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HIMSS年会亮点丨信息化实现急诊资源速配 与死神争分夺秒

2017-12-11 朱旭清 健康界

急诊资源
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医疗信息化建设随时代的发展从未止步，相较于购物或旅行等高频使用信息技术的领域，医疗信息化建设略显“裹足不前”。近年来HIMSS评审骤然成为国内各大医院信息化评审的焦点，中国医疗信息化建设将在HIMSS评审推动下带来哪些获益？哪些挑战？12月9－10日，第四届中美医疗信息化发展高峰论坛暨2017HIMSS大中华区年会在北京召开。其中，在主题为“大数据，人工智能与精准医疗”的分论坛五上，与会嘉宾分享了

医疗信息化建设随时代的发展从未止步，相较于购物或旅行等高频使用信息技术的领域，医疗信息化建设略显“裹足不前”。近年来HIMSS评审骤然成为国内各大医院信息化评审的焦点，中国医疗信息化建设将在HIMSS评审推动下带来哪些获益？哪些挑战？

12月9－10日，第四届中美医疗信息化发展高峰论坛暨2017HIMSS大中华区年会在北京召开。其中，在主题为“大数据，人工智能与精准医疗”的分论坛五上，与会嘉宾分享了医疗信息化系统的建设历程和获益。

生死时速 信息化高效调配急诊医疗资源

手机网络视频、语音通话，电脑远程控制、信息集成，这些技术早在多年前就被加以运用，给人们的生活、工作带来诸多便捷。但在监测人群健康信息和急诊抢救方面，互联网技术的应用并不久。

2014年12月31日，上海外滩跨年夜发生踩踏事件，多人未得到及时抢救而最终身亡。上海交通大学医学院附属新华医院副院长潘曙明感到十分惋惜，“那时我们已经有了互联网监测技术，可以明确受伤人员的位置和数量，但却未能很好地用于临床，达到最佳效果。”潘曙明说，若医疗信息化技术更好地用于监测人群健康状况，发生紧急事件时，就能高效调配医疗资源，有效抢救患者。

未来急诊信息系统应具备哪些模块？潘曙明认为，应有6大模块：临床门户（EICU）、物联网（IOT）、通讯技术（ICT）、区域急救模块、院前急救模块和院内抢救模块。“急诊工作要有时间轴概念，有了这些模块，医务人员就能明确哪些急救环节出现‘堵塞’，并进行高效疏通。”潘曙明说。

除了急诊信息系统模块，潘曙明还介绍了数字化急救车和急诊分诊台的使用策略。

通过医疗信息化系统，数字化急救车和医院进行衔接，救护车上的探头第一时间将接触到的患者信息传送到数据化信息网，将患者合理分配到最近的医院，并发送相关信息和急救建议，给患者制定高效的急救路线。

“除数字化急救车外，急诊分诊台也在急救中发挥重要作用。”潘曙明说，急诊分诊台能依据患者病情，将其分到不同级别的医院和病区治疗，给危重患者更多有效医疗资源。

医疗数据整合 让精准医学成为可能

通常，医院信息化建设需要三个阶段：从建成以财务收费为中心的医院信息系统，到实现以患者就诊为核心的临床信息化平台，再到如今依托IT技术构建成的大数据、人工智能医疗平台。纵观三个阶段，人群健康信息从杂乱、分散的迷离之态，升级为立体、个性的医疗整合数据，为实现精准医学打下基础。

“基于大数据的新型互联网医疗服务，应该是以患者为中心的全周期医疗服务。”上海交通大学医学院附属儿童医院副院长高春晖介绍，在儿童入院前、入院时、住院中和出院后，通过微信、APP等交互式医患互动服务，构建用户个体特征画像模型，对其进行个体化、全生命周期的精准医疗服务。“基于用户个体特征画像模型，可构建围绕儿童精准就医和康复指导的全过程医疗健康互联网服务。”高春晖说。

直面医疗信息化绕不去的坎

医疗信息化建设也面临诸多挑战：如何保护医疗数据，维护患者隐私；如何判定数据来源是否可靠，扩宽信息入径种类；如何检测基于人工智能算法的患者个体化模型，是否能切实反应患者病情……这些问题都是医疗信息化建设推进过程中，必须迈过的坎。

中国的医疗信息化建设还在萌发、推广阶段，直面这些困难，将更稳健地推动信息化建设发展。复旦大学附属儿科医院党委书记徐虹认为，“IT技术发展使得医疗信息化进入新的时代，医院抓住机遇适应时代发展，才能走在发展前列。”

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    2017-12-16 哈哈869

    学习了

    0

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    2017-12-13 chenhongpeng

    #信息化#

    0

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    2017-12-13 仁心济世

    #HIMSS#

    0

  4. [GetPortalCommentsPageByObjectIdResponse(id=269785, encodeId=11ab269e8530, content=学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=51, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTKcmgibQ4oCrK7Z6f4CvMcs4k7QUGCkhopcGxvxaBfVciadECSIwaRVttllIOEKumpEaRrq5PoOUxow/0, createdBy=e3bb2081203, createdName=哈哈869, createdTime=Sat Dec 16 07:39:32 CST 2017, time=2017-12-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1411092, encodeId=042c14110924e, content=<a href='/topic/show?id=ad7b2e332cd' target=_blank style='color:#2F92EE;'>#信息化#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=25, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=27332, encryptionId=ad7b2e332cd, topicName=信息化)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=36df2798267, createdName=chenhongpeng, createdTime=Wed Dec 13 08:58:00 CST 2017, time=2017-12-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1588126, encodeId=df861588126e1, content=<a href='/topic/show?id=b657884e8b' target=_blank style='color:#2F92EE;'>#HIMSS#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=37, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=8847, encryptionId=b657884e8b, topicName=HIMSS)], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/aLGWoFXAyMbIu3qymFOyheQLjPSX3OUs5GmkyBlcCOwTPIeq3why9NGibxxUqYo6hcx8qZLHZFgNPnBK1yzWeOFpyg2OnWOt0/0, createdBy=fa4716, createdName=仁心济世, createdTime=Wed Dec 13 08:58:00 CST 2017, time=2017-12-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=268913, encodeId=992626891333, content=学习了.谢谢分享., beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=60791943465, createdName=1e0f8808m18(暂无匿称), createdTime=Tue Dec 12 20:58:19 CST 2017, time=2017-12-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=268685, encodeId=ba79268685de, content=学习了.谢谢., beContent=null, objectType=article, channel=null, level=null, likeNumber=59, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/xkvRjYnJzzRJ2R0y7VhicibvkjPWHjIMmu4ZpKnE9cWAu4lVicS3uDUCfF4M4JWvrkrYfpb2KehPV0Ee29tPqyPEebBUibiaKhnvD/0, createdBy=f8412001184, createdName=惠映实验室, createdTime=Mon Dec 11 19:57:40 CST 2017, time=2017-12-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=268675, encodeId=fbcf2686e519, content=学习了新知识, beContent=null, objectType=article, channel=null, level=null, likeNumber=54, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20201006/4db877c2887649beb09cb5effd0b38c7/916f66edd48a4e77b20ebc3e14b6e45c.jpg, createdBy=141e1980133, createdName=Y—xianghai, createdTime=Mon Dec 11 19:12:00 CST 2017, time=2017-12-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=268666, encodeId=0ca026866601, content=学习了.谢谢分享., beContent=null, objectType=article, channel=null, level=null, likeNumber=42, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=60791943465, createdName=1e0f8808m18(暂无匿称), createdTime=Mon Dec 11 18:02:54 CST 2017, time=2017-12-11, status=1, ipAttribution=)]
    2017-12-12 1e0f8808m18(暂无匿称)

    学习了.谢谢分享.

    0

  5. [GetPortalCommentsPageByObjectIdResponse(id=269785, encodeId=11ab269e8530, content=学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=51, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTKcmgibQ4oCrK7Z6f4CvMcs4k7QUGCkhopcGxvxaBfVciadECSIwaRVttllIOEKumpEaRrq5PoOUxow/0, createdBy=e3bb2081203, createdName=哈哈869, createdTime=Sat Dec 16 07:39:32 CST 2017, time=2017-12-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1411092, encodeId=042c14110924e, content=<a href='/topic/show?id=ad7b2e332cd' target=_blank style='color:#2F92EE;'>#信息化#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=25, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=27332, encryptionId=ad7b2e332cd, topicName=信息化)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=36df2798267, createdName=chenhongpeng, createdTime=Wed Dec 13 08:58:00 CST 2017, time=2017-12-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1588126, encodeId=df861588126e1, content=<a href='/topic/show?id=b657884e8b' target=_blank style='color:#2F92EE;'>#HIMSS#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=37, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=8847, encryptionId=b657884e8b, topicName=HIMSS)], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/aLGWoFXAyMbIu3qymFOyheQLjPSX3OUs5GmkyBlcCOwTPIeq3why9NGibxxUqYo6hcx8qZLHZFgNPnBK1yzWeOFpyg2OnWOt0/0, createdBy=fa4716, createdName=仁心济世, createdTime=Wed Dec 13 08:58:00 CST 2017, time=2017-12-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=268913, encodeId=992626891333, content=学习了.谢谢分享., beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=60791943465, createdName=1e0f8808m18(暂无匿称), createdTime=Tue Dec 12 20:58:19 CST 2017, time=2017-12-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=268685, encodeId=ba79268685de, content=学习了.谢谢., beContent=null, objectType=article, channel=null, level=null, likeNumber=59, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/xkvRjYnJzzRJ2R0y7VhicibvkjPWHjIMmu4ZpKnE9cWAu4lVicS3uDUCfF4M4JWvrkrYfpb2KehPV0Ee29tPqyPEebBUibiaKhnvD/0, createdBy=f8412001184, createdName=惠映实验室, createdTime=Mon Dec 11 19:57:40 CST 2017, time=2017-12-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=268675, encodeId=fbcf2686e519, content=学习了新知识, beContent=null, objectType=article, channel=null, level=null, likeNumber=54, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20201006/4db877c2887649beb09cb5effd0b38c7/916f66edd48a4e77b20ebc3e14b6e45c.jpg, createdBy=141e1980133, createdName=Y—xianghai, createdTime=Mon Dec 11 19:12:00 CST 2017, time=2017-12-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=268666, encodeId=0ca026866601, content=学习了.谢谢分享., beContent=null, objectType=article, channel=null, level=null, likeNumber=42, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=60791943465, createdName=1e0f8808m18(暂无匿称), createdTime=Mon Dec 11 18:02:54 CST 2017, time=2017-12-11, status=1, ipAttribution=)]
    2017-12-11 惠映实验室

    学习了.谢谢.

    0

  6. [GetPortalCommentsPageByObjectIdResponse(id=269785, encodeId=11ab269e8530, content=学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=51, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTKcmgibQ4oCrK7Z6f4CvMcs4k7QUGCkhopcGxvxaBfVciadECSIwaRVttllIOEKumpEaRrq5PoOUxow/0, createdBy=e3bb2081203, createdName=哈哈869, createdTime=Sat Dec 16 07:39:32 CST 2017, time=2017-12-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1411092, encodeId=042c14110924e, content=<a href='/topic/show?id=ad7b2e332cd' target=_blank style='color:#2F92EE;'>#信息化#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=25, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=27332, encryptionId=ad7b2e332cd, topicName=信息化)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=36df2798267, createdName=chenhongpeng, createdTime=Wed Dec 13 08:58:00 CST 2017, time=2017-12-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1588126, encodeId=df861588126e1, content=<a href='/topic/show?id=b657884e8b' target=_blank style='color:#2F92EE;'>#HIMSS#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=37, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=8847, encryptionId=b657884e8b, topicName=HIMSS)], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/aLGWoFXAyMbIu3qymFOyheQLjPSX3OUs5GmkyBlcCOwTPIeq3why9NGibxxUqYo6hcx8qZLHZFgNPnBK1yzWeOFpyg2OnWOt0/0, createdBy=fa4716, createdName=仁心济世, createdTime=Wed Dec 13 08:58:00 CST 2017, time=2017-12-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=268913, encodeId=992626891333, content=学习了.谢谢分享., beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=60791943465, createdName=1e0f8808m18(暂无匿称), createdTime=Tue Dec 12 20:58:19 CST 2017, time=2017-12-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=268685, encodeId=ba79268685de, content=学习了.谢谢., beContent=null, objectType=article, channel=null, level=null, likeNumber=59, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/xkvRjYnJzzRJ2R0y7VhicibvkjPWHjIMmu4ZpKnE9cWAu4lVicS3uDUCfF4M4JWvrkrYfpb2KehPV0Ee29tPqyPEebBUibiaKhnvD/0, createdBy=f8412001184, createdName=惠映实验室, createdTime=Mon Dec 11 19:57:40 CST 2017, time=2017-12-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=268675, encodeId=fbcf2686e519, content=学习了新知识, beContent=null, objectType=article, channel=null, level=null, likeNumber=54, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20201006/4db877c2887649beb09cb5effd0b38c7/916f66edd48a4e77b20ebc3e14b6e45c.jpg, createdBy=141e1980133, createdName=Y—xianghai, createdTime=Mon Dec 11 19:12:00 CST 2017, time=2017-12-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=268666, encodeId=0ca026866601, content=学习了.谢谢分享., beContent=null, objectType=article, channel=null, level=null, likeNumber=42, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=60791943465, createdName=1e0f8808m18(暂无匿称), createdTime=Mon Dec 11 18:02:54 CST 2017, time=2017-12-11, status=1, ipAttribution=)]
    2017-12-11 Y—xianghai

    学习了新知识

    0

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    2017-12-11 1e0f8808m18(暂无匿称)

    学习了.谢谢分享.

    0