In the past decade, has been rapid development of laboratory medicine, a variety of the advent of new technology has revolutionized the traditional mode of laboratory work, but also reduce the labor intensity of workers. But is far from hospital information management has not kept pace with laboratory medicine rapid development of the information technology requirements. Intelligent management of laboratory quality control, testing, standardization and integration of medical research and management efforts have led to the crisis.
Modern medicine requires medical institutions to collect, archive, process, monitor and manage a large number of tests, treatment information. Hospital of traditional hand-copied, thermal paper form records such as well keep up with the development of laboratory medicine. Even the Chinese single reports and laboratory internal networking, only the computer simply as departments or sectors receive, store, print or transmit data processor without full use of the advantages of computer network resources, so that your computer management network, or only to a one-way section network status.
First affiliated hospital of Zhejiang University School of medicine building in 1968, supporting the people's Government of Zhejiang Province, United States by Loma Linda University Medical Center, assisting in the management of a domestic standard of modern, integrated, research-oriented model of three-level group a hospital. Hospitals located in Hangzhou downtown area, a total of 33 clinical departments and one of the first hospital of Zhejiang University Clinical Research Institute.
First class hospital need first class information systems to improve overall operational efficiency of the hospital. Hospital departments of automatic identification technology applied to the test, has greatly enhanced the level of hospital information management. They introduced the advanced management mode, used in lab management. System integrators through and hospital inspectors full exchanges and communication, design a reasonable data processes, implement practical programmes, selecting the best equipment, makes inspection of the hospital information system operation unprecedented high performance.
The hospital laboratory data are mainly concentrated in the nurses ' station and between laboratories (Figure 1). Nurses ' station work processes, namely an assay procedure including: doctor's orders to apply for a label printing the same after checking this sample signature (job number, time) for censorship.
Laboratory work processes, the process of internal flow in an assay in the laboratory: sample receives a confirmation automatically charge a task list distributed to various groups to form a machine on a corresponding results audited a nurses station timing print. Maintenance and quality control of laboratory processes: maintenance operations (such as temperature, cleaning apparatus, cleaning tables, records prepared cleaners, instrument calibration, etc) on a quality control quality control result of determination of a nuclear charge.
Implementation programme
Laboratory and specimen number, commonly used in daily work to medical advice. Medical advice, the applicants from the assay, serial number generated when the LIS executed, it corresponds to assay the implementation of a record in a table. Part is the operator in the analysis of specimens, specimen number. Medical advice, and is a one to one relationship, specimen, using bar code technology, medical advice, or specimens, Analyzer, a device can automatically identify specimens, combined with LIS degree of improved laboratory I. Laboratories commonly used one-dimensional barcode, bar code stickers on the round tube, ensure the recognition rate. Customized barcode labels by specialized manufacturers, made of thin, sticky, anti-static material. Information is dynamic, bar codes can only be used a dedicated barcode printers print at the scene.
Bar code printing Reding brand barcode printers print, clear quality, instead of the original hand-written application form and you want to replace after the sample attached to the label on the tube or container, for ease of inspection instrument recognition. Bar code needed for vertical stickers, the angle shall not be more than 15 degrees.
Bar code label takes double or triple, and posted a copy on the tube or container, the Office copy or else give the patient, reduces manual life. Fetch vouchers label, patients can report time and knew exactly what to take place.
医院数据流程图
Out-patient service desk Configuration bar code reader can be patient with a single credential tag Scan to automatically print a single. Barcodes directly into an analytical instruments, some equipment is two-way communication, the instruments in the identification read the bar code information by RS - 232 serial port to a computer system sends a request, the computer system from the inspection the information management system sends a request, the computer system from the inspection of information such as liver function until equipment, apparatus automatically to test, when completed, will send the results.
Verify that the workstations are equipped with Handheld Barcode Reader, for fast, accurate bar code reading. LIS root to bar code query specimen information, analysis of the status and results of the examination, Inquiry Report, specimens log, etc. All of the specimens.
To distinguish such as emergency and in-patient and out-patient clinics of the specimen, can be a different color cartridge with the easy, such as emergency rooms, all the printer with a red ribbon, and the barcode is green. specimen to verify, it is easy to tell, in order to deal with it as soon as possible emergency specimens. However, because non-black cartridge with a relatively high price (black, 5 - 10 times, the current is less. Equipment Type
In accordance with Zhejiang University Medical School Affiliated first hospital of the actual situation, as well as data flow and program features, the system integrators to the project of the device to the selection.
The server operating system choice 2000 Windows Advance Server, UNIX, LINUX; database software to Microsoft SQL Server 2000, ORACLE, ACCESS, Master. Workstation Operating System for Windows 98, Windows 2000/XP, and so on. Program development tools for POWERBUILDER, DELPHI, VB, and so on.
servers, workstations, printers, use the hardware device indicators based on hospital size.
Bar code equipment and supplies, choose a rational principles for procurement. Barcode printer select the island of production LG - 838 and OF - 4000 bar code. With a fast print speed, and easy to operate, the memory can be expanded to apply to all 1D bar codes and MaXiCode PDF, 417, Datamatrix 2D bar codes, and other features. Take fully into account the system's scalability. In addition, the machine LAN/Ethernet via EPL PrintServer optional, unique easy EPC 2 programming language. The project required the barcode reader, the band, label, etc. have been made to the package selection.automatic identification technology in Zhejiang University the First Affiliated Hospital of the application has achieved obvious effect is applied. For True full-automatic operation. Bar-code technology successfully transplanted to the examination and analysis of the process, the equipment can be used to identify specimens of the relevant information, and automatic bar code information, or host to send information to perform various actions, from the manual on the instrument, enter the test command of the process, and simplifies the process, so that the automatic analysis becomes a reality.
reduces human error. Because of the bar code applications, and the blood of the original test-tube-bar code on a centrifugal, that is, they can be placed directly into the instrument for testing, which makes it possible to avoid the serum separated when possible, may be wrong specimen, different samples of pollution and others for errors, improve the accuracy of the result.
Increased operational flexibility. Computer and between HOST in real-time, two-way communication, so that more flexible and, when necessary, in any of the computer, you can make a certain amount of instruction.reducing the workload, improve productivity and quality inspection. The specimen collection, on the bar code, the bar code to complete specimen classification, transmission of information, analysis, two-way communication, audit results, and give the report, save specimens, lab normal operation. bar codes in the laboratories operating in a unique, identifying specimens, and analysis, two-way communication, simplifying the lab workflow. Bar-code technology in the examination of the application. effective in increasing productivity, results reliability, degree of automation, the laboratory development direction.