{"id":995,"date":"2019-10-04T10:16:01","date_gmt":"2019-10-04T03:16:01","guid":{"rendered":"https:\/\/pkanphu.com\/?p=995"},"modified":"2019-10-04T10:17:18","modified_gmt":"2019-10-04T03:17:18","slug":"8-cap-do-cua-benh-an-dien-tu","status":"publish","type":"post","link":"https:\/\/pkanphu.com\/?p=995","title":{"rendered":"8 C\u1ea4P \u0110\u1ed8 C\u1ee6A B\u1ec6NH \u00c1N \u0110I\u1ec6N T\u1eec"},"content":{"rendered":"
\n

Ho\u00e0n ch\u1ec9nh h\u1ec7 th\u1ed1ng th\u00f4ng tin b\u1ec7nh vi\u1ec7n (HIS), ti\u1ebfn \u0111\u1ebfn x\u00e2y d\u1ef1ng v\u00e0 tri\u1ec3n khai b\u1ec7nh \u00e1n \u0111i\u1ec7n t\u1eed l\u00e0 h\u01b0\u1edbng \u0111i v\u00e0 h\u01b0\u1edbng ph\u00e1t tri\u1ec3n \u1ee9ng d\u1ee5ng c\u00f4ng ngh\u1ec7 th\u00f4ng tin t\u1ea1i c\u00e1c b\u1ec7nh vi\u1ec7n, \u0111\u00e2y l\u00e0 xu th\u1ebf kh\u00e1ch quan \u0111\u1ed1i v\u1edbi c\u00e1c b\u1ec7nh vi\u1ec7n trong n\u01b0\u1edbc v\u00e0 tr\u00ean th\u1ebf gi\u1edbi. B\u1ec7nh \u00e1n \u0111i\u1ec7n t\u1eed kh\u00f4ng ch\u1ec9 l\u00e0 chuy\u1ec3n h\u1ed3 s\u01a1 gi\u1ea5y sang h\u1ed3 s\u01a1 s\u1ed1, \u0111i\u1ec1u quan tr\u1ecdng h\u01a1n l\u00e0 t\u00edch h\u1ee3p nhi\u1ec1u ti\u1ec7n \u00edch cho b\u00e1c s\u0129, \u0111i\u1ec1u d\u01b0\u1ee1ng v\u00e0 c\u1ea3 nh\u00e0 qu\u1ea3n l\u00fd nh\u1eb1m t\u0103ng hi\u1ec7u qu\u1ea3 \u0111i\u1ec1u tr\u1ecb v\u00e0 t\u0103ng an to\u00e0n cho ng\u01b0\u1eddi b\u1ec7nh. M\u1ee9c \u0111\u1ed9 t\u00edch h\u1ee3p c\u00e1c c\u00f4ng c\u1ee5 ti\u1ec7n \u00edch n\u00e0y \u0111\u01b0\u1ee3c chia th\u00e0nh nhi\u1ec1u c\u1ea5p \u0111\u1ed9, c\u1ea5p \u0111\u1ed9 ho\u00e0n thi\u1ec7n nh\u1ea5t (c\u1ea5p \u0111\u1ed9 7).<\/span><\/p>\n<\/div>\n

D\u01b0\u1edbi \u0111\u00e2y l\u00e0 8 c\u1ea5p c\u1ee7a b\u1ec7nh \u00e1n \u0111i\u1ec7n t\u1eed \u0111\u01b0\u1ee3c th\u1ed1ng nh\u1ea5t tr\u00ean to\u00e0n c\u1ea7u (theo HIMSS Analytics Electronic Medical Record Adoption Model):<\/p>\n

B\u1ec7nh \u00e1n \u0111i\u1ec7n t\u1eed c\u1ea5p 0<\/strong>: ch\u01b0a t\u00edch h\u1ee3p ba h\u1ec7 th\u1ed1ng ph\u1ee5 tr\u1ee3 l\u00e2m s\u00e0ng ch\u00ednh bao g\u1ed3m x\u00e9t nghi\u1ec7m, thu\u1ed1c v\u00e0 ch\u1ea9n \u0111o\u00e1n h\u00ecnh \u1ea3nh v\u00e0o b\u1ec7nh \u00e1n \u0111i\u1ec7n t\u1eed.<\/p>\n

B\u1ec7nh \u00e1n \u0111i\u1ec7n t\u1eed c\u1ea5p 1<\/strong>:<\/p>\n

– T\u00edch h\u1ee3p c\u1ea3 ba h\u1ec7 th\u1ed1ng ph\u1ee5 tr\u1ee3 l\u00e2m s\u00e0ng ch\u00ednh bao g\u1ed3m x\u00e9t nghi\u1ec7m, thu\u1ed1c v\u00e0 ch\u1ea9n \u0111o\u00e1n h\u00ecnh \u1ea3nh v\u00e0o b\u1ec7nh \u00e1n \u0111i\u1ec7n t\u1eed;<\/p>\n

– H\u1ec7 th\u1ed1ng PACS \u0111\u01b0\u1ee3c b\u1ed5 sung \u0111\u1ea7y \u0111\u1ee7 c\u00f3 th\u1ec3 cung c\u1ea5p h\u00ecnh \u1ea3nh cho c\u00e1c b\u00e1c s\u0129 l\u00e2m s\u00e0ng th\u00f4ng qua m\u1ea1ng n\u1ed9i b\u1ed9 v\u00e0 thay th\u1ebf t\u1ea5t c\u1ea3 c\u00e1c h\u00ecnh \u1ea3nh d\u1ef1a tr\u00ean phim; ngo\u00e0i ra, h\u1ec7 th\u1ed1ng l\u01b0u tr\u1eef trung t\u00e2m ch\u1ea9n \u0111o\u00e1n h\u00ecnh \u1ea3nh kh\u00f4ng DICOM c\u0169ng c\u00f3 s\u1eb5n.<\/p>\n

B\u1ec7nh \u00e1n \u0111i\u1ec7n t\u1eed c\u1ea5p 2:<\/strong><\/p>\n

– C\u00e1c h\u1ec7 th\u1ed1ng ph\u1ee5 tr\u1ee3 l\u00e2m s\u00e0ng \u0111\u01b0\u1ee3c k\u00edch ho\u1ea1t v\u1edbi kh\u1ea3 n\u0103ng t\u01b0\u01a1ng t\u00e1c n\u1ed9i b\u1ed9 b\u1eb1ng c\u00e1ch cung c\u1ea5p d\u1eef li\u1ec7u cho kho l\u01b0u tr\u1eef d\u1eef li\u1ec7u l\u00e2m s\u00e0ng ri\u00eang l\u1ebb – CDR (Clinical Data Repository) ho\u1eb7c kho l\u01b0u tr\u1eef \u0111\u01b0\u1ee3c t\u00edch h\u1ee3p \u0111\u1ea7y \u0111\u1ee7 d\u1eef li\u1ec7u cung c\u1ea5p quy\u1ec1n truy c\u1eadp li\u1ec1n m\u1ea1ch t\u1eeb m\u1ed9t giao di\u1ec7n ng\u01b0\u1eddi d\u00f9ng \u0111\u1ec3 xem x\u00e9t t\u1ea5t c\u1ea3 c\u00e1c y l\u1ec7nh, k\u1ebft qu\u1ea3 x\u00e9t v\u00e0 h\u00ecnh \u1ea3nh X quang v\u00e0 h\u00ecnh \u1ea3nh tim m\u1ea1ch.<\/p>\n

– C\u00e1c kho l\u01b0u tr\u1eef d\u1eef li\u1ec7u\/CDR ch\u1ee9a thu\u1eadt ng\u1eef y khoa c\u00f3 ki\u1ec3m so\u00e1t v\u00e0 x\u00e1c minh y l\u1ec7nh \u0111\u01b0\u1ee3c h\u1ed7 tr\u1ee3 b\u1edfi c\u00f4ng c\u1ee5 h\u1ed7 tr\u1ee3 quy\u1ebft \u0111\u1ecbnh l\u00e2m s\u00e0ng – CDS (clinical decision support) \u0111\u1ec3 ki\u1ec3m tra xung \u0111\u1ed9t th\u00f4.<\/p>\n

– Th\u00f4ng tin t\u1eeb c\u00e1c h\u1ec7 th\u1ed1ng ch\u1ea9n \u0111o\u00e1n h\u00ecnh \u1ea3nh c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c li\u00ean k\u1ebft v\u1edbi CDR \u1edf giai \u0111o\u1ea1n n\u00e0y.<\/p>\n

– C\u00e1c ch\u00ednh s\u00e1ch v\u00e0 n\u0103ng l\u1ef1c b\u1ea3o m\u1eadt c\u01a1 b\u1ea3n \u0111\u00e1p \u1ee9ng quy\u1ec1n truy c\u1eadp v\u1eadt l\u00fd, ch\u1ea5p nh\u1eadn quy\u1ec1n s\u1eed d\u1ee5ng, b\u1ea3o m\u1eadt di \u0111\u1ed9ng, m\u00e3 h\u00f3a, ch\u1ed1ng vi-r\u00fat\/ch\u1ed1ng ph\u1ea7n m\u1ec1m \u0111\u1ed9c h\u1ea1i v\u00e0 ch\u1ed1ng ph\u00e1 h\u1ee7y d\u1eef li\u1ec7u.<\/p>\n

B\u1ec7nh \u00e1n \u0111i\u1ec7n t\u1eed c\u1ea5p 3:<\/strong><\/p>\n

– 50% d\u1eef li\u1ec7u c\u1ee7a \u0111i\u1ec1u d\u01b0\u1ee1ng\/ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng (nh\u01b0 sinh hi\u1ec7u, c\u00e1c b\u1ea3ng c\u00f4ng vi\u1ec7c, ghi ch\u00fa \u0111i\u1ec1u d\u01b0\u1ee1ng, nhi\u1ec7m v\u1ee5 \u0111i\u1ec1u d\u01b0\u1ee1ng, k\u1ebf ho\u1ea1ch ch\u0103m s\u00f3c) \u0111\u01b0\u1ee3c tri\u1ec3n khai v\u00e0 t\u00edch h\u1ee3p v\u1edbi CDR.<\/p>\n

– Y\u00eau c\u1ea7u n\u00e0y ph\u1ea3i \u00e1p d\u1ee5ng ngay c\u1ea3 khoa c\u1ea5p c\u1ee9u, nh\u01b0ng kh\u00f4ng \u0111\u00f2i h\u1ecfi quy t\u1eafc 50%. Tri\u1ec3n khai h\u1ed3 s\u01a1 qu\u1ea3n l\u00fd thu\u1ed1c \u0111i\u1ec7n t\u1eed – EMAR (Electronic Medication Administration Record)<\/p>\n

– Ki\u1ec3m so\u00e1t truy c\u1eadp d\u1ef1a tr\u00ean vai tr\u00f2 c\u1ee7a ng\u01b0\u1eddi \u0111i\u1ec1u d\u01b0\u1ee1ng RBAC (Role-based access control) \u0111\u01b0\u1ee3c tri\u1ec3n khai.<\/p>\n

B\u1ec7nh \u00e1n \u0111i\u1ec7n t\u1eed c\u1ea5p 4:<\/strong><\/p>\n

– 50% t\u1ea5t c\u1ea3 c\u00e1c y l\u1ec7nh \u0111\u01b0\u1ee3c nh\u1eadp tr\u00ean m\u00e1y vi t\u00ednh – CPOE (Computerized Practitioner Order Entry)\u00a0b\u1edfi b\u1ea5t k\u1ef3 b\u00e1c s\u0129 l\u00e2m s\u00e0ng n\u00e0o \u0111\u01b0\u1ee3c c\u1ea5p ph\u00e9p ra y l\u1ec7nh. CPOE \u0111\u01b0\u1ee3c h\u1ed7 tr\u1ee3 b\u1edfi c\u00f4ng c\u1ee5 h\u1ed7 tr\u1ee3 quy\u1ebft \u0111\u1ecbnh l\u00e2m s\u00e0ng (CDS) \u0111\u1ec3 ki\u1ec3m tra xung \u0111\u1ed9t th\u00f4, v\u00e0 c\u00e1c y l\u1ec7nh \u0111\u01b0\u1ee3c th\u00eam v\u00e0o tr\u01b0\u1eddng d\u1eef li\u1ec7u \u0111i\u1ec1u d\u01b0\u1ee1ng v\u00e0 tr\u01b0\u1eddng d\u1eef li\u1ec7u l\u00e2m s\u00e0ng CDR.<\/p>\n

– Y\u00eau c\u1ea7u n\u00e0y ph\u1ea3i \u00e1p d\u1ee5ng ngay c\u1ea3 khoa c\u1ea5p c\u1ee9u, nh\u01b0ng kh\u00f4ng \u0111\u00f2i h\u1ecfi quy t\u1eafc 50%.<\/p>\n

– 90%\u00a0d\u1eef li\u1ec7u c\u1ee7a \u0111i\u1ec1u d\u01b0\u1ee1ng\/ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng (nh\u01b0 sinh hi\u1ec7u, c\u00e1c b\u1ea3ng c\u00f4ng vi\u1ec7c, ghi ch\u00fa \u0111i\u1ec1u d\u01b0\u1ee1ng, nhi\u1ec7m v\u1ee5 \u0111i\u1ec1u d\u01b0\u1ee1ng, k\u1ebf ho\u1ea1ch ch\u0103m s\u00f3c) \u0111\u01b0\u1ee3c tri\u1ec3n khai v\u00e0 t\u00edch h\u1ee3p v\u1edbi CDR\u00a0(kh\u00f4ng bao g\u1ed3m khoa c\u1ea5p c\u1ee9u).<\/p>\n

– N\u1ebfu d\u1eef li\u1ec7u c\u1ed9ng \u0111\u1ed3ng s\u1eb5n c\u00f3, c\u00e1c b\u00e1c s\u0129 l\u00e2m s\u00e0ng c\u00f3 th\u1ec3 truy c\u1eadp v\u00e0o c\u01a1 s\u1edf d\u1eef li\u1ec7u b\u1ec7nh qu\u1ed1c gia ho\u1eb7c khu v\u1ef1c \u0111\u1ec3 h\u1ed7 tr\u1ee3 ra quy\u1ebft \u0111\u1ecbnh (v\u00ed d\u1ee5: thu\u1ed1c, h\u00ecnh \u1ea3nh, ti\u00eam ch\u1ee7ng, k\u1ebft qu\u1ea3 x\u00e9t, v.v.).<\/p>\n

–\u00a0Trong th\u1eddi gian EMR b\u1ecb gi\u00e1n \u0111o\u1ea1n, c\u00e1c b\u00e1c s\u0129 l\u00e2m s\u00e0ng c\u00f3 th\u1ec3 truy c\u1eadp d\u1eef li\u1ec7u v\u1ec1 d\u1ecb \u1ee9ng c\u1ee7a b\u1ec7nh nh\u00e2n, ch\u1ea9n \u0111o\u00e1n, thu\u1ed1c men v\u00e0 k\u1ebft qu\u1ea3 x\u00e9t nghi\u1ec7m.\u00a0C\u00f3 h\u1ec7 th\u1ed1ng ph\u00e1t hi\u1ec7n v\u00e0 ch\u1ed1ng x\u00e2m nh\u1eadp hi\u1ec7u qu\u1ea3.<\/p>\n

– \u0110i\u1ec1u d\u01b0\u1ee1ng \u0111\u01b0\u1ee3c CDS h\u1ed7 tr\u1ee3 d\u1ef1a v\u00e0o c\u00e1c ph\u00e1c \u0111\u1ed3 \u0111i\u1ec1u tr\u1ecb d\u1ef1a tr\u00ean b\u1eb1ng ch\u1ee9ng (v\u00ed d\u1ee5: \u0111i\u1ec3m \u0111\u00e1nh gi\u00e1 r\u1ee7i ro \u0111\u01b0\u1ee3c k\u00edch ho\u1ea1t khi \u0111i\u1ec1u d\u01b0\u1ee1ng chu\u1ea9n b\u1ecb th\u1ef1c hi\u1ec7n nhi\u1ec7m v\u1ee5).<\/p>\n

B\u1ec7nh \u00e1n \u0111i\u1ec7n t\u1eed c\u1ea5p 5:<\/strong><\/p>\n

– Ghi ch\u00e9p h\u1ed3 s\u01a1 b\u1ec7nh \u00e1n \u0111i\u1ec7n t\u1eed c\u1ee7a b\u00e1c s\u0129 \u0111\u01b0\u1ee3c h\u1ed7 tr\u1ee3 b\u1edfi c\u00e1c m\u1eabu c\u00f3 c\u1ea5u tr\u00fac v\u00e0 d\u1eef li\u1ec7u ri\u00eang bi\u1ec7t \u0111\u01b0\u1ee3c tri\u1ec3n khai \u00edt nh\u1ea5t 50% (v\u00ed d\u1ee5: ghi ch\u00fa ti\u1ebfn b\u1ed9, ghi ch\u00fa t\u01b0 v\u1ea5n, t\u00f3m t\u1eaft xu\u1ea5t vi\u1ec7n, danh s\u00e1ch c\u00e1c v\u1ea5n \u0111\u1ec1\/ch\u1ea9n \u0111o\u00e1n, v.v.). Kh\u1ea3 n\u0103ng n\u00e0y ph\u1ea3i \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng trong khoa c\u1ea5p c\u1ee9u, nh\u01b0ng kh\u00f4ng \u0111\u00f2i h\u1ecfi quy t\u1eafc 50%.<\/p>\n

– B\u1ec7nh vi\u1ec7n c\u00f3 th\u1ec3 theo d\u00f5i v\u00e0 ghi nh\u1eadn v\u1ec1 ho\u00e0n th\u00e0nh nhi\u1ec7m v\u1ee5 \u0111\u00fang th\u1eddi gian c\u1ee7a \u0111i\u1ec1u d\u01b0\u1ee1ng.<\/p>\n

– H\u1ec7 th\u1ed1ng ng\u0103n ch\u1eb7n x\u00e2m nh\u1eadp lu\u00f4n s\u1eb5n s\u00e0ng, kh\u00f4ng ch\u1ec9 \u0111\u1ec3 ph\u00e1t hi\u1ec7n m\u00e0 c\u00f2n ng\u0103n ch\u1eb7n \u0111\u01b0\u1ee3c s\u1ef1 x\u00e2m nh\u1eadp. C\u00e1c thi\u1ebft b\u1ecb di \u0111\u1ed9ng c\u1ee7a b\u1ec7nh vi\u1ec7n \u0111\u01b0\u1ee3c nh\u1eadn d\u1ea1ng v\u00e0 \u1ee7y quy\u1ec1n h\u1ee3p l\u1ec7 ho\u1ea1t \u0111\u1ed9ng tr\u00ean m\u1ea1ng v\u00e0 c\u00f3 th\u1ec3 b\u1ecb bi\u1ebfn m\u1ea5t n\u1ebfu b\u1ecb \u0111\u00e1nh c\u1eafp.<\/p>\n

B\u1ec7nh \u00e1n \u0111i\u1ec7n t\u1eed c\u1ea5p 6:<\/strong><\/p>\n

– C\u00f4ng ngh\u1ec7 s\u1eed d\u1ee5ng \u0111\u1ea1t \u0111\u01b0\u1ee3c m\u1ed9t quy tr\u00ecnh kh\u00e9p k\u00edn \u0111\u1ec3 qu\u1ea3n l\u00fd thu\u1ed1c, s\u1ea3n ph\u1ea9m m\u00e1u v\u00e0 s\u1eefa m\u1eb9 (t\u1eeb ng\u00e2n h\u00e0ng s\u1eefa m\u1eb9), v\u00e0 thu th\u1eadp v\u00e0 theo d\u00f5i m\u1eabu m\u00e1u. C\u00e1c quy tr\u00ecnh kh\u00e9p k\u00edn n\u00e0y \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n \u0111\u1ea7y \u0111\u1ee7 \u1edf 50% c\u1ee7a to\u00e0n b\u1ec7nh vi\u1ec7n. Kh\u1ea3 n\u0103ng n\u00e0y ph\u1ea3i \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng trong khoa c\u1ea5p c\u1ee9u, nh\u01b0ng kh\u00f4ng \u0111\u00f2i h\u1ecfi quy t\u1eafc 50%.<\/p>\n

– EMAR v\u00e0 c\u00f4ng ngh\u1ec7 \u0111ang s\u1eed d\u1ee5ng \u0111\u01b0\u1ee3c tri\u1ec3n khai v\u00e0 t\u00edch h\u1ee3p v\u1edbi CPOE, nh\u00e0 thu\u1ed1c v\u00e0 h\u1ec7 th\u1ed1ng ph\u00f2ng th\u00ed nghi\u1ec7m \u0111\u1ec3 t\u1ed1i \u01b0u h\u00f3a k\u1ebft qu\u1ea3 v\u00e0 an to\u00e0n trong c\u00e1c quy tr\u00ecnh ch\u0103m s\u00f3c.<\/p>\n

– CDS \u1edf m\u1ee9c chuy\u00ean s\u00e2u \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng nh\u1eb1m \u0111\u1ea3m b\u1ea3o \u201c5 \u0111\u00fang\u201d trong qu\u1ea3n l\u00fd thu\u1ed1c v\u00e0 nh\u1eefng \u0111\u00fang kh\u00e1c \u0111\u1ed1i v\u1edbi s\u1ea3n ph\u1ea9m m\u00e1u, v\u00e0 s\u1eefa m\u1eb9 v\u00e0 quy tr\u00ecnh x\u1eed l\u00fd m\u1eabu m\u00e1u x\u00e9t nghi\u1ec7m.<\/p>\n

– \u00cdt nh\u1ea5t m\u1ed9t \u00e1p d\u1ee5ng CDS chuy\u00ean s\u00e2u cung c\u1ea5p h\u01b0\u1edbng d\u1eabn \u0111\u01b0\u1ee3c k\u00edch ho\u1ea1t b\u1edfi h\u1ed3 s\u01a1 c\u1ee7a b\u00e1c s\u0129 li\u00ean quan \u0111\u1ebfn c\u1ea3nh b\u00e1o sai l\u1ec7ch v\u00e0 tu\u00e2n th\u1ee7 (v\u00ed d\u1ee5: \u0111\u00e1nh gi\u00e1 r\u1ee7i ro thuy\u00ean t\u1eafc t\u0129nh m\u1ea1ch k\u00edch ho\u1ea1t h\u01b0\u1edbng d\u1eabn \u0111i\u1ec1u tr\u1ecb v\u1ec1 t\u1eafc m\u1ea1ch ph\u00f9 h\u1ee3p).<\/p>\n

– Ch\u00ednh s\u00e1ch b\u1ea3o m\u1eadt thi\u1ebft b\u1ecb di \u0111\u1ed9ng \u0111\u01b0\u1ee3c \u00e1p d\u1ee5ng cho c\u00e1c thi\u1ebft b\u1ecb do ng\u01b0\u1eddi d\u00f9ng s\u1edf h\u1eefu. B\u1ec7nh vi\u1ec7n ti\u1ebfn h\u00e0nh \u0111\u00e1nh gi\u00e1 r\u1ee7i ro an ninh h\u00e0ng n\u0103m v\u00e0 b\u00e1o c\u00e1o cho c\u01a1 quan qu\u1ea3n l\u00fd.<\/p>\n

B\u1ec7nh \u00e1n \u0111i\u1ec7n t\u1eed c\u1ea5p 7:<\/strong><\/p>\n

– B\u1ec7nh vi\u1ec7n kh\u00f4ng c\u00f2n s\u1eed d\u1ee5ng c\u00e1c bi\u1ec3u \u0111\u1ed3 gi\u1ea5y \u0111\u1ec3 cung c\u1ea5p v\u00e0 qu\u1ea3n l\u00fd ch\u0103m s\u00f3c b\u1ec7nh nh\u00e2n v\u00e0 c\u00f3 h\u1ed7n h\u1ee3p d\u1eef li\u1ec7u ri\u00eang bi\u1ec7t, h\u00ecnh \u1ea3nh t\u00e0i li\u1ec7u v\u00e0 h\u00ecnh \u1ea3nh y t\u1ebf trong m\u00f4i tr\u01b0\u1eddng EMR.<\/p>\n

– Kho d\u1eef li\u1ec7u \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 ph\u00e2n t\u00edch c\u00e1c m\u00f4 h\u00ecnh c\u1ee7a d\u1eef li\u1ec7u l\u00e2m s\u00e0ng ph\u1ee5c v\u1ee5 c\u1ea3i thi\u1ec7n ch\u1ea5t l\u01b0\u1ee3ng ch\u0103m s\u00f3c, an to\u00e0n cho b\u1ec7nh nh\u00e2n v\u00e0 hi\u1ec7u qu\u1ea3 cung c\u1ea5p d\u1ecbch v\u1ee5 ch\u0103m s\u00f3c.<\/p>\n

– Th\u00f4ng tin l\u00e2m s\u00e0ng c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c chia s\u1ebb d\u1ec5 d\u00e0ng th\u00f4ng qua c\u00e1c giao d\u1ecbch \u0111i\u1ec7n t\u1eed \u0111\u01b0\u1ee3c ti\u00eau chu\u1ea9n h\u00f3a (v\u00ed d\u1ee5:\u00a0Continuity of Care Document\u00a0– CCD) v\u1edbi t\u1ea5t c\u1ea3 m\u1ecdi ng\u01b0\u1eddi c\u00f3 th\u1ea9m quy\u1ec1n \u0111i\u1ec1u tr\u1ecb cho b\u1ec7nh nh\u00e2n ho\u1eb7c trao \u0111\u1ed5i th\u00f4ng tin s\u1ee9c kh\u1ecfe (v\u00ed d\u1ee5, c\u00e1c b\u1ec7nh vi\u1ec7n kh\u00f4ng li\u00ean quan kh\u00e1c, ph\u00f2ng kh\u00e1m ngo\u1ea1i tr\u00fa, ch\u1ee7 lao \u0111\u1ed9ng, ng\u01b0\u1eddi tr\u1ea3 ti\u1ec1n v\u00e0 b\u1ec7nh nh\u00e2n trong m\u1ed9t m\u00f4i tr\u01b0\u1eddng chia s\u1ebb d\u1eef li\u1ec7u).<\/p>\n

– T\u00ednh li\u00ean t\u1ee5c c\u1ee7a d\u1eef li\u1ec7u cho t\u1ea5t c\u1ea3 c\u00e1c d\u1ecbch v\u1ee5 c\u1ee7a b\u1ec7nh vi\u1ec7n (v\u00ed d\u1ee5: b\u1ec7nh nh\u00e2n n\u1ed9i tr\u00fa, ngo\u1ea1i tr\u00fa, c\u1ea5p c\u1ee9u v\u00e0 v\u1edbi b\u1ea5t k\u1ef3 ph\u00f2ng kh\u00e1m ngo\u1ea1i tr\u00fa thu\u1ed9c s\u1edf h\u1eefu ho\u1eb7c qu\u1ea3n l\u00fd n\u00e0o).<\/p>\n

– To\u00e0n b\u1ed9 ghi ch\u00e9p tr\u00ean h\u1ed3 s\u01a1 b\u1ec7nh \u00e1n \u0111i\u1ec7n t\u1eed (CPOE) c\u1ee7a th\u1ea7y thu\u1ed1c \u0111\u1ea1t 90% (kh\u00f4ng bao g\u1ed3m khoa c\u1ea5p c\u1ee9u) v\u00e0 c\u00e1c quy tr\u00ecnh theo v\u00f2ng k\u00edn \u0111\u00e3 \u0111\u1ea1t 95% (kh\u00f4ng bao g\u1ed3m khoa c\u1ea5p c\u1ee9u).<\/p>\n

S\u1ede Y T\u1ebe TP.HCM<\/div>\n","protected":false},"excerpt":{"rendered":"

Ho\u00e0n ch\u1ec9nh h\u1ec7 th\u1ed1ng th\u00f4ng tin b\u1ec7nh vi\u1ec7n (HIS), ti\u1ebfn \u0111\u1ebfn x\u00e2y d\u1ef1ng v\u00e0 tri\u1ec3n khai b\u1ec7nh \u00e1n \u0111i\u1ec7n t\u1eed l\u00e0 h\u01b0\u1edbng \u0111i v\u00e0 h\u01b0\u1edbng ph\u00e1t tri\u1ec3n \u1ee9ng d\u1ee5ng c\u00f4ng ngh\u1ec7 th\u00f4ng tin t\u1ea1i c\u00e1c b\u1ec7nh vi\u1ec7n, \u0111\u00e2y l\u00e0 xu th\u1ebf kh\u00e1ch quan \u0111\u1ed1i v\u1edbi c\u00e1c b\u1ec7nh vi\u1ec7n trong n\u01b0\u1edbc v\u00e0 tr\u00ean th\u1ebf gi\u1edbi. B\u1ec7nh …<\/p>\n","protected":false},"author":1,"featured_media":999,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-995","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-ban-tin-y-khoa"],"yoast_head":"\n8 C\u1ea4P \u0110\u1ed8 C\u1ee6A B\u1ec6NH \u00c1N \u0110I\u1ec6N T\u1eec - Ph\u00f2ng Kh\u00e1m \u0110a Khoa Qu\u1ed1c T\u1ebf An Ph\u00fa<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/pkanphu.com\/?p=995\" \/>\n<meta property=\"og:locale\" content=\"vi_VN\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"8 C\u1ea4P \u0110\u1ed8 C\u1ee6A B\u1ec6NH \u00c1N \u0110I\u1ec6N T\u1eec - Ph\u00f2ng Kh\u00e1m \u0110a Khoa Qu\u1ed1c T\u1ebf An Ph\u00fa\" \/>\n<meta property=\"og:description\" content=\"Ho\u00e0n ch\u1ec9nh h\u1ec7 th\u1ed1ng th\u00f4ng tin b\u1ec7nh vi\u1ec7n (HIS), ti\u1ebfn \u0111\u1ebfn x\u00e2y d\u1ef1ng v\u00e0 tri\u1ec3n khai b\u1ec7nh \u00e1n \u0111i\u1ec7n t\u1eed l\u00e0 h\u01b0\u1edbng \u0111i v\u00e0 h\u01b0\u1edbng ph\u00e1t tri\u1ec3n \u1ee9ng d\u1ee5ng c\u00f4ng ngh\u1ec7 th\u00f4ng tin t\u1ea1i c\u00e1c b\u1ec7nh vi\u1ec7n, \u0111\u00e2y l\u00e0 xu th\u1ebf kh\u00e1ch quan \u0111\u1ed1i v\u1edbi c\u00e1c b\u1ec7nh vi\u1ec7n trong n\u01b0\u1edbc v\u00e0 tr\u00ean th\u1ebf gi\u1edbi. 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