CN101021910A - Large scale integrated hospital information system and equipment thereof - Google Patents
Large scale integrated hospital information system and equipment thereof Download PDFInfo
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Abstract
This invention discloses a large scale integrated hospital information system including a hospital information management system HIS, an electronic case history system EMR, an image transmission and storage system PACS, a check network information system LIS and an office automation system HOS, a combined enquiry and analysis system, a manpower resource management sub-system and a foreign information interface and exchange part, in which, all systems are connected by exchanges to transmit information. This invented device applies at least two stages of exchange structure and a server cluster mode fiber to connect to the floors, and the server includes an IBM520 optical channel disc array small computer, an IBM365 optical channel disc array double heat-standby server, an IBM 440 disc array double motor heat-standby server, a PACS cluster load balance server set and a WEB server.
Description
[technical field]
The present invention relates to a kind of equipment that is used for the system of management on large information for hospital and uses this system.
[background technology]
At home, infotech is used widely at whole medicine and hygiene fields.But because the medicine and health work flow process complexity that relates to of hospital information system, each department, each medical institutions' Application and Development level are uneven.Just the hospital of the situation in the whole nation overwhelming majority also just is being stuck in traditional outpatient service, is being in hospital, on several subsystems such as charge, pharmacy, Drug Storage, medical record statistics, occurrences in human life, finance, lacking innovation and break through aspect the informatization.
Since earlier 1990s, hospital began the computer network construction, although some hospitals have realized information-based running partly, some hospital also includes in the construction of infosystem as check, ultrasonic image, projects such as PACS, but because each system independently naturally, even the networking network all is independent of HIS, it still is traditional causing the overall operation pattern of hospital, prescription in patient's hand, inspection application form, check request slip, various report is single many and mixed and disorderly, do not embody information-based later data sharing, alleviate medical personnel's working strength, shorten patient in the residence time of hospital and the advantage of increasing work efficiency, patient finally is not benefited.
China's hospital information construction is started late, lack qualified technical personnel, the fund input deficiency (such as health industry information-based be 2% of income for the input in hospital information every year in the world now, the U.S. reaches 4%, China is now on average less than 0.5%), so compare, be scarcely out of swaddling-clothes with the actual demand of hygiene industry, also there are many gaps compared with developed countries, mainly show:
Hospital information is built uneven;
Do not set up effective application software organization development mechanism as yet;
Capital construction is comparatively weak, and especially the information for hospital standardization effort is also relatively weaker;
After China added WT0, with the infotech upgrading of driving the industry, the realization great-leap-forward development was extremely urgent.Medical insurance reform has proposed stern challenge to the operation control of hospital, has only the medical insurance of the analysis market characteristics, strengthens management, just can reach increase income and economize on spending, the purpose of benign development, and wherein significantly build and the perfect information system.Hospital need meet the challenge of medical insurance by informationization technology, and medical insurance has simultaneously also proposed very high requirement to the construction information system.
Along with the raising of living standards of the people, computer management application in other every profession and trade, and the going deep into of the development of hygiene industry and health reform, current hospital management system more and more can not satisfy needs of society.How systematically, science, wholesomely manage the processing of the aspects such as information type, information source, information quality, information transmission and information analysis working depth that hospital of macro-level policy-making institute needs, set up a high-level efficiency, high-quality hospital information network is the important content of new period medical system reform and development, it also is a basic construction of health system, the purpose applied for a patent of the applicant especially simultaneously, this basic informatization will be directly connected to the development of medical and health care system and improving of people ' s health level.
[summary of the invention]
The objective of the invention is to overcome the deficiency of existing medical information system and equipment thereof, provide a kind of and can interconnect, realize resource sharing, meet modernization development trend and improved the hospital information system and the equipment thereof of the large scale integration of people's living standard.
The present invention adopts following technical proposals to realize:
A kind of large scale integrated hospital information system and equipment thereof, wherein be characterised in that: include hospital information management system HIS, electronic medical record system EMR, medical image transmission and storage system PACS, supervising network infosystem LIS and the office automation system HOA of hospital, comprehensive inquiry and analytic system, human resource management subsystem and external information interface and AC portion, connect realization information transmission and exchange by switch between described each system.
Aforesaid large scale integrated hospital information system and equipment thereof, it is characterized in that: described hospital information management system HIS includes each subsystem of outpatient service, be in hospital each subsystem, each subsystem of pharmacy, application server middleware, database server redundancy, online storage and online backup part, and the data of each subsystem of described outpatient service, be in hospital each subsystem and each subsystem of pharmacy are carried out online storage and online backup by switch, application server middleware and database server redundancy.
Aforesaid large scale integrated hospital information system and equipment thereof, it is characterized in that: the described checking information LIS of system includes outpatient service blood drawing workstation, clinical blood drawing workstation, health body blood drawing workstation, visiting workstation, database server redundancy, online storage and online backup, and described each workstation carries out online storage and online backup by switch and database server redundancy.
Aforesaid large scale integrated hospital information system and equipment thereof, it is characterized in that: described medical image transmission includes each Reception workstation, each image workstation, each clinical position station, each image documentation equipment, database server cluster, DICOM isomery gateway, online storage and online backup with storage system PACS, and the data of described each workstation and image documentation equipment are carried out online storage and online backup by switch and database server cluster.
Aforesaid large scale integrated hospital information system and equipment thereof, it is characterized in that: described electronic medical record system EMR includes each nursing station, each doctor workstation, medical record management, each collecting device, application server middleware, database server redundancy, online storage and online backup part, and the data of described each workstation, medical record management and each collecting device are carried out online storage and online backup by switch, application server middleware and database server redundancy.
The present invention has following beneficial effect:
1. system's facility advanced person: I am made up of present state-of-the-art hardware and software institute's infosystem, have the characteristics of high-performance, high reliability, high scalability.Operating system is selected Windows2000 AdvancedServer and Linux for use, and database is Oracle 9i and SQL Server2000, makes under different operating system the data in the disparate databases realize sharing by system's isomery technology; Application software adopts the three-decker technology of representing current I T industry development direction; PACS adopts the IPStor virtual memory technique; Server adopts the mode of trooping, network using two-stage switching fabric, and the optical fiber gigabit is to each floor.At present, surplus the online service device has 30, surplus the optical fiber switch 60, online computer is crossed thousand.
2. system scale is big: the functional module of hospital's large scale integration infosystem contains multi-functional outpatient service doctor workstation, the connection of the relevant auxiliary link of outpatient service (comprising: the magnetic card publishing system, the outpatient service number of getting queuing system, the outpatient service E-payment system, outpatient dispensing is sent out the medicine system, the pharmaceutical incompatibility management system), (comprising: information work station, lesion goes out to be admitted to hospital management system, medical order management system, electronic medical record system, ward management, the operation management system, department of anesthesia's workstation, the Intensive Care Therapy network information system, nursing information system, the center pharmacy system, intravenous pharmacy configuration center system), digitizing dentist workstation, medical image management and communication system (PACS) (networking: digital ultrasound video surveillance system, the ECT video surveillance system, the endoscope video surveillance system, the pathology video surveillance system, CT, MRI, DSA, medical image network systems such as X-ray), the medical technologies management system (comprising: supervising network infosystem (LIS), blood bank's management system), network security (firewall security system, the network ' s thunder system, double-H groove weld PS intelligent conversion (ATS) power-supply system, gate control system, TV monitor system), the related management of extension and the social service system (as: office automation system, the telecommuting system, the comprehensive inquiry system, the quality of medical care management system, the nursing information management system, financial management system, equipment management system, the Drug Storage management system, logistics distribution system, HRMS, Work attendance management system, the nosocomial infection management system, the infectious disease reporting system, medical care statistics and health record management system, full medical record scanning storage and medical literature searching system, China and foreign countries' literal arts skill peek-a-boo, online book shop system, job performance comprehensive examination and evaluation system; Consume system, compartmentalization hospital (health) infosystem in social medical insurance system, health check-up health care system, emergency command system, the guidance system of waiting to see the doctor, LED electronic display system, touch screen query system, hospital's web station system, audio-visual education programme system, Internet broadband access, mobile phone short message transmission, the institute) etc.
3. set up management integrating engine (Management Integration Engine MIE): set up MIE standardization core according to the modern hospital management flow process, general plan, formulation unified interface standard and exchanges data parameter are carried out standardization of data and are handled and hospital's BPR.Setting up MIE helps the product of different company integrated; Be convenient to the extension expansion and the upgrading of system; Be convenient to the maintenance of system; Be that project success is implemented and the prerequisite of applying.This also is the road that we walk large scale integration, creates the key of the success with hospitality industry informatization characteristic.
4. the BPR of going to a doctor: simplify the prescription on individual diagnosis flow process, the one-stop service of " patient is motionless, information flow " is provided, optimize unreasonable link, embodying with patient is the service theory at center.Prescription on individual diagnosis flow process electronization, realized electronic prescription, electronics is checked request slip, the electronic checkout request slip, the electronics audit report is single, the electronic checkout report, cancelled " outpatient service number ", the number of chaotic such as " admission numbers ", replace " identification number ", prescription on individual diagnosis person's information is carried out association with unique identification number, various medical image informations and text message are covered all at one glance on doctor workstation, and it is convenient and swift, prescription on individual diagnosis person need not hand prescription again, checklist, inspection sheet stands in a long queue to wait and hands over hurrying back and forth under money or the upstairs house to seek the section office of doing inspection, each Waiting Area is equipped with the number of getting, charge, blood drawing, B ultrasonic, Electrocardioscopy, function such as get it filled, finish and check that back prescription on individual diagnosis person need not wait inspection or survey report, shortened the residence time of prescription on individual diagnosis person in hospital, patient satisfaction improves greatly.
5. logistics BPR: take the lead in having realized all inspection specimen bar code managements at home, make " sample contents flow management " standardization, HIS, CIS and LIS share person under inspection's information, solved " bottleneck " problem of inspection center data typing and collection, help collection of specimens information is carried out detailed tracking, created necessary condition for linking up between LIS and the both-way communication instrument; Set up the intravenous pharmacy configuration center, prepare all transfusions in the cleaning shop of 100 grades of laminar flows by the pharmacists and use liquid, be distributed to each clinical department again, guarantee liquid quality, drug safety like this, allow the nurse nurse the sick with more time and energy; The realization of Drug Storage management system, equipment management system, material Management System makes the goods and materials such as medicine, hygienic material, office appliance, household items, electrician's electrical materials and appliances, bedding and clothing of hospital include computer management in.Each section office needs supplementary material, can directly apply on the net, is gathered automatically by computing machine then, and dispensing has in time realized " zero inventory " management of office appliance and hygienic material.
6. management process is reproduced: the office automation system is in the use of my institute, be through with by the traditional approach of artificial transmission paper medium or magnetic medium information, processing procedure and supervisory role with workflow character are provided, give security for realizing real collaborative work between the department, impel the workflow between the department to shift to the workflow structure of compactness by the loose structure of an articulating one ring in past, make the file management institutionalization, standardization, standardization and networking, office equipment shares on the network, reduce the use of office consumable material, realized effective raising of work efficiency and reliability; The telecommuting system has realized mobile office, online working function, has changed the notion of office on time and space, and the ground even if the leader of hospital travels outside also can be as in office's high-level efficiency processing transactions.
The present invention is described in further detail below in conjunction with accompanying drawing and embodiment:
[description of drawings]
Fig. 1 is a structure block diagram of the present invention;
Fig. 2 is the structure block diagram of hospital information management system HIS of the present invention;
Fig. 3 is the structure block diagram of the checking information LIS of system of the present invention;
Fig. 4 is the structure block diagram of medical image transmission of the present invention and storage system PACS;
Fig. 5 is the structure block diagram of electronic medical record system EMR of the present invention.
[embodiment]
As shown in Figure 1, the present invention is a kind of large scale integrated hospital information system and equipment thereof, include hospital information management system HIS, electronic medical record system EMR, medical image transmission and storage system PACS, supervising network infosystem LIS and the office automation system HOA of hospital, comprehensive inquiry and analytic system, human resource management subsystem and external information interface and AC portion, connect realization information transmission and exchange by switch between described each system.
In Fig. 2, hospital information management system HIS includes each subsystem of outpatient service, be in hospital each subsystem, each subsystem of pharmacy, application server middleware, database server redundancy, online storage and online backup part, and the data of each subsystem of described outpatient service, be in hospital each subsystem and each subsystem of pharmacy are carried out online storage and online backup by switch, application server middleware and database server redundancy.
The back collection of charges is confirmed in the medical technologies inspection application that the medical technologies management system receives outpatient service and is in hospital, and the workload of statistical dependence section office.System comprises supervising network infosystem (LIS) and blood bank's management.The 40 multiple devices networking that LIS is all with clinical laboratory, and with the HIS seamless link, all inspection specimens are realized bar code managements, realize two-way counter the sweeping of inspection specimen bar code on the check automatic production line, share person under inspection's information, there is the function of analysis, identification, combinatorial test project in this system.In the time of will doing seven of liver functions and four inspections of renal function simultaneously as same patient, computing machine only be got a bar code after can analyzing combination automatically, indicates the blood drawing nurse only need extract a pipe blood and gets final product, and has alleviated patient's misery.Assay is beamed back patient place section office automatically, and is single by section office's printed report, solved the problem of sending the special messenger to send list and lose report like this, improved work efficiency, and can inquire about all previous assay of this patient in section office, is depicted as figure and compares.Blood bank's management system connects blood bank's all devices, with the HIS seamless link, adopts advanced information processing management technology, replace previously all kinds of documents of hand filling, realize rapid, accurate match and the various blood data of using of complete documentation, improve inquiry, statistics, analysis ability, standardized administration.
In Fig. 3, the LIS of checking information system includes outpatient service blood drawing workstation, clinical blood drawing workstation, health body blood drawing workstation, visiting workstation, database server redundancy, online storage and online backup, and described each workstation carries out online storage and online backup by switch and database server redundancy.
In Fig. 4, the medical image transmission includes each Reception workstation, each image workstation, each clinical position station, each image documentation equipment, database server cluster, DICOM isomery gateway, online storage and online backup with storage system PACS, and the data of described each workstation and image documentation equipment are carried out online storage and online backup by switch and database server cluster.
The medical image management relates to many large medical equipments such as DR, CR, CT, MRI, DSA, digital stomach and intestine machine with communication system PACS, it is all multidisciplinary to relate to radiologic medicine, medical imaging, Digital image technology, computer technology, soft project, post processing of image technology etc., we adopted the DCOM3.0 standard with the image integration of many equipment in PACS, integrated with HIS and health check-up system combination, and transmission on the net, realize that medical image and the full institute of report are shared.Digital ultrasound image network connects all ultrasonic devices of ultrasonic image section, and with the HIS seamless link, can directly transfer the patient's of typing data general information in ultrasonic image section, to beam back patient place section office through the ultrasonic examination picture and text report after confirming, make the neat standard of report, shortened patient simultaneously and waited report time.But the check result that this patient of doctor's online query is all previous.ECT image network is connected with the ECT equipment of Nuclear Medicine Dept, is integrated into the HIS system, at the general information that Nuclear Medicine Dept can directly transfer the patient of typing data, will beam back patient place section office through the inspection of the nuclear medicine after confirming picture and text report.We make it become the image of DCOM standard the image conversion of non-DCOM standard on image acquisition.Endoscope image network connects various electronic gastroscopes, intestines mirror, with the HIS seamless link, directly transfers patient's essential information at Endoscopy Room, and the inspection picture and text report is beamed back patient place section office after will confirming.Pathology image network connects pathology department's microscope, with the HIS seamless link, can directly transfer patient information in pathology department, and the picture and text report after confirming is beamed back patient place section office, makes the neat standard of report, has shortened report waiting time.
In Fig. 5, electronic medical record system EMR includes each nursing station, each doctor workstation, medical record management, each collecting device, application server middleware, database server redundancy, online storage and online backup part, and the data of described each workstation, medical record management and each collecting device are carried out online storage and online backup by switch, application server middleware and database server redundancy.
Outpatient doctor: clinician is transferred patient's general information, previously prescription on individual diagnosis inspection record with magnetic card, opens electronic prescription, electronic checkout/inspection request slip, writes the electronic health care archives.Also can save as template, be equipped with follow-up repeated use typically writing out a prescription; The doctor is when opening electronic prescription, if there is pharmaceutical incompatibility to occur, the pharmaceutical incompatibility management system is prompting automatically, guarantees doctor's safe medication; The doctor can inquire reports such as the CT, X-ray, MRI, DSA, ECT, ultrasonic examination, endoscopy, pathology of auxiliary section office such as patient's various survey reports, dept. of radiology in the shortest time, and can have access to simultaneously relevant dynamic and static and 3-D view data and differentiate and check the accuracy of assurance clinical diagnosis.To the patient of intensive care unit(ICU), the doctor also can view the patient's in ICU who is responsible for cardiac monitoring waveform and every vital sign information on any workstation.If when the input diagnostic message, this patient is a patients with infectious diseases, system can enter the infection disease notification system automatically, fails to report to prevent infectious disease.The portable doctor workstation of employing wireless internetworking can be had access to all data of patient on the sick bed limit, inquire about every medical technologies check result, patient is made immediately, handles accurately, and prescription and request slip will pass automatically to corresponding medical technologies controlling unit and cash desk after confirming simultaneously.
The outpatient service auxiliary link (comprising: magnetic card publishing system, the outpatient service number of getting queuing system, outpatient service Fare Collection System, outpatient dispensing are sent out the medicine system) of being correlated with: magnetic card publishing system, provide the diagnosis and treatment card to all personnel that come institute to go to a doctor, this card is as the unique identification that comes institute to go to a doctor, finish whole process quickly and easily, and can consult the medical history information since using the diagnosis and treatment card apace at hospital admission.The outpatient service number of getting queuing system is simplified the prescription on individual diagnosis flow process, makes things convenient for patient to go to a doctor, and carrying out goes to a doctor earlier afterwards receives consultation fee and registration fee, has changed traditional prescription on individual diagnosis pattern, is subjected to numerous patients' welcome.The outpatient service Fare Collection System, transfer patient's general information and the data of coming by the diagnosis and treatment card by electronic prescription and/or electronic application patrilineal line of descent with only one son in each generation, collect the charges, will be sent to the pharmacy, will be sent to corresponding inspection section office and blood drawing place through the medical technologies inspection item that charge was confirmed through the prescription that charge was confirmed; Printable all kinds of relevant form.Outpatient dispensing is sent out the medicine system, receives the prescription of confirming through charge, prints the list that makes up a prescription, the patient name for preparing medicine is sent on the LED electronic display, notify patient to come to get it filled, the foreground is sent out the medicine window medicine is issued patient, and patient's name is cancelled from the LED electronic display.
The ward doctor workstation (comprising: the management system that goes out to be admitted to hospital, electronic medical record system, medical order management system, ward management, operation management system, department of anesthesia's workstation, Intensive Care Therapy network information system, center pharmacy system, intravenous pharmacy configuration center system): the ward doctor writes case history, progress note, patient's that input is managed doctor's advice in resident doctor's workstation, and the doctor's advice after will confirming passes to nursing station.Medical order management system is used to handle being admitted to hospital of inpatient's doctor's advice of every day, the indoor patient of section, leaves hospital, transfers from one department to another, berth arrangement, patients ' expenses inquiry, prints various medication documents, treatment document and print inventory on the one etc.Electronic medical record system, my institute's electronic medical record system mainly comprises dissimilar clinical information in integrated patient's diagnosis and treatment process, as: Word message, form data, image information, graphical information or the like are to integrate the universal electric case history system that forms behind the existing management information system for hospitals of my institute (HIS), radiology information system (RIS), laboratory inspection system (LIS), medical image storage and the communication system related systems such as (PACS) comprehensively.Have record, playback simultaneously, handle, have functions such as vestige change, retrieval, storage, statistics, and the medical services that the resource strange land is shared.If when the input diagnostic message, this patient is a patients with infectious diseases, system can enter the infection disease notification system automatically, fails to report to prevent infectious disease.The operation management system, operating room and operating time are arranged in the operation application that acceptance is transmitted by section office, with the publicity of LED electronic curtain, and feed back to the clinical department, make things convenient for the doctor to perform the preceding preparation of art and in place rapidly; Handle the general expenses of perioperative doctor's advice and generation, and printable all kinds of relevant form.The Intensive Care Therapy information network system, intensive care unit(ICU) (ICU, CCU etc.) be danger, critically ill patient, the variation of its vital sign is directly connected to patient's the life and the change of medication, relevant information not only requires and can just can see in the ICU ward, simultaneously the vital sign information seamless integration of the patient in all Intensive Care Therapy systems must be gone into the HIS system, the network of realization information flows, make the responsible medical personnel can be in the ward, operating room, all doctor workstations etc. locate all can call the real-time monitoring information of this patient whenever and wherever possible, guard front/rear medical history data, dynamically grasp patient's change of illness state to make things convenient for the doctor.The center pharmacy system, the center pharmacy system, the long-term drug putting of concentrate printing the inpatient is single, commander list, interim oral prescription, malicious anaesthetic list, move back prescription, urgent Requisition for drugs and leave hospital and be with prescription etc., and is provided; Concentrate and print infusion solutions list and all kinds of medication form.The intravenous pharmacy configuration center is introduced a complete set of modern dosing medical preparation equipment, by network the transfusion doctor's advice in groups among the every day HIS is sent to the intravenous pharmacy configuration center, prepare various liquid by the pharmacists there, be distributed to each clinical department again, guarantee liquid quality, the purpose that guarantees drug safety, alleviates nurse job intensity, allows the nurse have more time and energy to nurse the sick to reach.The management system (ADT) that goes out to be admitted to hospital is concentrated being admitted to hospital of Admission patient, keeps accounts, leaves hospital, settle accounts, receive and pay out, uprightly owes, data check, the printing statement of expense and various forms etc. in hospital.
Digitizing dentist workstation: on the tooth chair, computer equipment is installed, and link with stomatology endoscope and digitizing panorama type dental X-ray unit, patient can see the pathology place in own oral cavity by stomatology endoscope on computer screen, the doctor can pass through the digitized X-ray tooth of computer screen Direct observation sheet, can explain to patient simultaneously, the doctor can write down medical history on computers and prescribe.
Network security: internet security must be especially emphasized in digital hospital's construction, and this is the indispensable prerequisite that hospital runs well.The firewall security system, in order to prevent " network hacker " attack to hospital network, improve the security of network, we have set up with the risk management is core, depth network security system initiatively to defend comprises fire wall, virus defense, VPN, the protection of server core, network invasion monitoring and prevention etc.In order to guarantee the safety of computer network, we have installed power lightning protection and signal lighting protection system usually.Safe operation in order to ensure network system, I have adopted the two-circuit uninterrupted power supply by institute's electrical network, simultaneously in order to eliminate the network paralysis because of having a power failure or causing because of single UPS fault, we adopt double-H groove weld PS intelligent conversion (ATS) electric power system, both when mains failure, UPS energy normal power supply, work as mains failure, one of them breaks down among two UPS, and another UPS can automatic power, UPS total volume 60KV, sustainable power supply is more than eight hours.The ID card access control system prevents that effectively people without fixed duties etc. from entering the lesion in non-visiting hours, improves the security of lesion.
Management system: the change that hospital information is built institute of traditional Chinese medicine's holistic management theory and pattern is the core that digital Construction produces society and economic benefit.The office automation system, Lotus Domino/Notes has many advantage functions as leading at present communication process software and groupware product: at first, it can high-level efficiency handle unstructured information as the document data base management system; As the groupware platform, can support performance group membership traversing space-time boundary share information; Also have advanced mail treatment and communication mechanism, be convenient to the collaborative work between the work group member; Merged the standard of Internet and Web, can be with the client computer of Web browser as Notes, thus realize connecting with the high-level efficiency of Internet.Select the application development platform of LotusDomino/Notes, introduce brand-new office theory, make working way that great change take place, improved work efficiency greatly as my institute's office automation system.The routine office work of my institute progressively realizes with no paper office and workflow robotization, and the institutionalization of file management, standardization, standardization and networking.Full institute is provided with the network printer, and resource sharing greatly reduces office cost.The application of this system simultaneously makes the computer utility level of hospital rise to a new step, has had a civilian troop that grasps the modern handle official bussiness software application technology.We have developed the telecommuting system again on the basis of office automation, mobile office, online working function are provided, broken the notion of office on time and space, the ground even if the leader of hospital travels outside also can be as in office's processing transactions expeditiously.Financial management system, integrating full institutes has financial data, through processing such as classifying, conclude, gather, produces various financial statements, and the leader provides decision information to hospital.The comprehensive examination and evaluation system, each section office of full institute are carried out the job performance comprehensive examination and evaluation, gather the relevant data of each section office of full institute, as section office's income, section office's expenditure, quality of medical care evaluation, evaluation of employee evaluation etc., estimate the rationality of this section office's income expenditure, estimate the desk work comprehensive performance quantitatively, objectively.Equipment management system, full institute various kinds of equipment is included computer management in, comprises the management of the hygienic material and the easy-consumed goods of low value, provides various relevant forms to financial system and accounting system.Traditional medical control mainly is eventually last formula management, and just various medical indexs are coming out afterwards, and then feeds back to the medical procedure management, lags behind medical procedure.The quality of medical care control system can be gathered various raw data in time in medical procedure, form level of control and timely feedback, reaches the target of link control.Simultaneously, the quality of medical care control system can reach the purpose of the whole workflow of the real-time oversight medical personnel of hospital, promptly in patient is in hospital process medical quality monitoring department just can the real time inspection medical personnel have or not unlawful practice as: medical record writing is untimely, mistake etc., thereby can the standardize medical workflow.The Drug Storage management system, comprehensively to all Pharmaceuticals of hospital advance, sell, deposit into capable whole process control, medicine is carried out bid and purchase, network shopping, provides various relevant forms to financial system and accounting system.Logistics distribution system, full institute various types of office supplies, daily material, electrician's electrical materials and appliances, bedding and clothing are included computer management in, realize hygienic material " zero " stock.Human resource management, age and service seniority medical personnel's standardization training, subsidy granting and work attendance etc. are promoted, hanged down to the post that is the professional and technical personnel by Computer Processing, be convenient to talent's file administration, and help leadership and carry out each subject talent echelon construction with a definite target in view.Work attendance management system is strengthened the work and rest management to the worker.The nosocomial infection management system is gathered the data of each medical supply unit and aseptic workspace, through statistical study, nosocomial infection is monitored and is followed the tracks of.Medical care statistics and health record management system are gathered the full institute data relevant with medical care statistics and are classified and gather, and by the requirement reported data of Department of Health of Guangdong Province, data are carried out statistical procedures, find out correlative factor, and the leader provides decision information to hospital; Medical record is pressed the ICD-10 coding, full medical record scanning storage.Full medical record scanning storage and retrieval system has deposited massage storage to the medical record since 30 years in by scanning, and real-time online is opened to each clinical department, convenient having access to historical case history.China and foreign countries' literal arts skill document text retrieval system, scientific research for convenience, improve the scientific research level of my institute, we have installed China and foreign countries' literal arts skill document text searching server, on the computing machine of each section office of full institute, scientific and technical literature full-text search workstation has been installed, kind of medical literature surplus can consulting 7000 here, basic and periodical is synchronous.Book management system, online book shop provide information service and INTNET service on net for medical personnel in real time.
Social service system: the informationization of hospital is not confined to the management of hospital internal, extends to society simultaneously, embodies the social values of medical services, gives full play to social benefit.The social medical insurance system integration is in the outpatient service charge and the management system that goes out to be admitted to hospital, with the social medical insurance policy is standard, all personnel that participate in medical insurance are calculated its medical expense in proportion, calculate respectively at one's own expense, amount paid is planned as a whole in medical insurance and personal account is paid volume for oneself, and the expense detail is real-time transmitted to information center of Labor and Social Security Bureau.Health care system is stored all previous physical examination data of all medical examiners, and patient can consult my physical examination data by magnetic card and hospital's touch screen query terminal.The guidance system of waiting to see the doctor is connected with clinic system with the system of being in hospital, and shows the clinic number of patient's prescription on individual diagnosis on the LED electronic curtain of total platform, and also there is this patient's of LED electronic curtain name on the doorway outside clinic, goes to a doctor to make things convenient for patient.The LED electronic display system, hospital has made ten polylith LED electronic displays, as prescription on individual diagnosis guide, propaganda health knowledge, announce the expert pay a home visit table, show queueing message, play graph text information, broadcast TV programme etc.The touch screen query system, my institute has settled many liquid crystal touch screens, shows guide to medical advice, expert's brief introduction and the time of paying a home visit, hospital's overview introduction, pricing information etc.Hospital's web station system, as a kind of mode of hospital internal information issue, each section office issues the news of own section office, the project of newly carrying out by the webpage of oneself, and service range, equipment introduction, medication information, working body can wait.There is perfect closed-circuit television, the sound system of a cover in audio-visual education programme system, hospital, timing rebroadcast television program, health education program and broadcast light music, the function that has operation teaching, video conference, calling simultaneously and emphasis defendance zone television is monitored.The Internet broadband access is introduced hospital's overview, expert's brief introduction and the time of paying a home visit, is introduced the service item of hospital to society by network address such as " Chinese Hospitals ", " Guangdong hospitals ", accepts seeking medical advice and medicine of social personage.Mobile phone short message sends, by this system always I personnel of institute's health check-up send physical examination result, to the information that just sends planned immunization, the personage who has left hospital is implemented follow-up service outside the institute the child of implementation plan immunity.The ID card consumption system is stuck in enforcement consumption in dining room in the institute with ID, avoids cash consumption, increases work efficiency.The compartmentalization hospital information system, commercial optical fiber is rented by my institute, and the branches beyond 40 kilometers are linked to each other with our department, and making doctor workstation, nursing station, the charge of branch send out medicine computer etc. all is the terminal of our department, makes branch and our department's data sharing, synchronous operation.The community sanitary medical health system makes the citizen of resident living sub-district enjoy health care nearby.
The hardware and the operating system of a complete set of infosystem: the realization of hospital network framework and all multifunction modules, the support of the high speed data transmission networks that be unable to do without a cover high-performance, high reliability, is with good expansibility.Our network mainly adopts the two-stage switching fabric, and optical fiber selects for use two 6506R of Huawei to make redundant center switch to each floor, the optical fiber gigabit, and 100,000,000 to desktop, and part section office gigabit is to desktop.Adopt the server cluster mode, the online service device has two IBM520 optical channel disk array miniature computing machines, two covers four IBM365 optical channel disk array two-node cluster hot backup servers, IBM440 disk array two-node cluster hot backup server, PACS station server surplus load-balanced server group, the WEB server etc. 30 of trooping, over thousands of cover of online computer.Operating system Windows2000 Advanced Server, Linux, database are Oracle 9i and SQLServer2000, adopt the IPStor virtual memory technique, and application software has adopted state-of-the-art three-decker technology.
The present invention has following characteristics through trying out:
1. remarkable in economical benefits: economic benefit is the most direct measurement index, 1 year of certain people's hospital digitisation running we just realized that hospital information brings huge directly and indirect economic effect.At first the most direct be with no paper, no filmization, avoid operating cost saving that the wasting of resources that the artificial origin causes (as the buying of fixer, developer, repeat to make film, the printing of various paper lists etc.) etc. brings up to 7,000,000 yuan.Secondly the shortening of patient's consultation time and the raising of medical worker's work efficiency bring the growth of hospital business amount and the increase of income.Wait treatment time through actual measuring and calculating outpatient and saved 50% than in the past, charge speed has improved 80% than in the past, the time ratio of waiting for assay had shortened 30% in the past, and the speed that dept. of radiology goes out report has improved more than 50%, and total efficiency has improved more than 50%.
2. social benefit is huge: what social benefit was brought is intangible asset, and patient, the common people are benefited.See that from doctor's angle informationalized realization removed the repetitive operation of many Hand writings from, improved work efficiency.Sharing of information resource has been broken traditional hospital ubiquitous " section office's barrier ", all medical information all on-lines of patient, satisfied with patient is the search request at center, be very easy to clinical position, promote the raising of medical level and technology, promoted the development of hospital's medical treatment basic theory and scientific research technology.From the data of hospital's comprehensive performance evaluation system as can be seen patient because shortening, the one-stop service of consultation time, need not stand in a long queue pay dues, get it filled, etc. audit report, satisfaction improves greatly.The raising of medical worker's enthusiasm, the reinforcement of service awareness, and the guide of waiting to see the doctor of distributed throughout/LED electronics demonstration/touch screen query system, improve the prescription on individual diagnosis environment, really made patient feel to see the doctor and be not a loaded down with trivial details fatigued thing, but enjoyed medical all-around service.The community medicine system more stretches into warm feeler each common people's family." people-oriented, is the guiding theory of " center " with patient, makes doctor-patient relationship more harmonious, and patient satisfaction improves greatly, sets up modernized hospital image and notion in the heart citizen, also thoroughly solved long-term " three long one is short " phenomenon that perplexs hospital simultaneously.
Comprehensive social benefit and flow scheme improvements, year professional income increase speed of analysis hospital digital hospital has as can be seen excited bigger economic vitality.
3. management benefit fully manifests: huge management benefit is also being contained in reproducing of the running of digital hospital and workflow.By the construction of large scale integrated hospital information system, on structure function, formed from medical treatment, served the three-dimensional depth network of managing.The various information of hospital has realized standardization, standardized management, set up the complete data storehouse, preserve complete diagnosis information, not only real-time online is the clinical treatment service, simultaneously can carry out statistical study in real time, to every clinical position make reasonably, the performance evaluation of science, for the scientific management of hospital provides the information support.In addition in conjunction with the human resource management of hospital, realize the notional transformation of staff, give full play to, embody its subjective initiative, employee quality improves greatly, and this excavation to the human resources potentiality will promote the raising of hospital clinical work efficiency and widening of medical specialty development direction diversification road.
Claims (5)
1, a kind of large scale integrated hospital information system and equipment thereof, wherein be characterised in that: this system includes hospital information management system HIS, electronic medical record system EMR, medical image transmission and storage system PACS, supervising network infosystem LIS and the office automation system HOA of hospital, comprehensive inquiry and analytic system, human resource management subsystem and external information interface and AC portion, connects realization information transmission and exchange by switch between described each system; Described hospital information system equipment adopts at least, and two-stage switching fabric and server trunking mode optical fiber are connected to each floor, this server includes IBM520 optical channel disk array miniature computing machine, IBM365 optical channel disk array two-node cluster hot backup server, IBM440 disk array two-node cluster hot backup server, PACS troop load-balanced server group and WEB server.
2, large scale integrated hospital information system according to claim 1 and equipment thereof, it is characterized in that: described hospital information management system HIS includes each subsystem of outpatient service, be in hospital each subsystem, each subsystem of pharmacy, application server middleware, database server redundancy, online storage and online backup part, and the data of each subsystem of described outpatient service, be in hospital each subsystem and each subsystem of pharmacy are carried out online storage and online backup by switch, application server middleware and database server redundancy.
3, large scale integrated hospital information system according to claim 1 and equipment thereof, it is characterized in that: the described checking information LIS of system includes outpatient service blood drawing workstation, clinical blood drawing workstation, health body blood drawing workstation, visiting workstation, database server redundancy, online storage and online backup, and described each workstation carries out online storage and online backup by switch and database server redundancy.
4, large scale integrated hospital information system according to claim 1 and equipment thereof, it is characterized in that: described medical image transmission includes each Reception workstation, each image workstation, each clinical position station, each image documentation equipment, database server cluster, DICOM isomery gateway, online storage and online backup with storage system PACS, and the data of described each workstation and image documentation equipment are carried out online storage and online backup by switch and database server cluster.
5, large scale integrated hospital information system according to claim 1 and equipment thereof, it is characterized in that: described electronic medical record system EMR includes each nursing station, each doctor workstation, medical record management, each collecting device, application server middleware, database server redundancy, online storage and online backup part, and the data of described each workstation, medical record management and each collecting device are carried out online storage and online backup by switch, application server middleware and database server redundancy.
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