依托数字化医院平台 优化体检工作流程

Optimization of workflow of medical examination relying on digital hospital platform

随着社会的进步,体检越来越受到人们的重视。医院体检工作涉及部门多,存在信息沟通不及时、易与患者发生就医冲突的矛盾;体检项目随需求而变,随体检过程而变,造成体检项目结果手工汇总费时、费力、易出差错。依托数字化医院平台,合理规范体检流程是提高体检工作效率和服务质量的必然选择。本文分析了人们对健康体检工作的要求,给出由登记工作站、体检单元工作站、主检医生工作站、健康档案分发工作站、体检系统维护工作站组成的体检信息系统的功能模型和岗位模型。并提出从登记工作站发出体检项目指令,依托全院范围的LIS、PACS系统实现体检检查、检验与就医检查、检验在流程、数据和软件平台的一致;在门诊医生工作站和住院医生工作站硬件上安装体检单元工作站,供分科医生使用,实现体检单元虚拟化;由主检医生工作站导入检查诊断报告和检验结果报告,汇总各体检单元项目结果,对各科病史、阳性体征、异常结果、分科小结、分科建议的浏览、审核和摘录,形成体检建议指导和体检总结;由健康档案分发工作站打印分发体检者健康档案。最后,给出了优化后的健康体检流程。

People are paying more and more attention to medical examination with the advancement of our society. Medical examination in hospital involves many departments, which can cause untimely communications and the conflicts with other health services for patients. The manual summary of examination results is time-consuming, energy consuming and mistakable due to the changing examination items with demand and the process of physical examination. It is an inevitable choice to improve the efficiency and service quality of medical examination by optimizing the workflow of medical examinations relying on digital hospital platform. The function and station models of information system for medical examination were suggested in this article after the analysis of the needs of medical examination, including registry station, examination unit station, the station for principal doctors, the station for medical examination records and the station for maintenance of the information system of medical examination. Relying on the LIS and PACS system throughout the hospital, the workflow of medical examination including physical examinations, interviews with doctors, laboratory tests should be in accordance with the instruction about the items from the registry station on the software platform. Virtualization of examination units should be realized by using the stations of examination unit installed on the hardware of the workstations for outpatient doctors and in-patient doctors. The medical examination recommendations, instructions and examination summary will be made by principal doctors at their work stations according to the results of examinations, tests, medical history, positive signs, abnormal results, partial summaries and suggestions from individual departments. The final medical records and reports will be printed out at the health record distribution station. Finally, the optimized workflow for medical examination was suggested.