中国医疗设备2024，Vol.39Issue(1)：79-84,91,7.DOI:10.3969/j.issn.1674-1633.2024.01.014
基于HIS病种诊疗小目录的DRG主诊断选择辅助支持功能的设计与实现
Design and Implementation of Intelligent Support Function for DRG Main Diagnosis Selection Based on HIS Disease and Treatment Small Catalogue
摘要
Abstract
Objective In response to the difficulty of selecting diagnosis related groups(DRG)as the main diagnosis for clinical doctors under multiple disease treatment conditions,to implement the auxiliary decision support function for DRG main diagnosis selection based on the disease diagnosis and treatment small directory technology,and to improve the accuracy of DRG main diagnosis selection.Methods A small catalogue of disease and treatment and a small catalogue of disease and price were established,and the disease with the treatment items and price items respectively was compared.The triggers for the doctor's order list and price list in the database was created to realize the collection of treatment data and price data in the patient catalogue,and then the disease treatment costs and treatment time was sorted through WebService services,which could provide DRG main diagnosis selection assistance support for clinical doctors.The accuracy rate of main diagnosis,the filing time of medical records and the average cost of patients exceeding the regional disease category were compared before and after using the system.Results After the application of the system,the main diagnostic error rate of medical records decreased from 11.5%to 3.0%,the filing time of medical records decreased from(3.34±1.77)d to(3.13±1.60)d,and the average cost of patients exceeding the regional disease category decreased from(1508.85±10355.77)yuan to(506.68±10385.09)yuan,with a decrease of 66.42%.The differences were statistically significant(P<0.05).Conclusion This function provides clinicians with quantitative data on the two elements of"consuming the most medical resources"and"affecting the longest hospital stay",which can improve the accuracy and real-time performance of providing auxiliary support for the selection of primary diagnosis for DRG.关键词
医院信息系统/疾病诊断相关分组/主诊断/诊疗项目/病种目录Key words
hospital information system/diagnosis related groups/main diagnosis/treatment items/catalogue of disease分类
医药卫生引用本文复制引用
王兴强,徐茂云..基于HIS病种诊疗小目录的DRG主诊断选择辅助支持功能的设计与实现[J].中国医疗设备,2024,39(1):79-84,91,7.基金项目
国家自然科学基金(81502896). （81502896）
