CAJ | 학술논문

利用现代化信息技术，优化整合医院信息系统，改变传统病案管理模式，将信息化技术应用于病案管理工作中。取消了病案科对病案首页信息的手工录入，大部分信息通过系统获取；取消“叠瓦”式张贴检验报告单；数字化病案运用，优化查询与借阅方式，取消纸质病案借阅；缩微病案有效缩减大面积库房；实现出院诊断与手术操作在线编码；建立全程质控体系，加强了在线病历环节监控力度。现代化信息技术在病案管理中的应用，有效地节省人力资源；减少病案库房空间从而增加医疗用房；更有效地提高病案管理工作效率和管理质量，信息利用更加便捷。
이용현대화신식기술，우화정합의원신식계통，개변전통병안관리모식，장신식화기술응용우병안관리공작중。취소료병안과대병안수혈신식적수공록입，대부분신식통과계통획취；취소“첩와”식장첩검험보고단；수자화병안운용，우화사순여차열방식，취소지질병안차열；축미병안유효축감대면적고방；실현출원진단여수술조작재선편마；건립전정질공체계，가강료재선병력배절감공력도。현대화신식기술재병안관리중적응용，유효지절성인력자원；감소병안고방공간종이증가의료용방；경유효지제고병안관리공작효솔화관리질량，신식이용경가편첩。
We use modern information technology, optimize the integration of hospital information system, change the traditional medical record management mode to management medical records. After the reform, the majority of information in the frontsheet of medical records was acquired through the retrieval system. The"imbricated"paste inspection report was cancelled, and medical records were digitalized. Lending and inquiry processes were optimized, and the lending of paper medical records was abolished. Miniature medical record effectively reduce large warehouses. The encoding of the discharge diagnosis and surgery operation is online.The whole quality control system is established, and the online medical records link monitoring is strengthened. Modern information technology in the application of the medical record management can Effectively save the human resources. Reduce medical record storage space so as to increase the medical room. More effectively improve medical record management work efficiency and the quality of management, and the information using more convenient.