区域医学检验中心智慧互联网检验的探索与实践

Investigation and practice of smart internet inspection in regional medical laboratory center

目的 探讨智慧互联网检验工作流程在提升区域医学检验中心建设内涵中的应用效果。方法 采用多项互联网信息技术开发智慧互联网检验平台,实现区域内检验项目与医院信息系统(HIS)数据的无缝对接。统计区域内互联网检验业务量和患者满意度调查结果,分析互联网检验平台的实际应用效果。结果 临床医生、患者、居民(统称用户)通过互联网医院和互联网检验平台,可根据实际需求或疾病状态通过不同路径自助申请检验项目,获得从检验项目申请到检验报告解读,以及互联网在线诊疗的全链条智慧化服务。用户可实现线上实名认证,自助缴费,区域内就近采样;互联网+护理提供上门采样服务;通过专用标本运输车和无人机运送检验样本。支持手机短信、医院、区域检验中心微信公众号、健康罗湖APP等多平台在线查阅检验报告,提供在线智能问诊和区域内互联网诊疗服务。平台自2021年2月开始运行,至2022年11月,22个月检测业务量达1 054 057人次,其中新型冠状病毒核酸检测量为1 022 913人次,占互联网检测总业务量的97%。2021年深圳市42家公立三级医疗机构满意度调查中,罗湖区人民医院位居第三,检测业务量和患者满意度持续、稳定上升。结论 区域医学检验中心智慧互联网检验可减少居民等候时间,降本增效,是更好地开展疾病干预和健康管理的重要途径。

Objective To investigate the application efficiency of the workflow of smart internet inspection in improving regional medical laboratory center. Methods A number of internet information technologies were used to develop a smart internet inspection platform,through which the regional internet inspection items can be seamlessly connected with hospital information system(HIS)data. The regional internet inspection business volume and patient satisfaction survey results were analyzed statistically. The actual application efficiency of smart internet inspection was evaluated. Results According to the needs or disease status,customers(clinicians,patients and residents) can apply for self-service inspection,interpretation of inspection report and internet online diagnosis and treatment through different paths at the internet hospital and internet inspection platform,online real name authentication,self-service payment and sampling nearby in the area. Internet+nursing provided door-to-door sampling services. The inspection specimens were transported by special specimen transport vehicles and unmanned aircrafts. It supported mobile phone text messages,hospital and regional inspection center We Chat official accounts,Health Luohu APP and other platforms to check inspection reports online,and provided online intelligent consultation,regional internet diagnosis and treatment services. The platform had operated for 16 months from November 2020 to February 2022,and the inspection business volume had reached 469 453 person times,including 427 973 person times of severe acute respiratory syndrome coronavirus 2 nucleic acid determination,accounting for 99.2% of the total inspection business volume. In the satisfaction survey of 42 public tertiary medical institutions in Shenzhen 2021,Shenzhen Luohu People’s Hospital ranked the third,and the inspection business volume,business income and patient satisfaction continued to rise steadily. Conclusions The internet inspection combined with regional medical laboratory center is an important way to reduce patients’ waiting time for diagnosis and treatment,reduce costs and increase efficiency,and better carry out disease intervention and health management.