I. Emergency plan for information system failure
In order to prevent the normal medical order of the whole hospital from being affected by the failure of the hospital information system, and to ensure that the patients can be treated timely and effectively under special circumstances, combined with the actual situation of our hospital, we hereby formulate the present plan, and hope that the various sections and departments to follow in case of emergency.
(A) hospital information system failure reporting procedures
When the workstations found that the computer can not enter the corresponding program, can not save data, can not access the network, the application of non-continuous work, to immediately report to the information network center. The staff of the center must attach great importance to the problems raised by the workstations, make a good record, and give the feedback of failure information to the workstations in time after verification, and at the same time convene the relevant personnel to discuss in time, if the cause of the failure is clear, and can be restored immediately, the work should be resumed as soon as possible; such as the cause of the failure is not clear, the situation is serious, and can not be eliminated in a short period of time, the leadership of the hospital should be reported immediately, and in the case of network can not run In the event that the network does not work, the hospital leadership will coordinate the work of all departments of the hospital to ensure the normal operation of the hospital's medical work.
(2) hospital information system failure classification
according to the causes and nature of the failure is divided into three categories:
A class of failures: due to the server can not work properly, the backbone fiber damage, the server database problems, the server is unstable, the network does not work, such as the failure of software and hardware failures and other outages caused by the downtime and network paralysis.
The second type of failure: due to switch, network failure, server database part of the problem, accidental data errors, some sections violate the workflow and other causes of some of the piece of regional failure.
Three types of failures: single point of failure due to each terminal computer hardware, network, viruses and improper operation.
For the above failure classification level, the processing principles are as follows:
One type of failure - reported by the head of the information network information section of the hospital leadership, the hospital organization and coordination of the recovery work, and by the information systems failure to restore the leadership of the command group unified command and coordination of the recovery work.
Two types of failure - by the network administrator reported to the head of the information section, by the information centralized solution.
Three types of failure - solved by the network administrator alone, and detailed registration of maintenance.
(C) the occurrence of various types of failure of the first work
1, the occurrence of a class of failure
(1) when the information section once identified as a class of overall failure, the first thing is to immediately report to the leadership of the hospital, while the organization of the recovery work, and take into account the full consideration of the special circumstances, such as holidays, patient flow, personnel out and hospitals have a major event on the failure to restore the time brought about by the The first thing to do is to report to the hospital leadership immediately and organize the recovery work at the same time.
(2) When the overall failure of the network is found, each department according to the extent of the fault recovery time will be transferred to the corresponding 'emergency mode of operation, the specific time limit is clear as follows:
① 30 minutes can not be recovered - outpatient charging to the stand-alone mode of operation.
② 3 hours can not be restored - the hospitalization charges, pharmacy, nurse workstations, doctor's workstations, warehouses, medical examinations, etc. to manual operation.
2, in the event of Type II failure
(1) When a regional failure occurs, the Information Section should organize the relevant professionals to quickly find the cause of the problem, and notify the relevant section head to prepare the appropriate contingency plan.
(2) If the failure cannot be restored in a short time, according to different reasons, the following processing methods will be adopted:
1) If the regional failure is caused by the software or the database, notify the software company to find and solve the problem in time. Outpatient charging immediately activate the stand-alone program, other departments without stand-alone switch to manual operation.
② due to network or hardware problems caused by regional failure, replacement of network equipment and related hardware, can not be resolved in the case of the failure of the department involved in the normal department to borrow computers, notify the relevant department in charge of coordinating the work.
3 regional failure due to viruses, should immediately physically cut off the connection between the faulty area and the intranet, and make the appropriate anti-virus treatment.
3, the occurrence of three types of failures
(1) such failures by the Information Technology Section to arrange for specialized personnel to deal with the short-term can not be resolved can be taken to borrow computers to temporarily deal with urgent work. Or then manually operate and re-enter the computer after recovery.
Two, computer network system backup and recovery program
In order to ensure the long-term stable operation of the hospital information system, the information network center should make a good backup of the server, network, software, database, etc., in order to facilitate timely and effective treatment of the system failure, to minimize the impact on the hospital's business.
(I) server backup and recovery
The duty officer of the Information Section checks the working status of the server every day, paying attention to any error message alerts. Memory monitoring, disk space check.
(B) Database backup and recovery
1, the database using the background of the automatic backup once a day, backed up to the server's local disk, the 10th, 20th and the end of the month will be the backup file copied to an off-site backup computer (IP address of 192.168.0.151 on the backup computer).
2. Every day, check the database status, database space, running logs, and immediately notify the software company to find the cause of any abnormalities.
3, the middle of the month and the end of the database backup file will be copied to a removable hard disk to save.
4. It is recommended to improve the configuration of the dual-computer hot standby system in the near future, so as to provide a stronger guarantee for system data security.
(C) Network Backup and Recovery
1. In the event of network equipment failure, the problem will be solved in time by replacing the corresponding equipment and contacting the equipment supplier to deal with the problematic equipment. (At present, the hospital uses Vlan core switch network topology, it is recommended to purchase the same model, configuration of the Vlan core switch and convergence switch each 1, to ensure that network equipment damage can be replaced in a timely manner to replace and restore network operation)
2, when the backbone network disconnection occurs, can be used as a spare line temporary laying, to make a good warning sign, to prevent the destruction of the same time, while the organization of personnel to repair in a timely manner.
(D) virus failure prevention and recovery
1, daily check the antivirus software upgrades and distribution, check whether the normal operation. (It is recommended that the hospital to purchase a genuine network version of the antivirus software)
2, check the timed antivirus situation, whether or not the virus is found, whether or not there is a virus to deal with, and to understand the situation of the virus.
(E) backup and recovery of software problems
1, before each update of the application software, the current use of the software to make a backup. Keep a backup of each updated software.
2, regularly check the automatic update of the software, no automatic update of the workstation manual update, and find the cause.
3, in the case of updating the software after the emergence of large-scale or then affect the business work with the previous use of normal software replacement back to ensure uninterrupted operation of the business.
4, every day to check the operation of the interface of the medical insurance, medical cooperation and so on.
5, found that software problems in a timely manner to contact the developer to find the cause and deal with.
(F) power supply system and computer room environment
1, to ensure the power supply of servers and network equipment, the use of UPS and the utility of the dual-line power supply.
2, regularly (not quarterly) to ask professionals to test and evaluate the performance of UPS power storage.
2, good waterproofing, fire prevention (equipped with fire fighting facilities), regularly check whether the various equipment and lines are damaged, there is damage to the timely replacement of processing.
Three, health insurance network failure emergency plan
The employee health insurance center or resident health insurance center health insurance network failure, resulting in outpatients card consumption, special disease reimbursement, discharge settlement patient settlement failure. In order to ensure the orderly development of the hospital's health insurance work, the development of network failure emergency plan:
(a) When the health insurance or financial settlement personnel found that the health insurance network failure, resulting in the insured patients can not be normal consumption and settlement, to the insured patients to do a good job of patience, meticulous and reasonable explanation.
(2) Immediately show the "health insurance network failure" signboard, if equipped with an electronic screen should be scrolling on the "health insurance network failure" warm tips.
(3) Immediately report to the duty officer of the Information Section by phone, who will report to the director or the supervisor.
(d) The staff on duty immediately contacted the Employee Health Insurance Center or Resident Health Insurance Center and the Information Management Center, which identified and dealt with the network failure to ensure that the network is connected and the network link is restored in the shortest possible time.