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本文就某院新开发病案管理系统实现病案多系统整合后的信息化管理进行探讨。重点阐述了某院对病案多系统进行整合后,初步实现了病案管理无纸化办公。传统病案管理信息化不足,管理软件过多且杂乱,管理机制不完善,病案质控数据未有效利用等问题日益显现。病案管理系统是基于原有病案相关的多个系统进行重新整合的基础上开发出来的,主要目的是将病案管理员从繁琐而重复的手工劳动中解放出来,把更多的经历投入到对病案数据的提炼及更深层次的数据分析中,更大的意义在于其改变了传统的病案管理模式,将逐步与电子病历系统整合,形成现代化病案管理模式和手段,加快病案无纸化的进程,使管理增强针对性、稳定性,大大增强操作性,进而提高服务质量,提升工作满意率。
This article discusses the information management of a hospital newly developed case management system to realize the multi-system integration of medical records. It mainly elaborates that when a hospital integrates the multi-system of medical record, it realizes the paperless office of medical record management initially. Traditional medical records management information is not enough, too many management software and clutter, management mechanism is imperfect, medical records quality control data is not effectively used and other issues are increasingly apparent. The case management system was developed based on the reorganization of multiple systems related to the original case record, with the main purpose of liberating the case manager from cumbersome and repetitive manual labor and putting more experience into the case record Data extraction and deeper data analysis, the greater significance is that it changed the traditional medical record management model, will gradually integrate with the electronic medical record system to form a modern medical record management model and means to speed up the process of paperless medical records so that Management enhance the pertinence, stability, greatly enhance the operability, thereby improving service quality and enhance job satisfaction.