医院诊疗服务信息化建设与相关问题探讨

Hospital Medical Service Informatization Construction and Relevant Issues Discussion

以电子病历评级为契机,全面提升医院诊疗服务信息化建设水平。以集成化、智能化、闭环化、无纸化为核心,以电子病历评级为手段,提高临床效率,助力临床决策,有效地提高了医疗资源整合水平,全面提升了医疗质量。依托医院临床诊疗辅助知识库与循证医学知识库,构建了双引擎驱动的CDSS系统,实现了智能化辅助诊疗决策,顺利通过了电子病历系统六级评价。

Take the electronic medical record rating as an opportunity to comprehensively improve the information construction of hospital medical service.By the means of electronic medical record rating,an integrated,intelligent,closed-loop and paperless information system can improve clinical efficiency,provide clinical decision-making support,effectively improve medical resources integration,and comprehensively improve the quality of medical service.Based on the hospital's clinical service support database and evidence-based medicine database,the dual-engine driven CDSS system has been constructed,which realizes intelligent clinical decision-making support and successfully passed the Grade-6 evaluation of the electronic medical record system.