CAJ | 학술논문

手写电子病历可将患者病历原样完整保留在医院数据库中,可作为患者就诊过程中院方医疗行为的记录,也是医疗质量好坏的评价、医疗纠纷举证及医师诊疗过程监督的凭证。通过后台操作,可进行病历质量考核,工作质量管理,医疗数质量分析,系统解决了门急诊病历及时采集、保留、管理以及统计分析等问题。
수사전자병력가장환자병력원양완정보류재의원수거고중,가작위환자취진과정중원방의료행위적기록,야시의료질량호배적평개、의료규분거증급의사진료과정감독적빙증。통과후태조작,가진행병력질량고핵,공작질량관리,의료수질량분석,계통해결료문급진병력급시채집、보류、관리이급통계분석등문제。
Script electrical messagecase record（S-EMR） puts clinical data into clinic trial databases completely,it can be used as the records of medical action.The evidence of quality of health care,medical tangle and monitoring of the process of health care service can be recorded.The assess of quality of health care,management of medical performance and analysis of medical care can be consistently operated.The S-EMR is exactly the key to the collection,reservation,management and statistics of case history.