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电子病案正在我国各级医院逐步推广。相对于传统的手工书写病历,电子病案有其书写方便快捷、信息传输及时安全、信息查找便捷、利于医院管理等优点,但在其应用过程中也渐显现出一些负面影响,如病案信息的真实性和准确性令人担忧,导致信息使用价值降低,耗资巨大,不利于青年医生的培养等,因此在建设和应用电子病案过程中,尚需考虑投资成本,应用科学完善的电子病案系统,循序渐进,分阶段实施,设第三方监管,保证病案信息的安全性,完善数据统计、分析功能等,以保证电子病案系统顺利开展。
Electronic medical records are being gradually promoted at all levels of hospitals in our country. Compared with the traditional hand-written medical records, electronic medical record has the advantages of convenient and quick writing, timely and safe information transmission, convenient information search and hospital management, but it also shows some negative effects during the application process, such as the truth of the medical record information Therefore, the use of electronic medical records needs to be considered in the process of constructing and applying electronic medical records. The electronic medical record system with scientific application needs to be taken into consideration. , Implement in phases, set up third-party supervision, ensure the safety of medical record information, improve the data statistics and analysis functions, etc. so as to ensure the smooth development of the electronic medical record system.