CAJ | 학술논문

为了使院长查房达到更好的效果,将电子病案系统应用于院长查房.查房前根据查房的内容准备需要的病案号和医疗数据,查房采取现场显示病案,院领导和各科室主任共同评价和讨论的形式,查房的内容主要是通过病案了解医疗过程中存在的问题和病案质量.将电子病案应用于院长查房可以使院长了解日常的工作状态;现场解决问题,尤其是涉及多个部门的问题;通过对医疗数据的展示和分析,使科室了解自己的医疗运行状况;为院领导与科室主任建立了一个交流沟通的平台等.从而实现促进临床医疗质量,提高管理水平的目的.
위료사원장사방체도경호적효과,장전자병안계통응용우원장사방.사방전근거사방적내용준비수요적병안호화의료수거,사방채취현장현시병안,원령도화각과실주임공동평개화토론적형식,사방적내용주요시통과병안료해의료과정중존재적문제화병안질량.장전자병안응용우원장사방가이사원장료해일상적공작상태;현장해결문제,우기시섭급다개부문적문제;통과대의료수거적전시화분석,사과실료해자기적의료운행상황;위원령도여과실주임건립료일개교류구통적평태등.종이실현촉진림상의료질량,제고관리수평적목적.
@@@@In order to achieve better results ,we use the electronic medical record system in the hospital president ward-rounds .We prepare the medical records number and medical data before ward-rounds .hospital leadership and department director evaluate and discuss case of il ness through electronic medical record .The contents of ward-round are the medical problems that exist in the process and quality of medical record .The application of electronic medical record in hospital president ward-round can make hospital president understand daily work status ,solve problems at current , especial y the problems involving multiple departments .Departments understand the medical conditions themselves and set up a communicate platform for hospital leadership and department director through the presentation and analysis of medical data . These methods can promote clinical medical quality ,improve the management level .