基于HIS对接的住培电子轮转手册应用实践与探索

Application of electronic rotation registration manual for residency training based on hospital information system docking:Practice and exploration

轮转登记手册所记载内容既是评估住院医师培训质量的量化指标,也是培训考核和颁发培训合格证书的重要依据。针对住培轮转登记手册数据真实性、信息滞后及重复录入的问题,同济大学附属东方医院开展住培电子轮转手册与医院信息系统(hospital information system,HIS)对接项目。通过组建项目团队、制定工作机制和项目实施,充分运用数据分析,进行流程改造和系统优化,在解决问题的同时不断提高管理效率,提升医疗安全,在实践中形成一套具有借鉴意义的实施体系。

The contents recorded in the rotation registration manual is not only the quantitative indicators for evaluating the quality of residency training,but also the important basis for training assessment and issuance of training certificates.In order to solve the problems of data authenticity,information delay,and repeated entry in the rotation registration manual for residency training,Shanghai East Hospital,Tongji University,launched a project to dock the electronic rotation registration manual with the hospital information system.Through the establishment of the project team,the development of working mechanisms,and the implementation of the project,data analysis was used for process reformation and system optimization,so as to continuously improve management efficiency and medical safety while solving problems and form a set of implementation system with reference significance in practice.