中国医疗设备2016,Vol.31Issue(2):112-114,72,4.DOI:10.3969/j.issn.1674-1633.2016.02.030
医院环节病历质量自动化核查与管理系统设计
Design of a System for Quality Automatic Veriifcation and Management of Link Medical Record in the Hospital
胡敏 1茅建华 1汪春晖 1于京杰1
作者信息
- 1. 南京军区南京总医院 信息科,江苏南京 210002
- 折叠
摘要
Abstract
Objective Based on the current hospital electronic medical records, to construct a link medical quality management system that includes data acquirement, problem analysis and veriifcation, and early warning by using computer technology, so as to realize a comprehensive and efifcient form of quality control of link medical records.Methods On the basis of the BTECH network medical record quality management system, to develop the quality monitoring software for embedded link medical record form and the early warning software, which were used in the automatic quality veriifcation and management of our medical records.Results The automatic quality veriifcation of the link medical record was realized. The early warning and quality control system were also accomplished. We have realized the whole link quality of the hospitalized patients' medical records in network automatic census, real-time monitoring and early warning, and quality control.Conclusion The test run of the system signiifcantly increased the rate of grade A in the piling of medical record documentation.关键词
电子病历/环节病历/质量管理/医院信息系统Key words
electronic medical records/link medical record/quality management/hospital information system分类
信息技术与安全科学引用本文复制引用
胡敏,茅建华,汪春晖,于京杰..医院环节病历质量自动化核查与管理系统设计[J].中国医疗设备,2016,31(2):112-114,72,4.