探讨电子病案应用于医院病案管理的优势与不足

EMR Advantages and Application Experience in Medical Record Management

病案管理主要内容是根据国家相关法律要求对医院从事的医疗活动全程进行记录、保存、归类以及利用等,医院病案管理过程中在保证病案管理情况下还要确保资料的安全性、可靠性。随着信息化技术在我国迅速发展,医院也逐步加强了对信息化工作的管理,还有患者信息对医疗保险体制的重要性等,使得传统的病案管理模式无法适应社会的变化。电子病案将患者的基本信息、医师的诊疗经过、用药、检查等信息经由计算机系统进行处理,它是一次技术的革新。该研究将以电子病案为起点,分析电子病案在医院病案管理中的应用优势及其存在的问题,使得电子病案能够在医院病案管理中发挥更大的作用。

Case management is actually,according to the requirements of the relevant laws of the hospital＇s medical activities in the process of recording,preservation,classification and utilization of hospital medical records management process in ensuring the medical record management to ensure data security and reliability.With the continuous development of information technology,information management work for the hospital have become stronger,plus medical insurance system,such as the need for patient information,the traditional case management model can not adapt to the development of society.The electronic medical record sucked basic patient information,physician clinics,medication,check the information processed by a computer system,which is a technology innovation.Electronic medical record will be the starting point of this paper is to analyze the electronic medical record application advantages and problems of the hospital medical records management,electronic medical records so that could play a greater role in the management of the hospital medical record.