What kind of spark did the hospital collide with Internet technology?

Xinhuanet Beijing 65438+February 26th (Hao Duo) With the deepening of the reform of China's medical and health system, the medical and health undertakings are gradually moving towards standardization, standardization and marketization, and the hospital's previous management mode has been unable to adapt to the development of the new era.

On June 5438+065438+ 10, xuanwu hospital of Capital Medical University (hereinafter referred to as "xuanwu hospital") passed the HIMSS (Society of Medical Information and Management Systems) seven-level on-site evaluation, and Xinhuanet entered xuanwu hospital to learn what kind of sparks the rapid development of Internet technology collided with hospitals.

Still running to various departments with medical records? You're out.

According to Li Jia, deputy secretary of the Party Committee of xuanwu hospital, xuanwu hospital began to carry out information construction in 2000, and has been gradually improving these years. In this long-term construction, the biggest change is the "paperless hospital". All clinical departments realize paperless diagnosis and treatment, and discard paper cases. Except that there is literally no paper at all, every step of the process is supervised by the information system through informatization means, which greatly improves the speed of information transmission and further reduces the error rate of manual operation.

Li Jia, Deputy Secretary of xuanwu hospital Party Committee of Capital Medical University. Xinhuanet Yang Wei photo

Li Jia said frankly that at first, clinicians felt that information transformation would increase the clinical burden. It is inconvenient to write electronic medical records, but with the continuous progress and improvement of technology, hospitals are now inseparable from information systems. It is not only inconvenient to write electronic medical records, but also convenient to query medical records later.

Liang Zhigang, Director of xuanwu hospital Information Center of Capital Medical University. Xinhuanet Yang Wei photo

Liang Zhigang, director of xuanwu hospital Information Center, said that the hospital's pursuit of "paperless" is not the goal. He said: "In the hospital, the most important thing is the diagnosis and treatment process, serving patients, ensuring that medical staff have a better working environment, more accurate diagnosis and treatment measures and treatment methods."

The prescription that "Big Data" gives you is monitoring.

Information system provides a lot of data support for clinical decision-making. For example, Li Jia said that big data can be applied to prescription pre-trial to ensure the rationality and compliance of drugs. For example, in clinical work, the application of related tools provides evidence-based support and basis for medical staff's diagnosis and treatment behavior.

Big data can also do monitoring work-"closed-loop management". What does "ring" mean? For example, patients take medicine, prescription → prescription review → medicine delivery → medicine delivery → mouth, which is a link; Blood transfusion, blood transfusion application → blood sample collection → blood matching → infusion is also a link. Li Jia said that every step of closed-loop management has information monitoring, which makes the process smoother and more efficient.

Liang Zhigang believes that the most important thing in "big data" monitoring is to use drugs correctly and prescribe the right medicine. He said that scientific research shows that the computer error rate is one in ten thousand, which is undeniably lower than the human error rate. The process of establishing the system is very complicated, but the hospital has been running on the road of information construction, and everything it does is to ensure the safety of patients.

On the road of pursuing high efficiency, reliability and safety

When talking about Li Jia's ideal clinical data application scenario, he summed it up in three words. The first is "completeness", the so-called complete collection of health data covering a patient's life, that is, we can call it up through any computer. The second "easy" is the convenience of data retrieval and utilization. Anyway, it's easier to pull up the patient's data. The third "essence", we now collect the same indicators from patients in different systems, even in a hospital. Standards are not fixed, for example, different departments have different collection standards. What we have to do is to define different systems with a set of rules through our efforts, that is to say, we can filter the collection indicators. Finally, Li Jia introduced the idea of information construction in xuanwu hospital. In the past few years, hospitals have realized that information construction has brought convenience and benefits to the actual operation and management of hospitals. He said that xuanwu hospital's informatization construction is "always on the road", and xuanwu hospital will continuously introduce new technologies in the future, such as the application of big data, clinical decision-making, cloud technology and so on. Liang Zhigang said that the informatization construction in xuanwu hospital can not be separated from the help of partners represented by Peking University Medical Information. For a long time, Peking University Medical Information has a special project team resident in the hospital to provide continuous information support and services for the hospital. "We have been working hard to make hospitals more efficient, more reliable and safer." Liang Zhigang said.