diff --git a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/common/appservice/impl/CommonServiceImpl.java b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/common/appservice/impl/CommonServiceImpl.java
index 9d1ca616..62c2bbff 100644
--- a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/common/appservice/impl/CommonServiceImpl.java
+++ b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/common/appservice/impl/CommonServiceImpl.java
@@ -464,17 +464,86 @@ public class CommonServiceImpl implements ICommonService {
      */
     @Override
     public List<LocationDto> getPractitionerWard() {
-        // 查询当前登录者管理的病区
+        // 获取当前登录用户信息
         Long practitionerId = SecurityUtils.getLoginUser().getPractitionerId();
+        Long currentOrgId = SecurityUtils.getLoginUser().getOrgId();
+
+        log.info("getPractitionerWard - practitionerId: {}, currentOrgId: {}", practitionerId, currentOrgId);
+
+        // 获取用户配置的位置 ID 列表（可能包含科室、病区等）
         List<Long> locationIds = practitionerRoleService.getLocationIdsByPractitionerId(practitionerId);
-        List<Location> locationList
-                = locationService.getLocationList(locationIds, Collections.singletonList(LocationStatus.ACTIVE.getValue()));
+        // 获取用户配置的科室 ID 列表
+        List<Long> orgIds = practitionerRoleService.getOrgIdsByPractitionerId(practitionerId);
+
+        log.info("getPractitionerWard - locationIds: {}, orgIds: {}", locationIds, orgIds);
+
         List<Location> wardList = new ArrayList<>();
-        for (Location ward : locationList) {
-            if (LocationForm.WARD.getValue().equals(ward.getFormEnum())) {
-                wardList.add(ward);
+
+        // 方式 1：从 locationIds 中过滤出病区
+        if (locationIds != null && !locationIds.isEmpty()) {
+            // 过滤掉 null 值
+            locationIds = locationIds.stream().filter(id -> id != null).collect(java.util.stream.Collectors.toList());
+            if (!locationIds.isEmpty()) {
+                List<Location> locationList
+                        = locationService.getLocationList(locationIds, Collections.singletonList(LocationStatus.ACTIVE.getValue()));
+                log.info("getPractitionerWard - 从 locationIds 查询到的位置总数：{}", locationList != null ? locationList.size() : 0);
+
+                for (Location location : locationList) {
+                    log.info("getPractitionerWard - 位置：id={}, name={}, formEnum={}, organizationId={}",
+                        location.getId(), location.getName(), location.getFormEnum(), location.getOrganizationId());
+                    if (LocationForm.WARD.getValue().equals(location.getFormEnum())) {
+                        // 如果当前有选择科室，只添加当前科室的病区
+                        if (currentOrgId == null || currentOrgId.equals(location.getOrganizationId())) {
+                            wardList.add(location);
+                        }
+                    }
+                }
             }
         }
+
+        // 方式 2：从 orgIds 查询病区（补充查询，确保能获取到病区）
+        if (orgIds != null && !orgIds.isEmpty()) {
+            // 过滤掉 null 值并去重
+            orgIds = orgIds.stream().filter(id -> id != null).distinct().collect(java.util.stream.Collectors.toList());
+            if (!orgIds.isEmpty()) {
+                log.info("getPractitionerWard - 从 orgIds 查询病区，orgIds: {}", orgIds);
+                for (Long orgId : orgIds) {
+                    // 如果当前有选择科室，只查询当前科室的病区
+                    if (currentOrgId != null && !currentOrgId.equals(orgId)) {
+                        continue;
+                    }
+                    List<Location> orgWards = locationService.getWardList(orgId);
+                    log.info("getPractitionerWard - orgId: {} 查询到病区数：{}", orgId, orgWards != null ? orgWards.size() : 0);
+                    if (orgWards != null && !orgWards.isEmpty()) {
+                        wardList.addAll(orgWards);
+                    }
+                }
+            }
+        }
+
+        // 方式 3：如果仍然没有病区，且 currentOrgId 为空，尝试获取所有病区
+        if (wardList.isEmpty() && currentOrgId == null) {
+            log.info("getPractitionerWard - 尝试获取所有病区");
+            List<Location> allWards = locationService.getWardList(null);
+            log.info("getPractitionerWard - 所有病区数：{}", allWards != null ? allWards.size() : 0);
+            if (allWards != null && !allWards.isEmpty()) {
+                wardList.addAll(allWards);
+            }
+        }
+
+        // 去重：根据病区 ID 去重（因为方式 1 和方式 2 可能会查询到相同的病区）
+        if (!wardList.isEmpty()) {
+            wardList = wardList.stream()
+                    .collect(java.util.stream.Collectors.collectingAndThen(
+                            java.util.stream.Collectors.toCollection(() ->
+                                new java.util.TreeSet<>(java.util.Comparator.comparing(Location::getId))),
+                            ArrayList::new
+                    ));
+        }
+
+        log.info("getPractitionerWard - 最终病区数：{}", wardList.size());
+
+        // 转换为 DTO
         List<LocationDto> locationDtoList = new ArrayList<>();
         LocationDto locationDto;
         for (Location ward : wardList) {
@@ -482,6 +551,31 @@ public class CommonServiceImpl implements ICommonService {
             BeanUtils.copyProperties(ward, locationDto);
             locationDtoList.add(locationDto);
         }
+
+        return locationDtoList;
+    }
+
+    /**
+     * 将Location列表转换为LocationDto列表
+     *
+     * @param locationList Location列表
+     * @return LocationDto列表
+     */
+    private List<LocationDto> convertToLocationDtoList(List<Location> locationList) {
+        List<LocationDto> locationDtoList = new ArrayList<>();
+        if (locationList == null || locationList.isEmpty()) {
+            return locationDtoList;
+        }
+
+        LocationDto locationDto;
+        for (Location location : locationList) {
+            // 只返回病区类型的位置
+            if (LocationForm.WARD.getValue().equals(location.getFormEnum())) {
+                locationDto = new LocationDto();
+                BeanUtils.copyProperties(location, locationDto);
+                locationDtoList.add(locationDto);
+            }
+        }
         return locationDtoList;
     }
 
diff --git a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/common/controller/CommonAppController.java b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/common/controller/CommonAppController.java
index 1b043e1a..d3a0dfd1 100644
--- a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/common/controller/CommonAppController.java
+++ b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/common/controller/CommonAppController.java
@@ -202,8 +202,8 @@ public class CommonAppController {
      * @return 病区列表
      */
     @GetMapping(value = "/practitioner-ward")
-    public List<LocationDto> getPractitionerWard() {
-        return commonService.getPractitionerWard();
+    public R<?> getPractitionerWard() {
+        return R.ok(commonService.getPractitionerWard());
     }
 
     /**
diff --git a/openhis-ui-vue3/src/views/inHospitalManagement/charge/register/components/api.js b/openhis-ui-vue3/src/views/inHospitalManagement/charge/register/components/api.js
index a3ea9cae..d6711d77 100644
--- a/openhis-ui-vue3/src/views/inHospitalManagement/charge/register/components/api.js
+++ b/openhis-ui-vue3/src/views/inHospitalManagement/charge/register/components/api.js
@@ -206,3 +206,14 @@ export function getAllWards(params = {}) {
     },
   });
 }
+
+/**
+ * 获取当前登录用户有权限管理的病区
+ */
+export function getPractitionerWard(queryParams) {
+  return request({
+    url: '/app-common/practitioner-ward',
+    method: 'get',
+    params: queryParams,
+  });
+}
diff --git a/openhis-ui-vue3/src/views/inHospitalManagement/charge/register/components/registerForm.vue b/openhis-ui-vue3/src/views/inHospitalManagement/charge/register/components/registerForm.vue
index 05f42564..425dbe82 100644
--- a/openhis-ui-vue3/src/views/inHospitalManagement/charge/register/components/registerForm.vue
+++ b/openhis-ui-vue3/src/views/inHospitalManagement/charge/register/components/registerForm.vue
@@ -202,7 +202,7 @@
 <script setup>
 import {
   diagnosisInit,
-  getAllWards,
+  getPractitionerWard,
   getBedInfo,
   getContractList,
   getDiagnosisDefinitionList,
@@ -427,13 +427,13 @@ function getInitOptions() {
   // 获取所有科室
   const orgPromise = getOrgList();
   // 获取所有病区
-  const wardPromise = getAllWards();
+  const wardPromise = getPractitionerWard();
 
   Promise.all([orgPromise, wardPromise]).then(([orgRes, wardRes]) => {
     const allOrgs = orgRes.data.records.filter(
       (record) => record.typeEnum === 2 && checkClassEnumValue(record.classEnum, 2)
     );
-    const allWards = wardRes.data.records || [];
+    const allWards = wardRes.data || [];
 
     // 提取所有病区关联的科室ID
     const linkedOrgIds = new Set();
diff --git a/openhis-ui-vue3/src/views/inpatientNurse/inOut/components/bedAllocation.vue b/openhis-ui-vue3/src/views/inpatientNurse/inOut/components/bedAllocation.vue
index 7241432b..e4f0708a 100644
--- a/openhis-ui-vue3/src/views/inpatientNurse/inOut/components/bedAllocation.vue
+++ b/openhis-ui-vue3/src/views/inpatientNurse/inOut/components/bedAllocation.vue
@@ -89,7 +89,7 @@ import Filter from '@/components/TableLayout/Filter.vue';
 import {computed, onBeforeMount, onMounted, reactive, ref} from 'vue';
 import TransferInDialog from './transferInDialog.vue';
 import SignEntryDialog from './signEntryDialog.vue';
-import {childLocationList, getBedInfo, getInit, getPendingInfo, getWardList} from './api';
+import {childLocationList, getBedInfo, getInit, getPendingInfo, getPractitionerWard} from './api';
 import {ElLoading, ElMessage, ElMessageBox} from 'element-plus';
 import PendingPatientList from '@/components/PendingPatientList/index.vue';
 
@@ -233,8 +233,8 @@ const ininData = async () => {
     priorityOptions.value = initRes.data.priorityOptions || [];
 
     // 然后获取病区数据（使用与病区管理页面相同的接口）
-    const wardRes = await getWardList({ pageNum: 1, pageSize: 50, formEnum: 4 });
-    const wardList = wardRes.data?.records || [];
+    const wardRes = await getPractitionerWard();
+    const wardList = wardRes.data || [];
     selectHosLoding.value = false;
     queryParams.value.wardId = wardList[0]?.id || '';
     initInfoOptions.value.wardListOptions = wardList;