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电子病历规范的出台推进了真正无纸病案的实现。病案流通管理工作需要将纸质病案的人工管理转换为电子病历的智能管理模式。应实际工作要求,某院研究设计了病案流通管理系统,以助管理人员实现病案流通管理从纸病案到电子病历管理工作模式的转变。该系统具备系统设置、客户管理、病案打印管理、病案查阅管理、病案归档管理、病案质控管理、归档病案修改管理等功能,实现电子病历的归档、借阅、查阅、复印、质控以及其他管理工作。系统不仅功能齐全、操作简单;而且简化工作流程,能够更灵活运用时间,确保工作的及时完成,提高工作效率;有效保护患者隐私,防范医疗纠纷。
The introduction of electronic medical records specification promotes the realization of a real paperless medical record. The management of medical record circulation needs to convert the manual management of paper medical records into the intelligent management mode of electronic medical records. According to the practical work requirements, a hospital researched and designed a medical record circulation management system to help managers to change the management mode of medical record circulation from paper medical records to electronic medical record management. The system has such functions as system setting, customer management, medical record management, medical record access management, medical record filing management, medical record quality control and filing medical record revision management, and so on, so as to realize filing, borrowing, reviewing, copying, quality control and other management of electronic medical record jobs. The system is not only full-featured and easy to operate, but also simplifies the workflow and can use the time more flexibly to ensure the timely completion of work and improve work efficiency. The system effectively protects patient privacy and prevents medical disputes.