Hospital information systems (HIS) are widely used in hospitals all over the world. Despite the benefits of HIS, they are not very convenient for practice sometimes. [1–3] Considering the information management in hospitals which requires accuracy and timeliness in some cases, and the difficulty of the system optimization after implementation, it is necessary that some supplement for HIS should be made according to the need in a given situation.[4]
The COVID-19 epidemic broke out in Wuhan City, Hubei Province in December 2019 and spread rapidly. FSHs which is converted from large-scale public venue, is proposed and proven to be an effective way for administering medical care and social isolation.[5] FSHs were built and opened in China for isolation and care of patients with mild symptoms. Days after the opening of the WFSH, the HIS was available which made it more convenient to inquire about patient information, examination results and doctors’ orders. Meanwhile, medical information could also be stored effectively. However, unlike in general hospitals, management of hundreds or even thousands of patients at the same time in the WFSH was really a huge challenge, furthermore, the HIS was not competent for processing the information of a large number of patients simultaneously and it took a long period of time to inquire about the medical information of each patient separately through the HIS.
The LNMRT worked in the WFSH with other medical teams. Based on the application of the HIS, the LNMRT adopted a new electric management mode named SEM in patient treatment and care, which achieved good results. FSHs were built from large-scale public venue such as the Hongshan Gymnasium of Wuchang District, the Wuhan International Exhibition Center of Jianghan District, the Wuhan living Room of Dongxi Lake District and so on. The time required for an FSH construction was only 1-2 days. An FSH could accommodate thousands of patients at the same time. Only patients with mild (with mild clinical symptoms, no pneumonia in pulmonary imaging) or general (with fever, respiratory symptoms, pneumonia in imaging) symptoms were admitted in FSHs (figure 1.). FSHs played an important role in care of patients and reduced the medical burden of local hospitals under COVID-19 pandemic.
1124 patients were treated in WFSH. The ratio of doctors to nurses to patients was 1:7:125 there and it was seriously lower than that in general hospitals. [6–8]. Workload of medical staff in FSHs would be enormous if patient management was carried out according to that in general hospitals. Under the epidemic situation, patients always had psychological problems such as anxiety, fear, sadness, depression and so on. Bad psychological state might lead to inhibition of body immune function and was not conducive for their recovery. [9–12] However, one-to-one psychological counseling might greatly increase workload of medical staff. As a result, group psychological counseling could not only reduce workload of medical staff, but also achieve good results.
Although HIS is widely used, there is not a kind of electronic system designed specifically for FSHs yet. The SEM in this study was formulated by the LNMRT according to the actual work needs and achieved good results.