首页|基于人工智能的病历质控闭环系统应用与思考

基于人工智能的病历质控闭环系统应用与思考

Application and reflections on the closed-loop system for medical record quality control based on artifi-cial intelligence

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目的 为实现对电子病历全流程的全面质量控制,大型综合医院推出了基于人工智能的病历质控闭环系统.方法 通过建立病历质控规则数据库,结合人工智能技术和闭环管理模式,形成智能化病历质控闭环系统.该系统包括事前提醒、事中实时监控与预警、事后反馈与改进以及多维度统计分析等.结果 实现了病历质量控制全样本覆盖,与病历相关的质量指标稳步提升.结论 人工智能病历质控闭环系统的应用显著提升了电子病历的质量和病案室的工作效率,提高了医院的精细化管理水平.
Objective To achieve comprehensive quality control throughout the entire process of electronic medical re-cords,a large general hospital has implemented an artificial intelligence-based closed-loop system for medical record quality con-trol.Methods By establishing a database of medical record quality control rules and integrating it with artificial intelligence technology and a closed-loop management mode,an intelligent closed-loop system for medical record quality control was formed.This system comprised pre-emptive alerts,real-time monitoring and warning during patient care,post-event feedback and im-provement mechanisms,as well as multi-dimensional statistical analysis.Results The system achieved full-sample coverage for medical record quality control,with quality indicators related to medical records showing a steady improvement.Conclusion The application of the artificial intelligence-based closed-loop system for medical record quality control can significantly improve the quality of electronic medical records,as well as the efficiency and effectiveness of the medical records department,enhancing the hospitals level of refined management.

Quality control of medical recordsArtificial intelligenceConnotation quality controlClosed-loop manage-ment

冯楚、李盈、金雯、李全欢、钟洁

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浙江大学医学院附属第一医院 浙江杭州 310003

病历质控 人工智能 内涵质控 闭环管理

2024

现代医院
广东省医院协会

现代医院

影响因子:1.332
ISSN:1671-332X
年,卷(期):2024.24(8)