新冠肺炎疫情下基于微信的患者签名及病历无纸化实践

Exploration and practice of Wechat-based patient signature for paperless medical records against COVID-19

2019年12月起,在武汉市出现了新型冠状病毒肺炎疫情。华中科技大学同济医学院附属同济医院作为危重症患者救治定点医院,承担了大量危重症患者的诊断和治疗工作。为了处理新型冠状病毒肺炎患者的住院病历,从根源上切断病毒传播途径,防控疫情在医院内部扩散,医院采用了基于微信小程序的患者电子签名系统和基于临床数据中心的病历无纸化整体方案,解决了在当前疫情下患者签字以及病历文书归档等问题,不仅大大减少了纸质病历的打印,最大限度地降低纸质病历对接触者造成感染的风险,还有效节约了医院运行成本,提高了医院临床工作效率。

December 2019 witnessed the outbreak of COVID-19 in Wuhan city.Tongji Hospital,as a designated hospital for treatment of critical patients,shoulders the diagnosis and treatment tasks of numerous critical patients of COVID-19.For the purpose of handling their medical records and effectively preventing the nosocomial infection of the disease,the hospital put in place both the electronic signature system of patients based on a Wechat applet and a paperless medical record total solution based on the data center.These measures overcome the challenges incurred by patients′signature on paper-based records and medical records archiving during the epidemic.On the other hand,they can not only downsize the paper-based medical records,minimize the risk of infection caused by paper-based medical records via physical contacts,but also effectively save the hospital of its operating costs and improve its efficiency of clinical work.