摘要
目的探讨电子病案的广泛应用促进病案管理的职能改变。方法通过电子病案与纸质病案在组织结构、工作流程、工作方式等方面存在的差异进行比较。结果电子病案以其信息采集速度快,信息存储容量大,占用存储空间小,检索使用方便、快捷,并能实现广域网信息数据交流与共享等优势,将成为全面实现以"病人为中心"的人性化管理模式的转变的催化剂。结论必须加快推广、规范电子病案的临床应用,全面提高病案管理人员以及全体医护人员的业务素质与技能,才能实现病案管理职能全方位的转变。
Objective To investigate the clinical application of a wide range of electronic medical records,which will lead to the fundamental change of medical record management functions.Methods Comparing the differences between electronic medical records and paper medical records in the organizational structure,work processes,work methods etc.Results Electronic medical record in its information gathering speed,information storage capacity,occupying a small storage space,retrieval easy to use,fast,the ability of achieving wide area network data exchange,and sharing of information superiority,will be the catalyst of full realization of ＂patient-centered＂ humanity change management mode.Conclusion Must be accelerated to promote and standardize the clinical application of electronic medical record,and comprehensively improve the professional quality and skills of the medical record managers and medical workers in order to achieve a full range of the transformation of medical records management functions.
出处
《中国病案》
2011年第6期35-36,共2页
Chinese Medical Record
关键词
电子病案
临床应用
职能转变
催化剂
Electronic medical records
Clinical application
Function transformation
Catalyst
