Development of clinical support system using electrical medical record systems by intrahospital Local Area Network

1.电子病历网络的建设去年我们建设了10BASE-T电缆的电子病历网络，今年我们在医疗信息部接入了数据库服务器。电子病历网络操作系统我们使用Windows NT4.0作为网络操作系统，安装在电子病历数据库中，所以我们可以使用Windows和Macintosh系统作为客户端。与医院其他网络的连接及其效果1)连接到医疗信息科的数据库服务器我们可以通过Microsoft Access制作的读取计算机软件来使用实验室数据的数据库服务器，基本的参数医务人员可以访问ICU的电子病历数据库服务器，从而了解ICU患者的情况3)连接到数据库服务器，以获得CT和MR图像以及他们在放射科的发现我们可以访问放射科的数据库服务器，读取他们的CT和MR图像，并读取他们的结果4)连接…更多地使用其他临床科室的计算机和手术室的计算机，我们可以通过准备好的模板预约手术和术后ICU的停留使用。电子病历软件的改进1)各种疾病模板的准备2)输入方式的改进：使用Microsoft Word辅助系统输入治疗和化验数据3)病历软件使用Microsoft VisualBasic5制作菜单功能。结论与意义福利机构病案开发项目的目的是共享病历，规范病案。在团队医疗非常重要的重症监护病房等中心临床科室，共享患者的临床信息比在其他科室更有利。由于本研究建立的病历系统可供从事ICU患者治疗的医生、护士和辅助医务人员免费访问，该系统使ICU工作人员1)在团队成员之间轻松地共享患者数据，2)广泛告知治疗计划，3)在医生和非医生成员之间产生亲密的沟通，从而4)使团队医疗更有效。此外，通过该医疗记录系统，病历的标准化成为可能，病历记录的改进也变得更容易。住院医师的临床教育也更有效地使用了病历记录和模板。在行政工作中，电子病历系统用于书写医疗证明、患者咨询数据文件和医保收据。综上所述，在ICU等医生参与患者治疗的中心病区，电子病历记录是一种有用的临床活动支持系统。较少

1. Construction of network for electrical medical recordsWe constructed network for electrical medical records used by 10BASE-T cable last year.This year we connected Data Base server at medical information section2. Network operating system for electrical medical recordsWe used Windows NT4.0 as network OS and installed at Data base serve for electrical medical records.So we can use either Windows & Macintosh system as Client machine3. Connection to other networks in hospital and its efficacy1) Connection to Data Base server at medical information sectionWe can use Data Base server for laboratory data by their reading computer soft made by Microsoft access basic Paramedical stuff can access Data Base server for electrical medical records at ICUSo they can realize the condition of ICU patients3) Connection to DB server for CT and MR images and their findings at radiological sectionWe can access Data Base server at radiological section for CT and MR images and read their findings4) Conne … More ction to other clinical sections' computer and operating room's computerWe can make reservation for operation and postoperative ICU stay using by prepared template4. Improvement of electrical medical record soft1) Preparation of template for various kinds of disease2) Improvement of Input style :therapy & laboratory data by input assistant system included Microsoft word3) Medical record softWe made menu function used by Microsoft visual Basic5. Conclusion and meaning of this researchThe aim of the medical record development project of Welfare Facilities is to share patient's history and to standardize medical record. In central clinical sections such as an intensive care unit, where the team medical treatment is so important, sharing patient's clinical information is more beneficial than in other sections.Since the medical record system established in this study is freely accessible from physicians, nurses, and paramedical staff who are engated in treatment of ICU patients, the system enables the ICU staff 1) to easily share patients' data among team members, 2) to broadly inform treatment plans, 3) to produce an intimate communication between physician and non-physician members, and thus 4) to make the team medical treatment more effective.Furthermore, by this medical record system, the standardization of medical chart becomes possible, and the improvement of chart recording becomes easier. Clinical education of residents also becomes more effective by using chart recording with template.For the administrative work, this electrical medical record system is useful in writing medical certificates, patients' data file for consultation, and health insurance receipts.In conclusion, electronic chart recording is a useful support system for clinical activities in central sections such as ICU,where many physicians are involved in treatment of patients. Less