基于医院评审标准的重点专业质量控制指标数据治理的思考
Thoughts on Data Governance of Key Professional Quality Control Indicators Based on the Hospital Evaluation Criteria
徐悦 1张秉坤 1姚国东 1黄皓 1魏楠 1高华斌2
作者信息
- 1. 昆明理工大学附属安宁市第一人民医院 云南 昆明 650302
- 2. 云南省医疗服务质量评价中心 云南 昆明 650000
- 折叠
摘要
目的 根据国家对三级医院评审的要求,对重点专业质量控制指标数据进行治理,以促进数据安全和医疗服务能力的提升.方法 成立数据质量治理小组,汇总统计口径模糊的指标,按名称和类型进行分类整理.通过引进专业质控系统,制订病历结构化模板,将19个质控指标嵌入模板.在HIS系统中设置"专业质控指标数据集"入口,可直接获取质控指标数据集.结果 19个重点专业质量控制指标(合计298个指标,1 286项数据)中纯手工提取43项,信息化手段获取1 243项,信息化手段占96.66%,手工提取数据占3.34%;手工提取下降89.97%.结论 电子病历结构化有助于实现数据的精细化管理,促进医院高质量发展.
Abstract
Objective To govern key professional quality control indicators data according to the national require-ments for the evaluation of tertiary hospitals,to promote data security and enhance medical service ability.Methods A data quality governance team was set up to summarize the indicators with vague statistical caliber,and sort them by name and type.Through the introduction of professional quality control system,the medical record structure template was developed,and 19 quality control indicators were embedded in the template.The entry of"professional quality con-trol index data set"was set in HIS system,and the quality control index data set could be directly obtained.Results Among the 19 key professional quality control indicators(total 298 indicators,1 286 data),43 items were extracted manually,and 1 243 items were obtained by information means,accounting for 96.66%.Manual extraction accounted for 3.34%of the data,and manual extraction decreased by 89.97%.Conclusion The structuring of electronic medi-cal record is helpful to realize the fine management of data and promote the high quality development of hospitals.
关键词
三级医院评审标准/质量控制指标/数据治理Key words
Evaluation Criteria for Tertiary Hospitals/Quality Control Indicators/Data Governance引用本文复制引用
出版年
2024
NETL
NSTL
万方数据