聖馬爾定醫院推動電子病歷經驗分享與未來規劃

Saint Martin Hospital's Experiences and Future Plan on Promoting Electronic Medical Record

汪文煌(Wen-Huang Wang) ； 陳怡敏(Yi-Min Chen) ； 鄭貴真(Kuei-Chen Cheng)

《病歷資訊管理》 10卷2期 (2011/12) Pp. 12-23

https://doi.org/10.29741/JMHIM.201112.0002

摘要

電子病歷已被規劃為國家醫療發展的重點，近年來衛生署亦大力介入規劃輔導，大多數醫院均已積極發展中，不論在資訊系統建置及電子病歷管理面均已具更多的經驗，進而朝“無紙化”發展。本院配合國家政策，通過電子病歷檢查及電子病歷查驗確認其實施符合相關規範，在衛生署合法程序下，以階段方式進行實務作業，每年節省紙張效益達100萬以上，藉由本文介紹聖馬爾定醫院配合國家政策電子病歷實務推動現況，從資訊系統定位、實作現況進而導向全院電子病歷發展之中程規劃，分享規劃建置與實務作業經驗，希望有利於將建置或已建置電子病歷醫院之發展。

關鍵字

電子病歷 ； 電子簽章 ； 無紙化

並列摘要

Electronic medical record has been designated as the priority of the development of Taiwan’s national health care. As a result of an extensive involvement, planning and supervision of the Department of Health, most hospitals in the country have actively engaged in developing electronic medical record, acquiring significant experience in establishing information systems and managing electronic medical records, henceforth, moving away from paper record system to paperless. The case of Saint Martin Hospital offers a unique lesson on how one can comply with the national policy and the related requirements through its implementation and verification of the electronic medical records. Under the legal procedures established by the Department of Health, Saint Martin Hospital proceeds with its practical work using a phased-in approach. The hospital has saved more than a million (NT$) per year in paper cost. This article describes the process, development, and its current condition in promoting the electronic medical record at Saint Martin Hospital, with special attention given to a hospital-wide development of an intermediate-term planning of the electronic medical record. It also discusses issues related to the role of the information system in the hospital and its current status of implementation. By sharing the experience of our planning and implementation of electronic medical record, we hope to help those who are interested in building a similar framework or those who may already have one.

並列關鍵字

Electronic Medical Record ； EMR ； Electronic Signature ； Paperless