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一般认为,年门诊量超过60万人次的《门诊挂号系统》如果设备投入、系统设计不到位,就容易产生“瓶颈效应”,这是国内一些医院信息化建设方面的资深人士所达成的共识和经验之谈。自1999年我院全面启动建设《医院信息管理系统》以来,门诊挂号系统的建设就是整个HIS系统中最难攻克的一个堡垒。不是因为技术上的难度,是因为容易形成“瓶颈效应”的特殊性。为攻克堡垒,信息中心从两个方面入手,一是对软件的优化,二是提高挂号员的计算机操作水平。对挂号软件进行了优化并新增了启用门诊就诊卡(磁卡),将病人的基本信息在挂号、收费、药房各个环节中共享;新设了病人预诊卡,病人在挂号之前可进行前台的分诊;提供了高效的项目检索码;设立了少数民族常见姓名字典库;打印专家所在楼层号:知名专家的限号、今日停号等功能,大大节省了录入的时间。在《门诊挂号系统》的正式启动日,准备了应急方案,并在就诊高峰期启动应急方案。该项目的实施,终于结束了我院40多年手工挂号的历史。是对我院《医院信息管理系统》的进一步完善,它的启用为我院门诊医生工作站的实现奠定了坚实的基础。
It is generally believed that “outpatient registration system” with an annual outpatient volume of more than 600,000 is likely to have a “bottleneck effect” if the equipment is put in place and the system design is not in place. This is the consensus reached by some veterans of information-based hospital construction in China. Talk of experience Since our hospital started the construction of “hospital information management system” in 1999, the construction of outpatient registration system is the most difficult one to overcome in the entire HIS system. Not because of the technical difficulty, it is easy to form a “bottleneck effect” of the particularity. To overcome the fort, the information center starts with two aspects. One is to optimize the software. The other is to improve the computer operation of the registered staff. The registration software has been optimized and the new out-patient clinic card (magnetic card) is enabled. The patient’s basic information is shared among all the registrations, charges and pharmacies. A new patient pre-diagnosis card is created, and the patient can check the card before the registration Triage; provide efficient retrieval of the project code; set up a common dictionary of ethnic minorities name; print experts where the floor number: limited number of well-known experts, stop today, and other functions, save the entry time. At the official start-up date of the “Outpatient Registration System”, a contingency plan was prepared and the emergency plan was launched at the peak of the visit. The implementation of this project has finally ended the history of manual registration of more than 40 years in our hospital. Is our hospital “hospital information management system” to further improve, and its opening for our hospital outpatient workstation to lay a solid foundation.