无纸化病案实施难点分析

Analysis of Difficulties in the Implementation of Paperless Medical Records

无纸化病案管理作为医院病案管理工作发展的必然趋势,在信息化不断发展的当下,无纸化办公已经在我国各个领域不断深入。无纸化病案的优势在于更能体现绿色环保、最大程度的提升工作的效率、告别繁碎的工作流程。实施的难点为医院管理层认识不足、软硬件设施和管理机制不够健全、电子签名没有全面实施等方面。针对上述难点无纸化病案的实施在于强化无纸化病案管理认识,这是病案发展和科技进步的必然趋势;加大无纸化病案软硬件的投入,从软件设施的开发,应用,硬件设施的更新换代、电子签名的全面实施和规范化管理等方面入手,全面推进无纸化病案进程。

As an inevitable trend of hospital medical record management,paperless medical record management has been deepening in all fields of our country at the present time of continuous development in the information age. The advantage of paperless medical record is that it can better reflect the green environment protection, maximize the efficiency of work, and say goodbye to the complicated workflow. The difficulties of implementation are insufficient awareness of hospital management, inadequate hardware and software facilities and management mechanism, and the lack of full implementation of electronic signatures. In view of the above difficulties, the implementation of paperless medical record lies in strengthening the understanding of paperless medical record management, which is the inevitable trend of medical record development and scientific and technological progress;increasing the input of paperless medical record software and hardware, from the development of software facilities, should include the updating of hardware facilities, the full implementation of electronic signatures and standardized management, etc. Starting from the front, we should promote the process of paperless medical records.