Yixun Hospital's electronic medical record system can digitize most of the content in traditional medical records, meet the application needs of clinical medical staff to the greatest extent, realize the informatization and automation of hospital management, assist hospital leaders in comprehensively understanding all aspects of the hospital, and expand new data resources for the establishment of scientific decision-making support systems.
Strengthen the standardization of hospital medical record management
Replacing handwritten paper medical records with electronic medical records can end the era of medical records in the past. Through the medical record quality control system function of the electronic medical record system, the quality of medical records can be improved and the rate of Grade A medical records can be improved.
Help doctors improve their diagnosis and treatment skills
The electronic medical record system has established a scientific medical knowledge base, providing clinicians with intelligent recommendations on routine diagnosis and treatment plans, and helping to improve doctors' diagnosis and treatment levels through the expressive expression of medical knowledge.
Speed up medical record entry
The application of structured electronic medical records has greatly accelerated the entry of electronic medical records, and also reduced the manual labor and repetitive work of doctors.
Optimize service processes
Information flow and electronic transmission replace traditional paper transmission, simplifying the patient's medical treatment process and reducing the time for patients to go back and forth to receive examinations, test results, and queue for settlement.
Intelligent timely prompts
Yixun electronic medical records can promptly remind doctors of their daily work and prevent medical disputes caused by recording errors or incomplete records.
Strong scalability
The flexible structure design of Yixun Hospital's electronic medical record system allows the hospital to continuously develop and expand the system's functions with the development of its business. The workstation can be easily expanded through background management.
Improved standardization and completeness of medical records
Electronic medical records have a unified medical record template form, and only standardized medical terms and codes can be entered. Therefore, during the recording process, the independent language descriptions of medical staff are reduced, and possible subjective errors are greatly reduced. At the same time, the medical terminology of medical staff is gradually standardized.
Improved timeliness of medical records
In the past, medical staff may not be able to fill in paper medical records in time due to busy business or other matters, which resulted in the untimeliness of filling in medical records and the occurrence of missing or forgotten medical records. The emergence of electronic medical records makes up for this shortcoming of paper medical records. It requires medical staff to fill in electronic medical records in real time during the operation, so it is timely and avoids the omission of medical records.
Realize hospital electronic medical record information sharing
Electronic medical records are a digital and information-based recording method that replaces traditional paper medical records. Its biggest advantage is that it can be shared, reproduced, and saved at any time. Therefore, it facilitates medical staff to query patient medical history and treatment information, eliminating the various complicated steps required in the past to view paper medical records, and improving the efficiency of diagnosis and treatment.
Protect patient privacy
Since electronic medical records are records of patients' medical information, a privacy firewall should be set up for electronic medical records. Only authorized medical personnel can access, view, call, modify and save, and each visit requires identity verification and level confirmation. At the same time, the system should automatically record the time and traces of electronic and medical records being modified and saved. When the electronic medical record is submitted, no one can make any further modifications to prevent the leakage and tampering of patient privacy.
The establishment of electronic medical records is an indispensable part of building a modern hospital. It not only reduces the labor intensity of medical staff and simplifies the work process, but also enables the sharing and automatic correction of patient medical record information at any time, improves medical efficiency, and embodies the hospital's "patient-centered" purpose. Therefore, the emergence and application of electronic medical records is of great significance to both hospitals and patients.
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