主动式电子病历系统的设计与应用评估

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1、军医进修学院;解放军总医院硕士学位论文主动式电子病历系统的设计与应用评估姓名：欧阳亚迪申请学位级别：硕士专业：社会医学与卫生事业管理指导教师：李书章20090527军医进修学院硕士学位论文TheDesignandEvaluationofActiveElectronicMedicalRecordsSystemAbs仃actNowadays，theMedicalandhealthindustryinChinaisfacedwimalotofproblems．Forexample，itisdifficultandexpen

2、sivetoseeadoctor,andtheservicequalityofmedicalinstitutionsisnotquitesatisfactory．Fromtheperspectiveofmedicalinformationtechnology,thethesisbroughtforwardtheconceptofActiveElectronicMedicalRecordanddesignedthecorrespondingsysteminordertoprovidetechnicalmeanstoso

3、lvetheseproblems．Itcarlnormalizeclinicalpracticethroughtechnicalmeans，improvetheefficiencyofclinicalwork，effectivelyavoidmedicalerrors，andrealizeactiveclinicaltreatmentmode．Firstly,allitemsintheHL7functionalmodelofelectronicmedicalrecordsarefullyanalyzed．Onthis

4、basis，consideringbusinessprocessesandfunctionrequirementsofthePeople’SLiberationArmyGeneralHospital，thisarticleinspectedeachitemoftheHL7standard，andmadesomeadjustmentsandimprovementstobuildtheActiveElectronicMedicalRecordfunctionalmodel．Thismodeladoptsintematio

5、nalpracticesandisinlinewithChina'snationalconditions．Secondly,accordingtothismodel，thisarticledesignedanelectronicmedicalrecordssystemincorporatingaclinicaldecisionsupportsystem．NowthissystemisbeingusedbythePLAGeneralHospital．Thirdly,thesystemwasassessedbyascie

6、ntificmethodofbothqualitativeandquantitativeapproaches．TheintegratedinformationplatformWasassessedwithqualitativemethods，mainlybasedontheevaluationconclusionsfromclinicalmedicalstaff,hospitalmanagementstaffandmedicalinformationtechnologyexperts．Theassessmentofc

7、linicaldecisionsupportsystemusedaquantitativemethod．Theperformanceofclinicaldecisionsupportsystemisevaluatedbythestatisticalresultsofarandomizedcontrolledexperiment．2军医进修学院硕士学位论文TheassessmentresultindicatesthattheapplicationofElectronicMedicalRecordsystemcansig

8、nificantlyimprovetheefficiencyofclinicalwork，effectivelyregulateclinicalpractices，andreducetheclinicalmisdiagnosisratetoacertaindegree．Theassessmentresultmeetstheinitialdesi