Problems in the Management of Electronic Medical Records at a Hospital and the Countermeasures

Yunhong Wu, Z. Zeng, Wei-Tse Tang, Yi Wu, Donglin Li
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Abstract

AbstractThe management of Electronic Medical Records (EMRs) is an important part of hospital information construction. Its application improves the medical quality, the work efficiency, and the collection, analysis and reporting of medical information. Since the implementation of the EMR system in the hospital in 2011, there have been problems such as the non-standardization of outpatient information, defects in the flow setting, inconsistency between the contents of the paper-based medical records and the EMRs, failure to achieve the quality control requirement, management being out of place, information construction lacking accordance with the standards of the Ministry of Health, lack of training, and other issues. We should perfect the system flow setting, optimize the information integration, and strengthen the training, to promote the gradual development of EMRS and to make it better for clinical services.
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某医院电子病历管理中存在的问题及对策
摘要电子病案管理是医院信息化建设的重要组成部分。它的应用提高了医疗质量和工作效率,以及医疗信息的收集、分析和报告。该院自2011年实施电子病历系统以来,存在门诊信息不规范、流程设置存在缺陷、纸质病历内容与电子病历内容不一致、达不到质量控制要求、管理不到位、信息化建设不符合卫生部标准、缺乏培训等问题。完善系统流程设置,优化信息整合,加强培训,推动电子病历逐步发展,更好地为临床服务。
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