我院电子病历系统使用满意度调查

Investigation on the Satisfaction of Electronic Medical Record Systemin Our Hospital

目的：调查电子病历系统使用中存在的问题并提出改进意见.方法：采用无记名问卷方式调查包括调查对象的基本情况、被调查者对电子病历系统的满意度和存在的问题.结果：被调查主体是写电子病历的一线医生,他们对现行电子病历系统整体使用感觉是一般,基本满足临床工作需求（60,64.52％）或者是不满意（29,31.18％）.电子病历系统的主要问题在于基础建设不足、不能实现有效的电子签名、首页信息不能自动关联、PACS系统建设不足、病历模板不统一、会诊流程繁琐.对策与建议：医院须加大投入用于电子病历硬件、软件建设,并定期升级系统;逐步实现有效的电子签名和数字化扫描;设置全院统一模板和科室专科的规范化模板;实现会诊流程信息化.

Objective： To investigate the problems existing in the use of electronic medical record system by doctors and give suggestions. Method：An anonymous questionnaire designed to investigate including the basic situation of the survey,satistaetion on the using of the electronic medical record system, problems of the system. Results：The subjects are those front - line doetors witting electronic medical records, Whose teeling are general,basically meet the clinical needs （60,64. 52% ） or are not satisfied （29,31.18%）. The main problems of electronic medical records system locus on the lack of the basic construction of the system,can not achieve a valid electronic signature,Home information can not be automatically associated, PACS system construction is insuifieient, Medical records template is not uniform, cumbersome Consultation process. Countermeasures and suggestions ：the hospital must increase investment tor the hardware and software construction of electronic medical records,and regularly updates;gradually achieve effective electronic signature and digital scanning;set standardized templates of hospital and department;aehieve eonsuhation process Informationalized.