通讯作者: 蒋燕妮, jyn_njmu@163.com

DOI：10.12201/bmr.202110.00017

Design and implementation of specialist outpatient examination process optimization and closed-loop management of doctor orders based on ophthalmology PACS

• 摘要：目的：实现专科门诊检查医嘱闭环管理，优化专科门诊患者就诊流程，缓解医院信息化建设需要与医生诊疗效率间的矛盾，推进医院无纸化建设。方法：基于眼科PACS为门诊眼科视力和眼压检查重新设计就诊流程，通过接口实现眼科PACS、HIS、医院集成平台、门诊电子病历的对接，完成流程优化及医嘱闭环改造。随机抽取改造程序上线前、后各3000条医生完成每位患者诊疗过程的数据进行统计学分析。结果：经过两样本秩和检验分析，得出p值小于0.05，具有统计学意义，说明上线前后医生完成一位患者的诊疗时间有差别。结论：通过流程设计优化实现眼科视力、眼压数据信息化采集与集中存储，优化了患者专科门诊就诊流程，提高医护人员工作效率，实现医嘱闭环管理，推进无纸化进程，并为建立预测模型打下数据基础，推进临床科研一体化建设。

  关键词： 眼科PACS；医嘱闭环；流程优化；无纸化; ; 

   

  Abstract: Objective:Realize the closed-loop management of medical orders for specialist outpatient examinations, optimize the patient treatment process in specialist outpatient clinics, alleviate the contradiction between the needs of hospital informatization construction and the efficiency of doctors diagnosis and treatment, and promote the paperless construction of hospitals.Method:Based on the ophthalmology PACS, the outpatient ophthalmology vision and intraocular pressure examination were redesigned to see the medical process. Through the interface, the ophthalmology PACS, HIS, the hospital integration platform, and outpatient electronic medical records were connected, and the process optimization and the closed-loop transformation of doctors orders were completed. Randomly select 3000 data from each patient before and after the transformation program is launched for statistical analysis.Result:After two-sample rank sum test analysis, the p-value is less than 0.05, which is statistically significant, indicating that there is a difference in the time it takes for doctors to complete a patients diagnosis and treatment before and after going online.Conclusion:Through process design optimization, the information collection and centralized storage of ophthalmic vision and intraocular pressure data are realized, which optimizes the patient specialist outpatient clinic process, improves the efficiency of medical staff, realizes closed-loop management of medical orders, promotes the paperless process, and lays data for the establishment of predictive models Basically, promote the integrated construction of clinical scientific research.

  Key words: Ophthalmic PACS; Closed-Loop Order,Process Optimization; Paperless

  提交时间：2021-11-04

  版权声明：作者本人独立拥有该论文的版权，预印本系统仅拥有论文的永久保存权利。任何人未经允许不得重复使用。
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• 序号	提交日期	编号	操作
  1	2021-10-28	bmr.202110.00017V1	下载

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