Thursday, January 31, 2013

Can the electronic case history get through the enclosure of hospital Two factors hinder the information sharing

Can the electronic case history get through the enclosure of hospital Two factors hinder the information sharing
Because 5 -year-old Xiao Ling is burnt carelessly, goes to Shanghai Communications University medical college subsidiary Rui Jin hospital to seek medical advice, after surgery treatment, enter the stage of recovering in hospital. In the intersection of ward and nurse station, click electronic case history of Xiao Ling, from make a diagnosis for the first time and the intersection of operation and situation, doctor diagnose to every daily medicine situation, various case history records are very clear.
In Shanghai, like such an electronic case history system has already been pursued in more than 20 hospitals. The intersection of hospital and information construction of Shanghai start, early, spread all over Shanghai at present the whole city 24 medical organizations at city level " medicine unite the project " ,Have already enlisted 16 million patients' medical information, include some electronic case histories.
Two major factors hinder the information sharing
As the hospital building informationization first, Shanghai Rui Jin hospital began to explore since 1995. In April of this year, the hospital realized emergency call system HIS2.0 operates formally on the door, the patient diagnoses the illness and basically realizes with no paper at all.
Have dealings with information the intersection of Rui Jin and the intersection of hospital and Vice President for many years frugal to it seems Yuan gram have, advance the main difficulty of the electronic case history to two: First the affirmation question of the law, it is second standard reunification.
When because the medical dispute takes place, the evidence about asserting in the department is accurate by having paper text that doctors signed. If the electronic case history replaces the paper case history, it is rather thorny to meet the legal dispute in the future and deal with.
"If each doctor signs electronically, the cost is very high. The electronic case history should need the third party to confirm or keep and encrypt as legislative authority. " Deputy Director of Shanghai Yueyang hospital information center Wei Hong says.
"Though it is a development trend of the future to sign electronically, confirm the question to the law of the electronic case history at present, can only rely on ' two legs ' to walk: The concrete method of the general hospital is, besides the electronic case history, doctors will also print the electronic case history out, both sides save the case history of the paper quality after signing. " Yuan KeJian reveals.

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