The Impact of Artificial Intelligence Medical Record Quality Control System on Medical Record Quality and Quality Control Efficiency
Objectives This study aims to analyze the impact of the artificial intelligence medical record quality control system on medical record quality and medical record quality control efficiency and provide a reference for further research and application of the artificial intelligence medical record quality control system.Methods 10 clinical departments were randomly selected.5154 medical records that were manually controlled by traditional quality control physicians from January 1,2022 to May 31,2022 were used as the control group.6,646 medical records from June 1,2022 to October 31,2022,which were quality controlled using the artificial intelligence medical record quality control system and quality control physician review method,were selected as the research group.The connotative defect rate of medical records,defect types,missed fill-in rate on the front page,medical record quality score,and quality control efficiency between the two groups were compared.Results The connotation defect rate(39.86％)and the missed filling rate of the front page of inpatient medical records(4.24％)in the study group were significantly lower than those in the control group(73.44％,10.05％),and the differences were statistically significant(P＜0.05).The average score of medical record quality in the study group(92.73 points)was significantly higher than that in the control group(87.73 points),and the difference was statistically significant(P＜0.05).The number of connotative defects in various medical records dropped significantly,with an average decrease of 30.20％.The quality control time for the same amount of manpower was less than 1 month for the control group.Conclusions The artificial intelligence medical record quality control system can help reduce the missed filling rate of the homepage,reduce the connotation defects of medical records,and improve the efficiency of medical record quality control.
Artificial intelligence medical record quality control systemMedical record qualityMedical record connotation defectsOmission rate of medical record front page
NETL
NSTL
万方数据
