KeywordsHospital informationization Hospital modern medical system construction
AbstractInformation technology is one of the most active fields of the development of global science and technology. Since entering the new century, the connotation and extension of information technology as the technology rapid development, deepen and expand the application field and change ceaselessly. expand the application field and change ceaselessly, be pregnant with new breakthrough, in the majority of applications are through the digital, information system realization.
Key wordsHospital information; Modern hospital medical system
Introduction
Daqing Longnan Hospital is a set of medical treatment, teaching, scientific research, preventive health care in one of the comprehensive national third-class A-class hospital. Daqing Longnan Hospital is a comprehensive national Grade 3A hospital integrating medical treatment, teaching, scientific research, and preventive health care, and is the core hospital of Daqing Oilfield General Hospital Group. Over the years, the hospital has been attaching great importance to information technology, in accordance with the overall strategic arrangement of oilfield information construction, to create a digital hospital as an important initiative to achieve scientific management of the hospital. On the basis of fully drawing on advanced management experience at home and abroad, the use of high-tech means to accelerate the pace of digital hospital construction, the first in the province's medical units to establish a complete and advanced computer network system, greatly improving the quality of hospitals, services and management level, and achieve initial results.
1, a high starting point for planning, high standard start, digital hospital construction is taking shape
Construction of digital hospitals after joining the WTO and international standards, and improve the core competitiveness of the hospital is an important embodiment. Digital hospital is the use of advanced computer and network technology, the patient's diagnosis and treatment information, health and economic information and hospital management information, such as effective collection, storage, transmission, integration, and integration into the entire social health care database hospital. Digital hospital construction is by the hospital management information system (HIS) for the integration of the platform under the Laboratory System (LIS), medical image transmission and storage system (PACS), registration, collection, pharmacy, pharmacy, material management, hospitalization management, electronic prescriptions, and nurses' workstations, the dean of the whole hospital inquires, case statistics, logistics management, medical insurance management, electronic medical records, performance appraisal, office automation, LAN management, triage call and other sub-systems.
2, high-speed, high-efficiency application system so that the hospital, patients benefit
Information technology is based on the computer, the network of medical information storage and transmission technology, to achieve the hospital's administrative, financial, preventive, medical, nursing, medication, logistics, etc., the whole process of automated management. Its main features are high speed, high capacity, high efficiency, saving energy for the hospital, saving time for the patient, to achieve a win-win situation for doctors and patients.
2.1 PACS system - convenient storage, easy access, cost savings
PACS system is applied in the hospital imaging department of the system, the main task is to produce a variety of daily medical images (including nuclear magnetic, CT, ultrasound, various X-ray machines and other equipment produced images) through a variety of interfaces to digital fast storage. The main task is to store all kinds of medical images (including NMR, CT, ultrasound, X-ray machines and other equipment) through various interfaces in a digitized way, so that when clinicians need them, they can access them in a timely manner.
The necessity and significance of PACS is mainly manifested in the following aspects:
2.1.1 Film-free management. Film as a carrier medium to store a large number of images, there are at least the following shortcomings: (1) with the growth of time, the hospitals stored more and more film, its preservation, management, and find a lot of manpower and material resources to spend. According to statistics, even well-managed hospitals, after many search, loan, consultation, etc., the loss rate will be about 10%; (2) preservation of film will gradually deteriorate over time, so that the image quality decline; (3) although the unit price of each film is not high, but each year Longnan Hospital for X-ray film costs more than 2 million yuan, the purchase and maintenance of the film processing machine, film potion and other equipment consumption is very large; (4) the use of film requires a lot of human and material resources, and the use of film is very important. ) film use requires a lot of space in the hospital to store unused and shot film, to develop and fix, and requires a lot of human and material resources to store, develop and prevent film deterioration of regular maintenance.
2.1.2 Medical research needs. The hospital's imaging equipment produces a large number of inspection images all year round, and it is difficult for doctors to fully utilize the image information when storing, exchanging, and presenting the images on film as a carrier. How to retrieve a large number of images for cross-referencing and comparison at the same time? How to help doctors define the non-statistical characteristics of various diseases in order to extract disease characteristics? How to do quantitative image analysis or comparison? All of these are needed in medical research.
2.1.3 Clinical diagnostic needs. The image in the form of film exists, on the one hand, in the urgent need for diagnosis and treatment of critical cases for emergency treatment, rapid search and timely delivery of the image film is more difficult, especially the appointment of foreign hospitals and experts from other places, delivery is more difficult; on the other hand, the current CT/MRI digital image is generally 0-4095 gray levels, but made of film is generated under the condition of adjusting the window width and the window, which will definitely This must bring about the loss of image information, i.e., 0-4095 is transformed to 0-255, and the window width and window position cannot be adjusted so as to be indistinguishable. If the window width and window position are not adjusted, it is difficult to find some of the disease.
2.1.4 Treatment needs. The proliferation of treatment and navigation devices based on medical image localization and guidance has also prompted the need to transfer electronic data from images between imaging and treatment devices. Current therapeutic devices such as gamma knife, accelerator-based X-knife, conformal radiotherapy, external irradiation treatment planning system, neurosurgical image navigation equipment, computer-integrated diagnostic system, etc., all use the precise image data obtained from one or more imaging devices such as CT, MRI, DSA, PET, etc., to serve as a basis for lesion location localization, three-dimensional reconstruction, correction of tissue absorption coefficients, dosage calculation, and guidance of the instruments. The basis. In the absence of unified network management and unified data format, there is a waste of duplication of scanners, magnetic disks, and point-to-point networks.
2.2 LIS system - barcode fast, safe and labor-saving
LIS system is a sub-system of the hospital's information management system, which is the main line of the flow of the patient's test specimens, data processing as the center, quality control as the core management, the organization of the laboratory of the Laboratory Department of the various laboratories of the day-to-day work of a variety of relevant Data information. First of all, from the overall process to regulate the behavior of laboratory operators and data processing rationality, scientific, for the laboratory operators to reduce the work intensity, improve the quality of work; Secondly, the LIS system is integrated with the HIS system, to maximize the realization of the information between the two **** enjoyment, and effectively eliminating the information silo.
2.3 Performance Appraisal System - Rational Analysis, Saving and Efficiency
Hospitals are concerned about cost-effectiveness, and they need to use less investment to achieve better medical service results, and to meet the needs of the community, focusing on the social benefits while obtaining the corresponding economic benefits, and to improve the hospital's ability to survive and develop. At the same time, as a people satisfied with the hospital, Longnan Hospital also strive to cost control, adhere to the ruling for the people, reflecting people-oriented, and effectively alleviate the people's "difficult to see the doctor", "expensive to see the doctor" problem.
2.4 Rational medication system - safe and reliable is a doctor's good helper
The system in the form of controls embedded in the hospital information management system, in the electronic prescription of this link, the existence of overdose, contraindications, contraindications, etc. may be the formation of the patient's medication harm a variety of circumstances prescription, the establishment of a set of Drug safety monitoring system, real-time warnings, tips, display, to avoid drug accidents. The discovery of doubt immediately alarm prompted the attention of medical staff, and can be recorded in the safety log for future summary and analysis.
2.5 Outpatient Calling System - a practical solution to the patient's "three long and one short" problem
The traditional medical process is to queue up to register for medication, queue up to pay fees and wait for medical treatment, and carefully identify the doctor's prescription and medical records, the hospital is often overcrowded. The hospital is often overcrowded, not consumed for half a day to see the end of the disease, the process of consultation and efficiency is even more tormented, patients and their families are y disturbed.
Hospital information construction is a good solution to this problem. It not only facilitates the patients, but also liberates the doctors to a certain extent. Throughout the medical process, the triage call not only makes the consultation process clear, but also allows the solution to the patient's "three long and one short" problem. One doctor, one patient not only facilitates the patients but also frees the doctors. Not only improve the efficiency but also make the patient get the most efficient diagnosis and treatment service.
3, looking to the future, information technology construction for the development of the hospital
Daqing Longnan Hospital's information technology construction with nearly 10 years, for the hospital's safe and sustainable development to provide a favorable guarantee. Longnan Hospital's informationization construction has achieved integrated planning, step-by-step implementation, fast and stable. Especially in 2010, Longnan Hospital has adopted the most leading international doctors' wireless checkup office and patient safety wristband identification system, which is a new idea for the life safety of oilfield workers and the diagnosis and treatment safety of Longnan Hospital. Looking ahead, the sustainable development of Longnan Hospital's information technology should be on a par with the international modern medical industry, and play a positive role in the rapid development of the hospital.
Conclusion
The use of modern information technology can help to solve the problem of information asymmetry in the field of health care, help to innovate the medical service model, better protect the life and health of oilfield workers, and realize the goal of universal health protection. At the same time more Longnan Hospital's management and development to create a higher level of opportunity.
(Editor: Dong Na)
Author Introduction
Wang Wei, Daqing Longnan Hospital
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