Brief

“无档案，无管理；无管理，无法治。”医院档案是国家档案的重要组成部分之一，不仅记录了历史与事实，其存储的丰富内容有助于加强医院的管理和治理，为临床医学科研的顺利开展提供出大量重要的数据支持。加强医院档案管理的实践与创新研究，提升档案信息化、数字化管理能力和水平，对不断健全完善公立医院现代化管理制度具有重要的现实意义，也为推动医院高质量发展提供坚实保障。在现代医院管理制度日趋完善的今天，医院档案管理也与时俱进，呈现出制度化、现代化、数字化、科学化、规范化的特点。


Catalog

第一章 医院档案管理基础················································································ 1 

第一节 档案制度······················································································ 1 

第二节 档案收集······················································································ 6 

第三节 档案整理······················································································ 8 

第四节 档案保管····················································································· 14 

第五节 文书档案处理··············································································· 23 

第二章 医院档案实务····················································································· 31 

第一节 医学科研档案管理········································································· 31 

第二节 医院基建和设备档案管理································································ 37 

第三节 肿瘤筛查档案信息化管理································································ 40 

第四节 医德医风档案和审计档案································································ 44 

第五节 医院电子信息档案建设··································································· 48 

第三章 病案的信息化管理工作········································································· 55 

第一节 病案的数字化管理工作··································································· 55 

第二节 病案的无纸化管理工作··································································· 56 

第三节 病案信息管理系统········································································· 58 

第四节 电子病历系统··············································································· 61 

第五节 病案安全管理··············································································· 67

第四章 互联网时代医院档案价值与档案利用······················································· 77 

第一节 “互联网 +”时代医院档案价值的演变 ·············································· 77 

第二节 “互联网 +”时代医院档案利用的特点 ·············································· 83 

第三节 “互联网 +”时代医院档案价值演变对档案利用的影响 ························· 87 

第四节 “互联网 +”时代的医院档案利用对档案价值演变的促进作用 ················ 93 

第五节 实现“互联网 +”时代医院档案价值演变与档案利用创新良性互动 ········ 101 

参考文献···································································································· 103

Author

李鸽伶（1969.07）女，汉族，浙江乐清人，本科，档案副研究馆员，浙江省肿瘤医院党政办副主任、妇委会副主任、妇委会办公室主任，从事文字和档案管理工作近30年，撰写重要文字材料近万篇，参与编撰学术专著3本，其中副主编2本；主要负责编辑医院志和年鉴等10余次。累计主持浙江省软科学课题和厅局级课题2项、浙江医院协会课题2项，参与厅市级、协会课题4项，获浙江省档案学优秀成果、浙江省医院协会成果三等奖4项；累计发表医院管理、档案管理论文近30篇、会议交流15篇，获得优秀论文奖13个、征文奖4个。授予实用新型专利3项，申报发明专利1项。


李心洁，女，出生于1993年6月，中国安徽省合肥市，档案助理馆员，社会医学与卫生事业管理专业硕士，从事医院系统文字和档案管理工作4年，参与省级、厅局级课题3项，发表和在会议上交流档案管理、医院管理论文5篇，其中获得年会论文二等奖1篇。


Cip

Cataloguing-in-Publication (CIP) programme 

 

Name(s): 李鸽伶 李心洁.

Title: 专科医院档案管理创新与实践研究/ 李鸽伶 李心洁 编著.

Description: Singapore : 新加坡文理出版社, 2023.

Identifier: OCN 1409196459 | ISBN 978-981-18-8310-1 (paperback)

Subject(s): Research on Innovation and Practice of Ar-chives Management in Specialized Hospitals.|Practice of Archives Management in Specialized

Hospitals .

BRN: 300000413

Classification: DDC 651.3--dc23