This article outlines the methods of building a safe environment for the hospital information system, and protecting data in three levels. Firstly it is recommended to build a highly efficient and redundant hot spare system for program applications and the database, secondly to make a copy of log file from the current database to the emergent server used for the whole hospital is suggested,finally another emergent server should be provided for the outpatient department. And thus, once there are some problems with the whole network, it would undertake the urgent services of the hospital as an outpatient network.
Computer Communication Networks ; Computer Security ; Computer Systems ; Hospital Information Systems

INTRODUCTION: The number of injuries and expenses from unsafe delivery of health care has heeded the call for a greater patient safety advocacy. The development of an effective reporting system contributes towards this cause. The study aimed to explore the perceptions of nurses regarding critical incidents and investigate the factors affecting their decision to report a certain event. METHODS: Focus group discussions including 28 nurses working in the service wards of a tertiary hospital, and the data gathered were analyzed using descriptive qualitative approach. RESULTS: Three key themes emerged from the discussions: (1) perceptions of an incident, (2) attitudes, norms, and culture of incident reporting in the workplace, and (3) perceptions and suggestions for management actions and improving the reporting system. The study showed that various factors tend to interplay in the identification of an incident as well as the consideration to perform the behavior. DISCUSSION The primary practice and education implications focus on changing the workplace culture and proper orientation of the staff, while further research regarding the role of reporting, and appropriate analysis of error reporting among other health care professionals would be recommended.
hospital communication systems ; nursing education ; critical incidents ; patient safety

This paper introduces the measures guaranteeing the network safety of the hospital information system.
Computer Communication Networks ; Computer Security ; Database Management Systems ; Hospital Information Systems ; Registries ; Systems Integration

OBJECTIVETo determine a network solution to meet the network requirements of the heavy data flow, load balance, and potential network storms from expansion of picture archiving and communication system (PACS) application.

METHODSIntel Netstructure 480T Giga Switch was used as the main switch and connected to each building by fiber channel at 1 Giga speed to archive 100 MB/s to each port. At the same time, the in-dependence of the original network construction was physically kept. The layer 3 and 4 switchers were used as load balance to reduce the heavy load of the network, and all the cabling for PACS used the super CAT5 along with the Intel NetStructure 1520 to prepare for potential network storms.

RESULTSAn advanced intranet was set up to fully meet the high standard requirement of the PACS. The foundation for upgrading the whole network system to 1 Giga application was built to achieve sharing and transmission of images, information, and patient data within the hospital. The base was established for the standardized management of the hospital.

CONCLUSIONGood planning is the first step in setting up PACS, and the equipment forms the necessary platform to run PACS and all kinds of hospital information system (HIS). The networking construction is the foundation of e-hospital.

With the development of the technology in medical informatics area, Health Level Seven (HL7) Standard for electronic data exchange in all healthcare environments has become a widely used standard. To bring it into practice in China, we developed an HL7 gateway. The gateway is used to connect two different medical information systems, a Hospital Information System (HIS) and a Laboratory Information Management System (LIMS), via the HL7 message exchanging. The system verified the feasibility of HL7 standard and made a good example for further research and development.
Computer Communication Networks ; standards ; Hospital Information Systems ; standards ; Software ; Systems Integration

In medical clinical practice, physicians need to acquire the image and text information of the patient. All the information will be of benefit for physicians to diagnose disease, improve clinical treatment, and do research work. But the information is distributed in different systems, such as medical image information in PACS (Picture Archiving and Communication System) and text records in HIS (Hospital Information System). Today many hospitals are suffering from lack of an integrated system with PACS and HIS. This paper compares PACS with HIS and puts forward a distributed integration method of integrating the PACS and HIS with the prevailing WWW technology. In such a method, the image and the text information are regarded as the common object and the operation whereon as the object operation. Thus the method integrates the PACS with HIS effectively and implements the information resources sharing with the use of web technology.
Computer Communication Networks ; Hospital Information Systems ; Radiology Information Systems ; Software Design

China ; Computer Communication Networks ; economics ; Hospital Information Systems ; economics ; standards ; Radiology Information Systems ; economics ; standards

This paper introduces the purpose, integration profile of workflow, integration profile of content of IHE Laboratory Technical Framework and the dependency on IT Infrastructure Technical Framework. And the domestic situation of LIS and HIS integration is analyzed briefly too.
Computer Communication Networks ; Hospital Information Systems ; Humans ; Laboratories, Hospital ; organization & administration ; Software ; Systems Integration ; User-Computer Interface

Firstly, IHE technical framework is introduced in this paper, and the sub-framework of Schedule Workflow is also described. Secondly, the development of IHE in Japan and the formation of IHE-J are presented, and in combination with IDS system's practice in IHE-J, some ideas about developing IHE in China and the relative methods of implementation are discussed.
China ; Computer Communication Networks ; Hospital Information Systems ; Japan ; Radiology Information Systems ; organization & administration ; Software ; Systems Integration ; User-Computer Interface ; Workload

This article introduces the development of a middleware based on HL7, which solves the problem of data integration and sharing effectively and successfully, among the hospital internal subsystems and different hospitals' information systems.
Computer Communication Networks ; standards ; Computer Systems ; Hospital Information Systems ; standards ; Humans ; Information Services ; Information Systems ; Medical Records Systems, Computerized ; Software ; Systems Integration