信息化住院输血申请流程的设计与研究-中国数字医学.PDFVIP

应用交流 Application and Communication 信息化住院输血申请流程的设计与研究 李一帆① 摘 要 输血申请流程管理系统是利用信息化手段，从医生工作站填写输血申请单，至护士站转抄医嘱、绑定条形码，最后 至血库的全覆盖管理。该系统完全按照《医疗机构临床用血管理办法》（卫生部令第85号）格式，提高了整个医疗过程的安 全性，规范了医护人员的操作，提高了科学性。另外，优化了流程，与同类医院比较，省去了病区护士站的试管贴打印机， 简化流程，便于维护，节省开支。 关键词 医院信息化　全覆盖　优化流程　规范 Doi:10.3969/j.issn.1673-7571.2013.09.034 Research and Design of Informatization Hospital Transfusion Application Process / LI Yi-fan//China Digital Medicine.-2013 8(9): 102 to 104 Abstract Blood transfusion application process management system is the full coverage management using information method. The blood transfusion application form is filled in at doctor workstation. The nurse station transcribes the doctors advice and binds bar code. And finally it is transferred to the blood bank. Completely in accordance with the format of Measures for the Management of Clinical Blood Use of Medical Institution (No. 85 Order of Ministry of Health), the system improves the safety of the whole medical process, regulates the medical staffs operation, and improves the scientific nature. In addition, the process is optimized. Compared with the similar hospitals, the test tube paste printer of nurse station is eliminated, the process is simplified. It is easy to maintain and it can save money. Keywords hospital informatization, full coverage, optimization process, specification Corresponding author Computer Center of Shanghai Tongji Hospital, Shanghai 200062, P.R.C. 1 研究背景 临床输血是医疗机构在临床实践活动中治疗贫血疾病和抢救危急重症患者常用的手段之一，也是挽救生命最行之有效 的手段之一。随着临床用血需求量的不断增大，提高输血安全性、有效性的需求日益迫切。 输血涉及临床医疗、医技、护理、病历等诸多部门，如何协调好各方面的关系，切实保障临床输血科学、安全、有效 已成为现在各临床医疗机构与管理部门的重要课题。我院住院输血申请单申请流程见图1。 现流程管理存在以下几个问题：医生使用纸质申请单不容易辨别字迹；医生选择申请项目时，一些配套必选项目会漏 选；护士转抄医嘱繁琐，护士站电子转抄不够完整；管理