挂号信息对门诊病案管理系统的影响

The Impact of Registration Information to the Outpatient Medical Record Management System

挂号信息是门诊信息的起点,为了达到病案传送的准确、及时,挂号信息传递应包括患者姓名、就诊科室、就诊诊室、接诊医生、挂号时间、就诊时间、就诊单元、就诊序号。挂号信息在传递过程中还应自动检索病案库信息,确定病案是否在库。在帮助病案人员准确、及时查找病案的同时,还可以及时地发现和处理不在库的病案,优化病案供应秩序,提高病人、医师的满意度。通过统计分析挂号与病案管理系统信息,可以帮助病案科的管理者统筹分配软硬件资源,提高病案的传递速度,有助于病案科的科学化管理。

The information transferring was depended on registration card in the age of manual registration,and then was substituted by computer network in the computer era.In order to ensure the accuracy and promptness of the transferring of medical records,the registration information should include such data as the patient’s name,the relative clinic and examination department,doctor’s name,time of registration,patient care area and the sequence number.Registration information should also be able to automatically search the storage information of the relative medical records in order to improve work efficiency and better serve the patients.Registration information is the source of outpatient data.The middle process is reaching of medical records to the nurses’ station and the terminal process is the return of medical records to the medical records department.The statistical analysis of this information can help the department manager to better plan and make full use of current resources,improve the speed of record transferring and help to realize the scientific management of the medical record department.