关于医院检验科实验室信息系统的伦理学思考

Ethical Thinking on Hospital Laboratory Information System

从六个方面阐述了实验室信息系统(LIS)存在的问题,包括LIS安全和功能扩展、患者的隐私保护、突发事件的应急机制、数据真实性和准确性以及自动核准风险。从伦理学角度分析了其整改的必要性,并提出了以下应对策略:加强系统和数据的安全管理;保障特殊检查项目的机密性,保护患者隐私;建立突发事件应急机制;根据医院实际工作量和财力确定LIS的功能模块;定期核对检验数据,避免职业性伤害;持续改进自动核准规则的严谨性。

This paper discussed the existing problems of Information System （ LIS） from six aspects, inclu-ding：the security and the expansion of the function, protection of patients′privacy, the establishment of emergency response mechanisms, authenticity and accuracy of data and the risks for auto-approval rules, etc.The authors also analysed the necessity of its rectification from the perspective of ethics, proposed improvement programme and suggestions： strengthening the safety management systems and data, ensuring special check the confidentiality of the project, protect the patient′s privacy;setting up emergency mechanism;hospital based on the actual workload and resources to determine the LIS function module; regularly checking the test data, to avoid occupational inju-ries;continuously improving the rigour of automatic approval rules.