This article is organized only with a personal understanding, this article from the LIS system definition, LIS system to achieve what functions, LIS system to solve the actual work of the laboratory of what problems, to share; I hope to help more basic medical units to understand the laboratory information management system laboratory LIS system.
Laboratory information management system abbreviation - LIS system (Laboratory Information System) refers to the use of computer network technology, the realization of the Clinical Laboratory Department of information collection, storage, processing, transmission, query, and to provide analysis and diagnostic support of the computer Software system.
Laboratory Information Management System (hereinafter referred to as LIS system) is an important part of the hospital's information management, is combined with the needs of the daily work of the Clinical Laboratory Department, according to the workflow design of the Laboratory Department, so that the testing of the various departments concerned with the dispersed business connected to a *** with the whole, the set of analysis and detection, quality control and comprehensive management of the Laboratory Department in one of the modularization, open information platform, is the realization of instrumentation testing and medical information automation, and medical information automation. Is the realization of instrument testing and medical information automation, intelligent laboratory management software system.
1.2, LIS system in the use of which functions can be achieved?
1) LIS system function perfect operation simple
a, and HIS system [1] seamless docking, **** enjoy the payment information, generate test request form.
b, through the bar code, manually add, electronic request form and other ways to enter the sample.
c. Automatically receive test results and determine the abnormal status of the results based on the patient's specimen, age, gender, and so on.
d, critical value tips, batch review, printing, quality control samples and other functions to help doctors better carry out the test work.
e. Operation of multiple devices, free switching, and the same as the operation of a single device.
2) LIS system supports multi-point blood collection Barcode application
a, according to the department, ward, etc. Separate blood collection, to avoid crowding during blood collection, reduce waiting time.
b. According to the application form automatically generate the corresponding bar code, the application of bar code, improve the automation level of the test, reduce the probability of human error.
3) LIS system diversified report release
1) Centralized printing can be unified to issue the report card, you can see whether all the tests of the patient is completed, improve work efficiency.
2) Self-service machine printing so that the report card unified management, query, issue; reduce the department's printer input, freeing up the work of the department staff, but also to avoid the report of the wrong to take, missed to take.
3) WeChat report, through the WeChat public number to easily query the test report.
4) cell phone text message report release, through the cell phone text message to send the results directly to my cell phone.
4) LIS system comes with quality control Calibration bias
a, support for Westguard.Gubbuss + T (n) and other quality control rules
b, support for multiple quality control results, and can be flexible to choose the average value of the plot
c, support for different quality control products (for example: different concentrations) in the same chart for the plot <
d. Support the automatic calculation of target value according to the results of a certain period of time, the SD value as the current value, to achieve the QC parameters free of setting
e. Support manual maintenance of QC results, the results of the results of the different ways (according to the date, the QC project) to view, so that the quality control is more flexible
f. Through the QC samples, it can be convenient to calibrate the results of the patient's test.
5) LIS system director's office module scientific management
a. You can carry out comprehensive management of the staff's detailed files, training information, rewards and punishments, duty scheduling, attendance and so on.
b, you can manage the laboratory instruments and equipment, maintenance records and so on.
c, you can view all the instruments of the test progress, test results, abnormal results, quality control charts.
d, you can count the workload of employees, test costs and so on.
6) LIS system and medical records, physical examination system docking, data clinical **** enjoy
a, docking with the clinical application system to achieve the completeness of the electronic medical record, to facilitate the doctor's query of test results.
b. Docking with the physical examination system can improve the integrity of the physical examination report.
8) Regional synergy
a, the application of the regional platform, to achieve the clinical examination results within the region *** enjoy mutual recognition.
b, specimen delivery, test report back.
2.1, the prevalence of errors and omissions in charging
Status: Often due to the patient's tampering in the doctor wrote a good laboratory bill after the payment of fees and tick a few more items; or inpatient hospitalization has been settled and discharged, the Laboratory Department will not be aware of the timely manner, resulting in the test can not be charged and so on, the emergence of the problem of under-charging and omission of charges.
After installation: LIS through the management of the overall laboratory process, through the HIS system with the outpatient clinic fee and inpatient charging system seamless connection, the price of payment before the test can be done, you can completely eliminate errors and omissions in the charging process.
2.2, the prevalence of specimens sent to the wrong specimen and specimen failure
The status quo: the laboratory specimens sent by the caregiver to complete, usually due to negligence and other reasons lead to specimens and the original wrapped in the outside of the application form is wrong, and sometimes send the wrong specimen; nurses are responsible for the sampling, the different test items will have a direct impact on the amount of blood sampling and sampling requirements of the different, and therefore, will be wrong;
After the installation: the installation of the HIS system, the outpatient fee payment system can be seamlessly connected to do after the test to completely eliminate the wrong fee. p>
After the installation: LIS through the application of barcode, to solve the specimen and the patient's close correspondence; through the information **** with the HIS system to enjoy, you can clearly see the test program nurses can be based on the barcode information to distinguish between the amount of blood collection.
2.3, laboratory errors caused by manual work
Status: as long as there is manual operation will inevitably occur human error negligence, such as the test personnel in the instrument console to set the specimen testing project error, manual project manual input result error, etc., but the work of the Laboratory Department of the quasi but the rigorous rigor of the requirements of the higher, do not allow the occurrence of any man-made errors! However, the reality is that it is difficult to avoid the above errors.
After installation: LIS through the overall process management of the laboratory, standardize the work of manual, such as through the setting of rules on the status of the project intuitive prompts, so as to avoid errors due to personnel errors lead to the issuance of the wrong report.
2.4, the report card is not uniform
Status: The report card format of each professional group in the laboratory is different, and due to the characteristics of individual professional groups, such as urinalysis due to the different methods (physical and chemical methods, microscopy screening) resulting in the release of test reports to the clinical clinic will allow clinicians to misunderstand the inconsistency and so on, which leads to misunderstanding of the doctor.
After installation: LIS supports flexible report card format design, through the rules of the set of universal report card format, to provide clinicians with unified results, logical test report card.
2.5, laboratory information can not be timely and clinical *** enjoy the problem
Status quo: the laboratory is to assist the clinical department, laboratory information, including: nurses need to know the requirements for the extraction of specimens, etc., the doctor needs to understand the results of the patient in a timely manner and the clinical significance of the project as well as the hope to hear the laboratory's recommendations and advice, but now the laboratory is only through the issuance of the report card to provide clinicians with the results. But now the laboratory only through the issuance of the report card to provide clinicians with the patient's test results, far from meeting the requirements of timely service to the clinical
After the installation: LIS through the seamless connection with the HIS system, the timely release of the test report to the clinical and can note the laboratory's recommendations without waiting for a written report, but also to provide nurses with the information they need in a timely manner .
2.6, the laboratory report sent to the wrong problem
Status quo: Currently, the hospital inpatient test reports need to be manually transmitted at regular intervals, outpatient test reports need to be taken by the patients themselves, emergency test reports need to call and so on to understand the results, so completely rely on manual labor, inevitably leading to untimely reports or sub-inspection error will be a major failure of the hidden danger.
After installation: LIS through a variety of ways to release the report, to eliminate the report wrongly issued, less issued and untimely problem, efficient and accurate.
2.7, the director of the internal management of inconvenience
Status: the laboratory is divided into outpatient, emergency, inpatient and other departments, often on different floors, the director is in the way of the dispersed layout, can not achieve the summary of the information related to the entire laboratory, such as access to the day of the department staff quality control, workload, work logs, the situation of the working staff, etc., rely entirely on the questioning, observation, and so on, and the lab is the director of a more headache. The director of the laboratory is a headache.
After the installation: LIS system to provide the director of the management needs of auxiliary function modules, such as statistical analysis, reagent management functions, budget management functions, electronic work log function, etc., easy to grasp the laboratory work
2.8, the laboratory, "no scientific research" status
2.8, the laboratory "no scientific research" status
The current situation: laboratory test results are stored in the laboratory. Can not provide the data basis for scientific research papers.
Solution: LIS provides a variety of academic programs statistics, test data dynamic changes in the application of functions, such as statistics on immunization of the positive rate, etc., as well as through the conditions of the setting of the statistical results will be exported, in order to use the professional statistical software for analysis.
LIS system Combined with customer demand can be a stand-alone instrument operation, can be run on the laboratory LAN, can be the entire hospital area clinical data *** enjoy the operation of the need to connect with the hospital's HIS system, medical records system, physical examination system and other information technology software, can be the regional data *** enjoy the operation of the need to connect with the regional platform. The following is an example of a basic hospital-wide clinical data **** enjoy the operation of the LIS system functions to explain the application.
LIS system function module diagram: