Center for Digital Health Strategy, Division of Digital Health, Yonsei University Health System, Seoul, Korea.
Center for Information Services, Division of Digital Health, Yonsei University Health System, Seoul, Korea.
BMC Med Inform Decis Mak. 2024 Oct 11;24(1):300. doi: 10.1186/s12911-024-02710-0.
The widespread adoption of Hospital Information Systems (HIS) has brought significant benefits in healthcare quality and workflow efficiency. However, downtimes for system maintenance are inevitable and pose a considerable challenge to continuous patient care. Existing strategies, including manual prescription methods, are no longer effective due to increasing reliance on digital systems.
This study implemented two main strategies to mitigate the impact of scheduled downtimes. First, we created an "Emergency query program" that switches to a read-only backup server during downtimes, allowing clinicians to view essential patient data. Second, an "Emergency prescription system" was developed based on the Microsoft Power Platform and integrated into Microsoft Teams. This allows clinicians to perform digital prescriptions even during downtimes.
During a planned 90-minute downtime, 282 users accessed the Emergency Prescription System, resulting in 22 prescriptions from various departments. Average times for prescription confirmation and completion were 8 min and 3 s, and 18 min and 40 s, respectively. A post-downtime evaluation revealed high user satisfaction.
Essential maintenance-induced HIS downtimes are inherently disruptive to patient care process. Our deployment of an emergency query program and a Microsoft Teams-integrated emergency prescription system demonstrated robust care continuity during HIS downtime.
医院信息系统（HIS）的广泛采用为医疗质量和工作流程效率带来了显著的益处。然而，系统维护停机时间是不可避免的，这对持续的患者护理构成了相当大的挑战。由于对数字系统的依赖程度不断增加，现有的策略，包括手动处方方法，已经不再有效。
本研究实施了两项主要策略来减轻计划停机时间的影响。首先，我们创建了一个“紧急查询程序”，在停机期间切换到只读备份服务器，使临床医生能够查看重要的患者数据。其次，基于 Microsoft Power Platform 开发了一个“紧急处方系统”，并集成到 Microsoft Teams 中。这允许临床医生即使在停机期间也能进行数字处方。
在计划的 90 分钟停机期间，有 282 名用户访问了紧急处方系统，来自各个科室的处方有 22 张。处方确认和完成的平均时间分别为 8 分钟 3 秒和 18 分钟 40 秒。停机后评估显示用户满意度很高。
由于维护而导致的 HIS 停机时间会对患者的护理过程造成中断。我们部署了紧急查询程序和集成在 Microsoft Teams 中的紧急处方系统，在 HIS 停机期间实现了强大的护理连续性。
