, the machine is sent out " Tick " One,then it demonstrate Li identity at auntie information. After verifying, measure the body temperature high and beautifully and quickly for auntie Li and and include the result in the computer in the hand. The office of doctor outside the ward, Wang Wei, head nurse of thoracic surgery, is sitting by the computer looking over auntie Li's condition information. She clicks and opens " The body temperature form " One, auntie Li appears in the computer since admitted to hospitalling to be beautiful quick all body temperature values that had just measured for her high several seconds ago, and produce the curve of body temperature automatically, the change of the body temperature is very clear. Open in the brave eyes, make a diagnosis electronization of information lie in, make, make a diagnosis to the intersection of patient and most great meaning course become, can track back in Guo, director of Beijing, of holding. "In the past, the patient's medical document, film, record were paper, the patient came to the hospital to go to a doctor once each time, we seal the materials this time up for safekeeping, each disease course is single. " Guo Qi says bravely, after the electronization of information of making a diagnosis, patient's each course of seeking medical advice is recorded and kept, so accumulate gradually, form a copy of intact health information resources. With the soaring successively of the information-based intensity, the pleasant surprise which the hospital brings to the patient is getting more and more: Print coming out in present case history, the writing on the case history is no longer like " book from heaven " (used after a verb to indicate the completion of an action); The nurse can even reach to charge by patient's bed, the patient needn't be in charge of those complicated procedures, needn't line up to pay the fees The reporter saw an automatic inquiry machine in holding Beijing chest medical ward of the hospital, Miss Wan accompanying mothers to be in hospital is inquiring about the expenses, she demonstrates warmly that uses the course for the reporter. "Look, all treatment that finish already, medicine and make that use check the project and having on here, no matter how much it may cost each event very clearly marks. " Miss Wan says, this lets course of seeing the doctor become very clear. Like patient, the medical worker is reaping the fresh experience that the informationization brings too. Hold the intersection of Beijing and hospital, " wireless to make the rounds of the wards " Have already become a unique view in the ward. Brave introduction of this Liu Xue, head of the department of medical administration of institute, intact case history, doctor's order, check, test and attend to information etc. recording to every patient in the notebook computer which the doctor used while making the rounds of the wards, the doctor can transfer and read at any time in the course of making the rounds of the wards, benefit the accurate underground doctor's order. Moreover, the computer still can record and produce the sound materials of the persons who make the rounds of the wards, this let to make the rounds of the wards the content have good grounds, the young doctor can improve one's own level by way of listening to recording of making the rounds of the wards too. As the patient of magnanimity makes a diagnosis information is stored, these materials that can inquire, can be studied, for researchers and the young doctor, become extremely valuable. Reporter's attentive physician's office has seen medical science giving birth to Xiao Wang. He says, intact patient's information has offered a lot of useful data for that he wrote the thesis in the electronic case history. To nurse, use of palmtop computer, make by the a lot of bed handling, working and filling in course to attend to document, nearly finishing at the same time. Wei Wang say draw, take 3 minute probably by one the intersection of body temperature and form in the past, first 80 patients of inpatient area, calculating is 240 minutes. Now, do not basically have a time interval to record patient's body temperature information and turn into the body temperature forms, the time that save out, nurses can enter and offer more, better services to patient in the ward. Medical quality control electronization first while shedding and prevailing, so long as input the body temperature range to inquire in holding the electronic case history system of the hospital of Beijing, can at once " Scent " The patient's existence the hyperpyrexia happens and is in hospital. Sift and check every situation in hospital the patient through the body temperature, can isolate out suspected case in time. Once the patient becomes abnormal, the hospital can take the corresponding treatment control measure at once. "The informationization of the hospital can make the safe management level of medical treatment promote greatly. " Hold Beijing hospital medical matters subject Deputy Director Zhang XiaoGang and say, " discovery and management of critical patient, it is a focal point of guaranteeing medical treatment's security. Now, through the electronic case history system, we can find the critical patient quickly, intervene in time, ensure patient's security to the maximum extent. " (leave and rotate the 3rd) (have and connect the 1st) For the information of accurate patient needed to control especially, and find out their endangering the reason high, hold Beijing hospital and utilize the information platform of electronic case history, grade to the patient critically. Zhang XiaoGang says, the hospital will entrust the score to some objective physiology, biochemical index in advance, such as systolic pressure being 120 millimetres of mercury columns and 170 millimetres of mercury columns, scores will be different. Through the patient's actual index, calculate that scores, the computer can arrange in an order according to the patient's critical intensity accurately, from " tie it definitely " In the case history information burning, the critical reason of the patient can clearly reveal too. XiaoGang Zhang say medical matters department every day will look over the whole the intersection of institute and patient mark the situation, and send out prewarning to the medical worker. To the rescue of the critical disease patient, time is a life. So on doctor's electronic case history interface, still specially there are serious diseases that are rescued and reported the button, help the medical worker find the situation appears in the newspaper at once. Zhang XiaoGang says: "According to appearing in the newspaper, medical matters subject can carry on quality control to the rescue that every one suffer from again, if there are needs, can transfer the expert that need and participate in rescuing in time, this can improve the rescue success rate to the critical patient effectively. " Medicine of holding Beijing hospital complements department's informationization and lays a foundation for promoting the service quality too. Operation request slip, after the electronization, department of anesthesia, the intersection of dept. of pathology and doctor still can follow authority already since, look over the case history information of patients handled ahead of time, this lets them do more sufficient preparation before the skill, and reduce the medical mistake effectively. As to blood transfusion dept., the main management content is that the blood transfusion which standardizes the management clinician applies. Hold Deputy Director of Beijing hospital blood transfusion dept. Wang Qiu to say, after the request slip electronization of blood transfusion in fact, unless can't change form it fill in, content, fill in after finishing,computer will verifications automatic ,Fill in the document that the mistake, blood transfusion indication do not accord with? Entangle Qin secretly urinate �� last plinth M to Cha the �� Qian leap up and �� have dark in urinate �� Yun �� girls of Zhyuan room �� detaileds close for the neons after lasting � miserably to Qiu �� of �� 1 Xi after walking haltingly? 0% rose to 90%, guaranteed to use the blood rationally at the same time, obviously reduced the blood transfusion mistake. In addition, have the supervision of narcotics clinically, become simple and easy to do in information age. "Can be finished other doctors by doctor's order by the monitoring of medicine rationality, but does not have doctor's order that is recorded to anaesthetize the administration, are anaesthetized and recorded and anaesthetized doctor to fill out only, whether medicines were used, why use, it is very difficult that a piece of objective and true data reflect. " Zhang XiaoGang says, now, " links " anaesthetizing the single and anaesthesia recording machine ,The ones that form a electronization " Anaesthetize the doctor's order " ,Can solve this problem fundamentally. He introduce, anaesthetize, implement, will leave one anaesthetize patient in the course, monitor and anaesthetize, use medicine data record on the person who anaesthetize each time, variety, medicine quantity, time can't be changed to use medicine. Utilize it, form a true and reliable anaesthesia record automatically, have offered for supervising and appraised the basis. Help the administrator " Calculate carefully and budget strictly " "At if you can't begin by network just, work out as 1998 than,last 3 times already with the scales of hospital we. " Qi Guo say the past 5 years, hold the intersection of Beijing and the intersection of hospital and work load of doctor, quadruple at least bravely, the staff are 1 time in large quantity, economic indicator goes up by 25% every year, and the administrative staff only increases by 10%. He say hospital develop the level up till now, leave informationization to be very much difficult to accomplish to become more meticulous and manage. Personnel increase, work load increase, how shift the intersection of medical worker and enthusiasm, should it speaks to be focal point and difficult point of management. In become indispensable assistant at performance that hospital work check and rate informationization. In this institute, monthly salary and subsidy of the worker are released and finished through the office automated system by the hospital, can inquire, very clear independently on the net every fen that the worker got. Since 2005, hold Beijing hospital to attend to and managing vertically, the whole institute's nurse's performance subsidy is released by the nursing dept. in unison. This Fan Ling, head of the nursing department of institute, introduces, the hospital has developed and attended to the work load to count the software, entrust different nursery work, 132 operation projects to the corresponding score, as attending to the basis that the work load counts. For example, the superfine attends to 14, intramuscular injection and 0.2, vein and collects blood 0.2 is graded. Then through the system, inquire that publishes each working content and work load of attending to the unit in arbitrary time slot, use and attend to the work load to count the software and convert the achievement result finally. Fan Ling says, in period of nurse's craft statistical data in the past, it is " impossible task that is finished " to count the work load meticulously ,Speak by objective data statistics now, can accomplish fairly, just. Opera involving much singing and action that it is management of the hospital too that articles are managed. Holding Beijing hospital, the control over medicines and reagent is precise as to " every bottle " ,This Deputy Director of institute clinical laboratory Qin XiaoSong introduces, if the reagent quantity held in store is not enough, the computer will send out prewarning ahead of time, 20 days before the validity of reagent reaches, the computer will call the police too, ensures the quality of products effectively. "Our reagent in the storehouse exceeds 1000 kinds now, managerial orderly, still can save much fund for the hospital, this was very difficult to imagine in the past. " Qin XiaoSong says. The most fashionable one " The thing is networked " ,There are embryonic forms to hold Beijing hospital. The largest consumables in the hospital - -Medicines, reagent, information of can discern through the radio frequency ing etc. senses the apparatus to connect with computer network, realize intellectuality is discerned and managed. "Network through the thing, reagent, medicines stored in the refrigerator can be controlled within the range of normal temperature, in order to ensure the quality of products. " Zhang XiaoGang says. Guo Qi has demonstrated to the reporter that inquires about the analyticl system in medical data of this institute bravely. Input president's authority, entered, the system can count by all medical information at that time in real time, including information such as institute's number of discrepancy of the same day, serious disease rescue situation. Deepen from level to level " Excavate " ,Can also see how many medicines a certain doctor opened on the same day. "The occupancy volume of information determines the comprehension of acumen degree and thinking of the head. Inquire and master the information of the hospital at any time, have all changes that the hospital takes place at fingertips, could help me to make a decision to help development of hospital most. " Guo Qi says bravely. Talk with president Guo QiYong - -This is that the hospital develops the only way reporter: Why will the hospital carry on so enormous input in the information-based respect? Guo QiYong: Outwardly, the informationization is " materialization " Technological for means,but starting point and standpoint that design it been is patient. The informationization has promoted the service ability of the hospital greatly, the medical worker can offer more services in unit time, this means making more patients enjoy good service of the large hospital, contribute to relieving the difficult problem of seeing the doctor. The informationization can help the hospital to improve the management level, can reduce the service cost effectively, control the patient's hospitalization cost. And these respects, are reflecting the public hospital is public beneficial, it is the most important evaluation index which the public hospital reforms. We understand, this is that the hospital moves towards the future only way. Reporter: While the hospital is information-based, where does the most important motive force come from? Guo QiYong: Besides fund input, the motive force with important information-based top of the hospital from doctor, nurse and administrative staff supports and participation. While designing the medical module, the hospital should fully listen to medical administrative department and the first line medical personnel's opinion, choose the universality opinion to realize networkedly and operate. Holding Beijing hospital, the informationization has already become the strong helpers of clinic, scientific research, management, therefore has stimulated staff's creativity in information construction. Now, increasingly many medical personnel and administrator will discover the problems at work, and propose the suggestion, feedback to the hospital, has promoted the constant development of information construction. Reporter: The safe problem is the greatest secret worry in the informationization of the hospital is employed. Safe for security system, what work is done in the hospital? Guo QiYong: Protect patient's personal secrets, protect patient's legitimate rights and interests, it is the question paid the utmost attention to in the information construction course of the hospital. Signing electronically can encrypt the content of the case history, guarantee it is true and reliable. It was authorized through third party's figure and signed electronically. Meanwhile, the network system implements the authority to manage inside the hospital. These measures contribute to removing the public's secret worry to the informationization of the hospital. Ensure the online security to be another great subject. Besides using Intranet's specialized antivirus software, the hospital also separates Intranet from Internet, through tying IP address and network card address of the computer definitely,etc., control the medical worker and connect the computer of the working use in Internet strictly . For the network incident of tackling happening suddenly, there are prediction schemes in the hospital. In this way, can not guarantee the hospital because network " Stop " And fall into the confusion and make the patient fit? Does rose of �� reward U rarely?

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