Szeto K W
Queen Elizabeth Hospital, Hong Kong.
Health Inf Manag. 1994 Dec;24(4):131-4. doi: 10.1177/183335839402400404.
During the 1980's, the medical record problems had been identified and it was not until 1991 that Queen Elizabeth Hospital was chosen to be the pilot hospital for the development of a new medical record management system for the Hospital Authority hospitals. The new medical records system was implemented in Queen Elizabeth Hospital in December, 1993. Six month after implementation, a pre-implementation and post-implementation review of the medical record services were conducted to compare the results of the new and old system. The results showed that there were significant improvements in the record retrieval and record integrity in the new system. New medical record services such as the delivery of readmission records to the ward, filing of medical records forms in pre-defined order and filing of loose sheets in the relevant hospital notes are able to facilitate the efficient, effective and complete access to patient information. The support and cooperation of the hospital staff are crucial to the success of the new system. Continuous review and improvement of the new system is essential in order to obtain the best results.
在20世纪80年代，医疗记录问题已被识别出来，直到1991年，伊丽莎白女王医院被选为医管局医院新医疗记录管理系统开发的试点医院。新的医疗记录系统于1993年12月在伊丽莎白女王医院实施。实施六个月后，对医疗记录服务进行了实施前和实施后的审查，以比较新旧系统的结果。结果表明，新系统在记录检索和记录完整性方面有显著改进。新的医疗记录服务，如将再次入院记录送至病房、按预定义顺序归档医疗记录表格以及在相关医院病历中归档散页，能够促进高效、有效地完整获取患者信息。医院工作人员的支持与合作对新系统的成功至关重要。为了获得最佳效果，对新系统进行持续审查和改进至关重要。
