One is that the simple room is not installed, the information is easy to lose, and the second is that many hospitals have computerized the case library
1 library construction
Standardized case room construction equipment should be based on the principle of conducive to the flow of clinical information in hospitals to carry out site construction, so that case rooms from the location, layout, space, etc. are adapted to the development of information management. The total area of the case room should include case storage, operation room, reading room, computer operation room, office. Arrangement should be fully planned to the development of the need to organically link the work of the case room together, according to the principle of practical layout. The case library is the main base for preserving the cases, and it is the basic material condition for maintaining the safety of the cases and prolonging the life of the cases. On average, each 10,000 hospitalized cases require room area of about 4.0 ~ 4.5m 2; the library should be well sealed, the library is supplemented by the necessary modern facilities, temperature and humidity should be controlled within the effective range (temperature of 14 ~ 24 ℃, relative humidity of 45% ~ 60%), natural ventilation and natural light is sufficient, and definitely not set up as a "dead library" The hospital has good facilities for fire prevention, waterproofing, dustproofing, moisture-proofing, insect-proofing and rodent-proofing, etc., so as to minimize the infringement of unfavorable factors on the carriers of medical cases and ensure the integrity and safety of medical cases. Our hospital case room site selection in the center of the hospital location of outpatient clinic eighth floor, sufficient light, natural ventilation, dry air, library closed performance is good, the practical area of 382.08m 2; it includes a case library 272.64m 2, can be installed archives activities 40 cases of intensive shelves, which can accommodate 60.59 ~ 681.6 thousand cases. Computer operation room and reading room are 48.96m 2 ; office and operation room are 60.48m 2 . The case storage is equipped with air conditioners, curtains, electric fans, automatic fire-fighting systems, fluorescent lamps and so on. When irradiating the cases when the light is too strong, the curtains are closed, and when the light is not enough, the lighting system starts to work, and when there is smoke in the storehouse, the automatic alarm is activated.
2 equipment purchase
Case room equipment should also be combined with the nature of the hospital, the mission, scale, outpatient volume, bed establishment and other practical settings to commonly used equipment as a principle, and gradually plan to meet the requirements of modern management. Commonly used equipment is equipped with movable intensive shelves, index card cabinets, case transfer car, movable herringbone ladder, electronic computers, photocopiers, automatic staplers, binding machines and consumables in the operation of the work, etc., and in the ripe conditions to consider microfilm equipment and multimedia operation equipment purchase. Case activity intensive shelves have to save floor space, increase the library capacity, conducive to dust, moisture, fire, insect, rodent bite; easy to find, save time and effort, reduce the transfer of the case and back to the case of mechanical wear and tear, prolong the life of the case of the advantages.
3 system development
The hospital set up an information center, the establishment of a local area network system in the hospital, the system includes inpatient access management system, financial management system, case home management system, case statistics system, scientific and technological file management system, personnel management system, quality control management system, outpatient management system, public medical management system, pharmacy pharmacy management system and other systems. The system includes a number of systems such as In order to efficiently make full use of the rich case statistics information resources to create favorable conditions, has changed the stand-alone working condition and departmental application stage, will store all the cases into the computer, to solve the problem of renumbering, and completely abandon the manual operation of the hospital systems networking. The case management system includes first page entry, first page modification, query retrieval and report printing. Application of this system can be directly from other systems to obtain the relevant data to complete all the contents of the first page, but also these data for other systems, to realize the data * * * enjoy, improve the efficiency of the use of case information to strengthen the scientific and quantitative management of the hospital at all levels of leadership can be used to provide the information provided by the network, regulation, decision-making and other activities. In the face of the accumulation of a huge amount of medical records, the preservation and use of complex, can not adapt to the contemporary information management requirements. CD-ROM medical cases take up less space, fast retrieval speed, long preservation time (100 years), and can be read on CD-ROM by utilizing the existing computer equipment and network equipment in the hospital. CD-ROM case is a new way of case management, is the ideal way of case storage in the 21st century, but also the development direction of the hospital case room specification construction.