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智慧醫(yī)院 我有新說法
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根據(jù)標(biāo)準(zhǔn)《智慧醫(yī)院建設(shè)指南》DB34/T 4011-2021給出的規(guī)范定義，智慧醫(yī)院是運(yùn)用云計(jì)算、大數(shù)據(jù)、物聯(lián)網(wǎng)、移動(dòng)互聯(lián)網(wǎng)和人工智能等技術(shù)，通過建立互聯(lián)、物聯(lián)、感知、智能的醫(yī)療服務(wù)環(huán)境，整合醫(yī)療資源，優(yōu)化醫(yī)療服務(wù)流程，規(guī)范診療行為，提高診療效率，輔助臨床決策和醫(yī)院管理決策，實(shí)現(xiàn)患者就醫(yī)便利化，醫(yī)療服務(wù)智慧化，醫(yī)院管理精細(xì)化的一種創(chuàng)新型醫(yī)院。

定義辨析

與“智慧醫(yī)療”的辨析

根據(jù)標(biāo)準(zhǔn)《智慧城市 智慧醫(yī)療》GB/T 40028給出的規(guī)范定義，智慧醫(yī)療（smart medical）是一種為了獲得最高的防治效果和健康效益、低化衛(wèi)生資源消耗、最小化的醫(yī)源性損害而進(jìn)行的工程，是“精準(zhǔn)醫(yī)療”和“云醫(yī)療”的有機(jī)整合,包含疾病預(yù)防、精準(zhǔn)治療和健康管理等。 [1] 與智慧醫(yī)院相比，智慧醫(yī)療更側(cè)重于問診和治療過程的智慧化，主要對(duì)應(yīng)手術(shù)機(jī)器人、問診機(jī)器人、遠(yuǎn)程手術(shù)、AI影像診斷等技術(shù)；智慧醫(yī)院更側(cè)重于醫(yī)院管理工作全流程的智慧化。 [2]

與“醫(yī)療信息化、醫(yī)院信息化”的辨析

醫(yī)療信息化或醫(yī)院信息化主要指的是90年代初以來，建立在100M以太網(wǎng)和云計(jì)算技術(shù)基礎(chǔ)上的醫(yī)院信息系統(tǒng)建設(shè)工作，隨著技術(shù)進(jìn)步醫(yī)療信息化概念也不斷納入新的技術(shù)內(nèi)涵，包括3G/4G、人工智能、自然語言理解等；主要子系統(tǒng)包括HIS（醫(yī)院信息系統(tǒng)）、LIS（實(shí)驗(yàn)室信息管理系統(tǒng)）、EMR（電子病歷系統(tǒng)）、PACS（影像歸檔和通信系統(tǒng)）、RIS（放射科信息系統(tǒng)）等。 [3] 醫(yī)療/醫(yī)院信息化與智慧醫(yī)院是近義詞，但醫(yī)療/醫(yī)院信息化在實(shí)踐中更側(cè)重于描述醫(yī)院專有的信息系統(tǒng)，而智慧醫(yī)院的涵義則還包含一些不止在醫(yī)院場景應(yīng)用的通用信息系統(tǒng)，比如智慧用電系統(tǒng)、火災(zāi)自動(dòng)報(bào)警系統(tǒng)、能耗在線監(jiān)測(cè)系統(tǒng)、智慧停車系統(tǒng)等。 [4]

目標(biāo)

信息系統(tǒng)全面覆蓋醫(yī)療服務(wù)和醫(yī)院管理的全過程。 [1]

智能設(shè)備布署于醫(yī)療服務(wù)和醫(yī)院管理的關(guān)鍵節(jié)點(diǎn)。 [1]

基礎(chǔ)設(shè)施能夠支撐醫(yī)療服務(wù)和醫(yī)院管理的智慧化。 [1]

安全體系可有效保障醫(yī)療服務(wù)和醫(yī)院管理的運(yùn)行。 [1]

內(nèi)容

電子病歷

智慧醫(yī)院建設(shè)的第一個(gè)領(lǐng)域是面向臨床醫(yī)務(wù)人員，以電子病歷為核心的智慧醫(yī)療。2010年，為規(guī)范醫(yī)療機(jī)構(gòu)電子病歷管理、臨床使用，促進(jìn)醫(yī)療機(jī)構(gòu)信息化建設(shè)，衛(wèi)生部印發(fā)《電子病歷基本規(guī)范（試行）》。2018年，國家衛(wèi)生健康委制定了《電子病歷系統(tǒng)應(yīng)用水平分級(jí)評(píng)價(jià)管理辦法（試行）》，將電子病歷分為8級(jí)管理，并提出了“所有三級(jí)醫(yī)院在2019年達(dá)到分級(jí)評(píng)價(jià)3級(jí)以上，到2020年達(dá)到4級(jí)以上；所有二級(jí)醫(yī)院在2020年達(dá)到3級(jí)以上”的目標(biāo)。 [5]

就診服務(wù)

智慧醫(yī)院建設(shè)的第二個(gè)領(lǐng)域是以患者為對(duì)象的智慧服務(wù)。2019年，國家衛(wèi)生健康委發(fā)布《醫(yī)院智慧服務(wù)分級(jí)評(píng)估標(biāo)準(zhǔn)體系（試行）》，將醫(yī)院“智慧服務(wù)”分成5級(jí)，主要指醫(yī)院（特別是三級(jí)醫(yī)院）利用互聯(lián)網(wǎng)、物聯(lián)網(wǎng)等信息化手段，為患者提供預(yù)約診療、候診提醒、院內(nèi)導(dǎo)航等服務(wù)，范圍涵蓋診前、診中、診后和基礎(chǔ)安全等就診全流程。 [5]

醫(yī)院后勤

智慧醫(yī)院建設(shè)的第三個(gè)領(lǐng)域是面向醫(yī)院管理者的智慧管理。主要指醫(yī)院運(yùn)用物聯(lián)網(wǎng)、大數(shù)據(jù)等技術(shù)進(jìn)行內(nèi)部管理，主要指后勤、運(yùn)營等領(lǐng)域的智慧用電、能耗在線監(jiān)測(cè)等系統(tǒng)建設(shè)，也包括科研、教學(xué)方面智慧化管理的內(nèi)容，相當(dāng)于為醫(yī)院配備“智能管家”，促進(jìn)醫(yī)院管理精細(xì)化。相關(guān)主管部門表示，國家后續(xù)將出臺(tái)“智慧管理”的分級(jí)評(píng)價(jià)文件，以評(píng)促建，推動(dòng)醫(yī)院智慧管理的標(biāo)準(zhǔn)化。 [5]

硬件基礎(chǔ)

物聯(lián)感知設(shè)備

物聯(lián)感知設(shè)備應(yīng)實(shí)現(xiàn)對(duì)智慧醫(yī)院的基礎(chǔ)設(shè)施、環(huán)境、設(shè)備和人員等的識(shí)別和信息采集與監(jiān)控，包括但不限于安全感知設(shè)備（智慧用電系統(tǒng)、電氣火災(zāi)監(jiān)控系統(tǒng)、火災(zāi)自動(dòng)報(bào)警系統(tǒng)、能耗在線監(jiān)測(cè)系統(tǒng)）、環(huán)境感知設(shè)備（環(huán)境溫濕度監(jiān)測(cè)、固體顆粒物監(jiān)測(cè)）、圖像感知設(shè)備（人臉識(shí)別系統(tǒng)）、身份感知設(shè)備、位置感知設(shè)備、設(shè)施感知設(shè)備和其他感知設(shè)備。 [1] 物聯(lián)感知系統(tǒng)采集的時(shí)間序列監(jiān)測(cè)數(shù)據(jù)和音視頻數(shù)據(jù)需要與智慧醫(yī)院其他子系統(tǒng)中的登記信息和設(shè)施設(shè)備使用數(shù)據(jù)結(jié)合起來才能獲得實(shí)用效果。 [7]

服務(wù)器與通信設(shè)備

服務(wù)器指提供數(shù)據(jù)計(jì)算與存儲(chǔ)資源的設(shè)備，通信設(shè)備包括公用網(wǎng)通信設(shè)備和專用網(wǎng)通信設(shè)備。 [1]

其他智能硬件

包括但不限于自助服務(wù)設(shè)備、導(dǎo)診機(jī)器人、院內(nèi)智能導(dǎo)航設(shè)備、床旁結(jié)算設(shè)備、床旁智能交互設(shè)備、車載智能急救設(shè)備、智能語音設(shè)備、自動(dòng)發(fā)藥設(shè)備、智能藥柜、智能輸液監(jiān)測(cè)設(shè)備、智能體征監(jiān)測(cè)設(shè)備、智能診療助手、手術(shù)機(jī)器人、生物三維打印設(shè)備、智能貨架、智能柜、物流機(jī)器人、智能消毒供應(yīng)管理設(shè)備、冷鏈智能監(jiān)測(cè)設(shè)備、智能能耗管理設(shè)備、智能安保管理設(shè)備、智能綜合服務(wù)設(shè)備。

參考資料

1、《智慧醫(yī)院建設(shè)指南》．全國標(biāo)準(zhǔn)信息公共服務(wù)平臺(tái)．2021-09-03[引用日期2022-07-05]

2、李建功,唐雄燕.智慧醫(yī)療應(yīng)用技術(shù)特點(diǎn)及發(fā)展趨勢(shì)[J].醫(yī)學(xué)信息學(xué)雜志,2013,34（06）:2-7+17.

3、王立波,王季,田甜,王建國,逯長生.淺談我國醫(yī)院信息化的現(xiàn)狀和發(fā)展趨勢(shì)[J].吉林醫(yī)學(xué),2013,34（01）:195-198.

4、俞磊. 基于物聯(lián)網(wǎng)技術(shù)的智慧醫(yī)院架構(gòu)及服務(wù)訪問研究[D].合肥工業(yè)大學(xué),2014.

5、胥婷,崔文彬,于廣軍.我國智慧醫(yī)院建設(shè)現(xiàn)狀及發(fā)展路徑[J].中國醫(yī)院,2020,24（03）:1-3+10.

6、許立陽,承孝敏,郭強(qiáng),葉通,許滸.智慧用電概念辨析.《產(chǎn)業(yè)科技創(chuàng)新》,2021（4）:29-31.

7、李德仁,姚遠(yuǎn),邵振峰.智慧城市中的大數(shù)據(jù)[J].武漢大學(xué)學(xué)報(bào)（信息科學(xué)版）,2014,39（06）:631-640.


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智慧醫(yī)院網(wǎng)絡(luò)廣播 ip廣播終端YA50
提供MP3、WMA、WAV等多種解碼方式，同時(shí)具備ADPCM、PCM編碼；","CompanyName":"深圳市優(yōu)安宏科技有限公司","CompanyID":"166355","MarketPrice":"11","PsOrder":"3878","PgID":"89","MaxOrder":"4","CityID":"214","City":"深圳市","Address":"深圳市","PropertysValue":"","HitNumber":"2848","FrontShow":"0","IsCharges":"1","Year":"9","StarNum":"6","UpdateAndClientSort":"51526544","StandUrl":"/st166355","UpdateTime":"2024/11/30 13:04:17","TodayIsUpdate":"0","AttType":"0","AttState":"3","AttAddType":"0","IsSeoCreate":"0","IsOnlinePay":"0","MinPrice":"0.00","MaxPrice":"0.00","ClassID":"2601","productonlinetime":"1900/1/1 0:00:00","OnLineDate":"1900/1/1 0:00:00","DownLineDate":"1900/1/1 0:00:00","BrandPicDomin":"","BrandPicName":"","BrandProperty":"","PBrandID":"0","IsHadVideo":"0","VideoTime":"0","ShowPrice":"0.00","IndustrySort":"10823878","HasPicSort":"110880417","UserID":"188441","PriceType":"0","PictureID":"5015503","CompanyTypeID":"3","Tag":"網(wǎng)絡(luò)對(duì)講終端,IP會(huì)議系統(tǒng),IP對(duì)講,IP廣播,IP對(duì)講終端","LinkMan":"羅工，孫工","TelPhone":"86-0755-28416982","ClassName":"游藝游戲機(jī)","ComProduct":"ip廣播，ip對(duì)講，網(wǎng)絡(luò)音頻終端，網(wǎng)絡(luò)音頻模塊，ip應(yīng)急廣播，網(wǎng)絡(luò)音箱，校園廣播，平安城市一鍵求助","BrandNameCH":"","IsShow":"1","MarketPrice2":"11","RetailPrice":"11","ComHitnumber":"172164","MarketUpdateTime":"2020/4/1 22:00:21","CreateTime":"2018/7/2 22:36:27","Flag":"1","PackageName":"中級(jí)會(huì)員","ClientSort":"0","CsName":"安安","Reprint":"","FeedBackMsg":"","EnUrl":"","MobilePhone":"15683819548,13728672523"}]