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北京市电子病历区域共享数据质量评价指标体系构建及应用研究

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目的 探索构建电子病历区域共享数据质量评价指标体系,提升区域电子病历共享数据质量.方法 通过梳理文献资料,应用历史数据开展实证分析,以及开展三轮专家咨询,确定评价维度、评价指标数据项、评分方法及权重.结果 形成电子病历区域共享数据质量评价指标体系,并应用于30家试点医院开展月度监测分析,2023年1月至6月数据质量总体平均分由90.53分提升至93.83分.结论 应用本研究建立的电子病历区域共享数据质量评价指标体系开展质控工作已取得良好效果,试点医院数据质量持续提升,可为我国其他省市研制电子病历区域共享数据质控方案提供参考.
Research on the Construction and Application of Quality Evaluation Index System for Regional sharing Data of Electronic Health Record in Beijing
Objective Exploring the establishment of data quality evaluation index system to improve the data quality of regional sharing data of electronic health record. Methods Literature review,empirical analysis and three rounds of expert consultation were conducted to determine the evaluation dimension,evaluation indicators,scoring methods and weights. Results A regional sharing data quality evaluation index system for electronic health record was formed and applied to 30 pilot hospitals for monthly analysis and monitoring. From January to June 2023,the overall average score of data quality increased from 90.53 to 93.83. Conclusion Through applying the regional sharing data quality evaluation index system of electronic health record established in this study to conduct quality control,the quality of the data from pilot hospitals was improved continuously,which could provide reference for other provinces and cities in China to develop the regional sharing data quality evaluation index system of electronic health record.

electronic health recorddata quality controlevaluation index system

高摘星、路凤、刘晶、郭默宁

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北京市卫生健康大数据与政策研究中心(北京市医院管理研究所),北京市,101117

北京市医疗管理数据质量控制和改进中心,北京市,101117

电子病历 数据质控 评价指标体系

2024

中国卫生信息管理杂志
卫生部统计信息中心

中国卫生信息管理杂志

CSTPCD
影响因子:1.2
ISSN:1672-5166
年,卷(期):2024.21(6)