Shenyang Military Region General Hospital of the Chinese People's Liberation Army
First, the hospital profile
With the rapid development of the emergency department, the hospital has a strong demand for the professional emergency clinical information system. At the same time, it has very high requirements on the concept and design of the product. The products of other manufacturers can not meet the needs of the hospital. The emergency clinical information system of Shanghai Mijian Information Technology Co., Ltd. has been highly recognized by the hospital since its launch. The design concept has fully met the needs of the hospital. In the end, the hospital cooperated with Mijian Company to build a complete emergency clinical information system to help the emergency department to upgrade the business level, management level and scientific research level to a new level, optimizing the emergency procedures and medical quality control.
1) Intelligent rating and grading, so that there are standards for scoring, and there are grading basis;
2) Basic information, automatic collection of vital signs, rapid entry;
3) Green channel patient identification, to achieve the patient's first time to start treatment; support subsequent recruitment of triage information; group injury patient information batch entry;
4) Obtain statistics such as time spent on triage, distribution of patients at all levels, and patient flow, and support medical research.
2. Structured electronic medical record system for quick and easy entry The system implements three-level medical record template management, provides common medical record templates (can be customized), and quickly and accurately enters them through quick selection. Inspection/inspection results, medical orders, clinical pathway guidance, etc. are displayed in the auxiliary window, which actively provides effective help to the doctor's work, and can support automatic insertion of citations to improve the efficiency of medical history writing.
After more than one year of use, the hospital has reached a proficient use of the system. The system standardizes, processes and automates the daily diagnosis and treatment work, so that the patient can be diagnosed according to the evidence, and the treatment process has a clear record, allowing massive clinical data to be accumulated. . The doctor's work has been greatly facilitated, and the patient's diagnosis and treatment process is very smooth and has been recognized by the patient.