CN101178804A - Hospital information system construction method taking medical quality as core - Google Patents
Hospital information system construction method taking medical quality as core Download PDFInfo
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- CN101178804A CN101178804A CNA2007101938508A CN200710193850A CN101178804A CN 101178804 A CN101178804 A CN 101178804A CN A2007101938508 A CNA2007101938508 A CN A2007101938508A CN 200710193850 A CN200710193850 A CN 200710193850A CN 101178804 A CN101178804 A CN 101178804A
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Abstract
A method for constituting a hospital information system centralized on treatment quality belongs to the field of digitized research of hospitals. The present hospital information systems focus on charge and fail to consider sufficiently the needs of treatment quality management, therefore, tremendous indicating data about treatment quality can not be collected, and the present indicating data about the treatment quality is unavailable due to incomplete content. In order to accomplish the low-cost reform and treatment quality management fully based on the present hospital information system, the invention standardizes a homepage of a case, supplements a knowledge base, expands the data collection content of the homepage and a attached page of the case, takes the collection of the treatment quality index indicating data as an engine, transfers the present hospital information system focusing on the charge management to the hospital information system centralized on the treatment quality management, thus providing the invention.
Description
Technical field
The hospital information system construction method that with the quality of medical care is core belongs to the hospital digitisation research field.
Background technology
Hospital information system is built in the process of hospital modernization development, has brought into play important effect, and the medical level of the level of IT application and hospital and management level constitute three large resources of hospital jointly, is becoming the standard scale of weighing and estimating hospital's quality.Under the policy of medical system reform drives, administration request hospital must provide the rate per day inventory for patient, the tight demand that this policy signal causes has become the catalyzer of hospital information system develop rapidly, on the one hand, the application of the infosystem of hospital is promoted widely, hospital drops into scale aspect the construction of infosystem increasing, stay defective also on the other hand the sound development of hospital information system: show with the charge to be the demand that the quick construction of core does not take into full account the quality of medical care management on the structure, the data set of system acquisition can not support comprehensively that hospital's quality of medical care managing special is that quality index in line with international standards has 1/2nd content not obtain especially from existing infosystem.Chinese Government comes to realise the control quality of medical care and is only the most basic problem of hospital after the experiment of reform that has experienced hospital's marketization runs into a large amount of problems.But this moment, the inadequate natural endowment of infosystem in process of construction of all hospitals began to display, a large amount of clinical quality expression datas can't be gathered and share, existing quality expression data can't use owing to content is imperfect, pushes over from building infosystem unrealistic.Problem is how on the basis of existing hospital information system, carries out rebuilding at low cost and fully realizes the target of quality of medical care management.
The Chinese patent name is called " the flow nodes essential factor management method of being in hospital " application number: 200310116785.0, be by timing node, three parts of working node and content element are formed, here this patent has proposed the new method of the structural relation management of data, and problem is that this active data planning and design are passed through and so on approach and step and just can be reached our total quality control requirement.
Summary of the invention
For on the basis of existing hospital information system, carry out rebuilding at low cost and fully realize the target that quality of medical care is managed, eliminate the randomness of existing system in construction as far as possible, make data standard and standardization, the invention provides a kind of is the hospital information system construction method of core with the quality of medical care, can pass through the first page of illness case standardization, replenish knowledge base, expansion first page of illness case attached sheet data acquisition content and data normalization, hospital information system transformation based on quality of medical care index expression data group, on standardized basis, with the collection of quality of medical care index expression data is engine, and it is the hospital information system of core that the hospital information system that with the toll administration is core is at present progressively changed into the quality of medical care management.
The technical solution adopted for the present invention to solve the technical problems is:
The hospital information system construction method that with the quality of medical care is core is: by diagnostic standardization, the preliminary quality of medical care index analysis of first page of illness case standardization support is finished in section office's standardization and chronomere's standardization.Setting up knowledge base comprises: the data association analysis is carried out to the raw data of first page of illness case in crucial sick kind storehouse, crucial operation storehouse, surgical death risk storehouse, negative events storehouse, diagnosis associated packets (DRG) storehouse, set up new data language environment, tentatively discharge the quality of medical care information in the first page of illness case raw data.Setting up quality of medical care index storehouse comprises: dead class index storehouse, return to class index storehouse, negative events index storehouse, hospital day index storehouse, cost of hospitalization index storehouse and other index storehouses.Setting up the index analysis dimension comprises: the event result dimension has dead class, returns to class, negative events class, hospital day class, cost of hospitalization class and other classes; The time range dimension have year, season, the moon, day, 7 days, 15 days, 7 to 15,31,15 to 31 days, the time, 24 little time-divisions, 48 hours, 25 to 48 hours, 72 hours, 49 to 72 hours, minute, second; The risk stratification dimension has 0 grade, 1 grade, 2 grades, 3 grades, 4 grades; Index location dimension has average bit, meta, 75 fens positions, 25 fens positions, revises the position; The index attribute dimensions has clear data value, interval value, rendezvous value, statistical value, calculated value, assay value, fiducial value, data report template, quality report template; Incident scope dimension has DRG grouping, crucial DRG group, sickly plants, crucially sickly plant, singly sickly plant, regulation is sickly planted, high morbidity kind/preceding 10, operation, crucial operation, the crucial sick danger operation of operation, crucial DRG operation, the operation of wind force 0 danger, light breeze, the operation of gentle breeze danger, the operation of moderate breeze danger, fresh breeze danger operation, respiratory system, digestive system, urinary system, the circulation system, kinematic system, internal system, neonate, the special operation of diagnosis and treatment of planting; Role's dimension has area, hospital, section office, comprehensive ICU (APICU), cardiac monitoring chamber (CCU), internal medicine ICU (MICU), SICU (SICU), Medicine and Surgery to mix ICU (M/SICU), medical team, doctor; The environment dimension is expressed in quality analysis has first page of illness case raw data, knowledge base raw data, molecule statistics, denominator statistics, molecule eliminating factor statistics, denominator to get rid of factor statistics, molecular computing, denominator calculating, index calculating, quality improvement SPATIAL CALCULATION, industry fiducial value, management prompting; Get rid of factor dimension the 1st diagnosis name (ICD-10), the 1st operation names (ICD-9-CM-3), age limit arranged, follow disease restriction (other diagnosis), complication restriction (other operations), lapse to restriction, hospital day limits; Utilize raw data and the knowledge base of multidimensional index analysis system, make up quality of medical care data representation platform based on first page of illness case.Oppositely define the quality of medical care expression data from multidimensional index analysis system, with these data normalizations, scene with these data serves as that sign is drawn quality of medical care index expression data distribution map, according to quality of medical care expression data map existing hospital information system is carried out data acquisition planning and data structure optimization, system architecture optimal design again, support the comprehensive information management of quality of medical care, the hospital information system that accurate realization is core with the toll administration changes to the hospital information system that with the quality of medical care management is core.The data acquisition scope of expansion first page of illness case is a core redesign first page of illness case content format with the quality of medical care expression data.
The invention has the beneficial effects as follows, by the first page of illness case data base standardization, the knowledge base standardization, quality of medical care index library standardization, the quality of medical care expression data defines standardization, realizes the quality of medical care management standardization of hospital information system at last.
Description of drawings
Accompanying drawing is to be the hospital information system construction method step synoptic diagram of core with the quality of medical care.Wherein A first page of illness case database, B knowledge base, C quality of medical care index storehouse, D quality of medical care expression data map.
Specific implementation method
With A first page of illness case database, the B knowledge base, C quality of medical care index storehouse, the standardization of D quality of medical care expression data map content, with the B knowledge base is that the quality of medical care information of guide from A first page of illness case database mining data constitutes second level playback of data, with C quality of medical care index storehouse is that guide is further excavated quality of medical care information and constituted third level playback of data from A first page of illness case database and secondary playback of data, carry out comparison of quality of medical care index and problem retrieval, by case survey, management follows card, training, process optimization and infosystem transformation realize the quality of medical care management.Oppositely define the quality of medical care expression data from C quality of medical care index storehouse, with these data normalizations, scene with these data serves as that sign is drawn D quality of medical care expression data map, according to D quality of medical care expression data map existing hospital information system is carried out data acquisition planning and data structure optimization, system architecture optimal design again, quick and precisely realize with the toll administration being that the hospital information system of core changes to the hospital information system that is core with the quality of medical care management.The data acquisition scope of expansion first page of illness case is a core redesign first page of illness case content format with the quality of medical care expression data.
Claims (6)
1. the hospital information system construction method that with the quality of medical care is core is by the first page of illness case data base standardization, the knowledge base standardization, quality of medical care index library standardization, the quality of medical care expression data defines standardization, realizes the quality of medical care management standardization of hospital information system at last.
2. according to claim 1 is the hospital information system construction method of core with the quality of medical care, it is characterized in that: by diagnostic standardization, the first page of illness case standardization is finished in section office's standardization and chronomere's standardization, supports preliminary quality of medical care index analysis.
3. according to claim 1 is the hospital information system construction method of core with the quality of medical care, it is characterized in that: set up knowledge base and comprise: the data association analysis is carried out to the raw data of first page of illness case in crucial sick kind storehouse, crucial operation storehouse, surgical death risk storehouse, negative events storehouse, diagnosis associated packets (DRG) storehouse, set up new data language environment, tentatively discharge the quality of medical care information in the first page of illness case raw data.
4. according to claim 1 is the hospital information system construction method of core with the quality of medical care, it is characterized in that: set up quality of medical care index storehouse and comprise: dead class index storehouse, return to class index storehouse, negative events index storehouse, hospital day index storehouse, cost of hospitalization index storehouse and other index storehouses.
5. according to claim 1 is the hospital information system construction method of core with the quality of medical care, it is characterized in that: set up the index analysis dimension from medical quality index storehouse and comprise: the event result dimension has dead class, returns to class, negative events class, hospital day class, cost of hospitalization class and other classes; The time range dimension have year, season, the moon, day, 7 days, 15 days, 7 to 15,31,15 to 31 days, the time, 24 hours, 48 hours, 25 to 48 hours, 72 hours, 49 to 72 hours, minute, second; The risk stratification dimension has 0 grade, 1 grade, 2 grades, 3 grades, 4 grades; Index location dimension has average bit, meta, 75 fens positions, 25 fens positions, revises the position; The index attribute dimensions has clear data value, interval value, rendezvous value, statistical value, calculated value, assay value, fiducial value, data report template, quality report template; Incident scope dimension has DRG grouping, crucial DRG group, sickly plants, crucially sickly plant, singly sickly plant, regulation is sickly planted, high morbidity kind/preceding 10, operation, crucial operation, the crucial sick danger operation of operation, crucial DRG operation, the operation of wind force 0 danger, light breeze, the operation of gentle breeze danger, the operation of moderate breeze danger, fresh breeze danger operation, respiratory system, digestive system, urinary system, the circulation system, kinematic system, internal system, neonate, the special operation of diagnosis and treatment of planting; Role's dimension has area, hospital, section office, comprehensive ICU (APICU), cardiac monitoring chamber (CCU), internal medicine ICU (MICU), SICU (SICU), Medicine and Surgery to mix ICU (M/SICU), medical team, doctor; The environment dimension is expressed in quality analysis has first page of illness case raw data, knowledge base raw data, molecule statistics, denominator statistics, molecule eliminating factor statistics, denominator to get rid of factor statistics, molecular computing, denominator calculating, index calculating, quality improvement SPATIAL CALCULATION, industry fiducial value, management prompting; Get rid of factor dimension the 1st diagnosis name (ICD-10), the 1st operation names (ICD-9-CM-3), age limit arranged, follow disease restriction (other diagnosis), complication restriction (other operations), lapse to restriction, hospital day limits; Utilize raw data and the knowledge base of multidimensional index analysis system, make up quality of medical care data representation platform based on first page of illness case.
6. according to claim 1 is the hospital information system construction method of core with the quality of medical care, it is characterized in that: oppositely define the quality of medical care expression data from medical quality index storehouse multidimensional index analysis system, with these data normalizations, scene with these data serves as that sign is drawn quality of medical care index expression data distribution map, according to quality of medical care expression data map existing hospital information system is carried out data acquisition planning and data structure optimization again, the system architecture optimal design, support the comprehensive information management of quality of medical care, the hospital information system that accurate realization is core with the toll administration changes to the hospital information system that with the quality of medical care management is core; The data acquisition scope of expansion first page of illness case is a core redesign first page of illness case content format with the quality of medical care expression data.
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| CNA2007101938508A CN101178804A (en) | 2007-12-05 | 2007-12-05 | Hospital information system construction method taking medical quality as core |
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Cited By (6)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN104951894A (en) * | 2015-06-25 | 2015-09-30 | 成都厚立信息技术有限公司 | Intelligent analysis and assessment system for disease management in hospital |
| CN105046406A (en) * | 2015-06-25 | 2015-11-11 | 成都厚立信息技术有限公司 | Inpatient medical management quality assessment method |
| CN105719212A (en) * | 2014-12-03 | 2016-06-29 | 王剑云 | Perioperative safety management method using information technology |
| CN110704583A (en) * | 2019-09-20 | 2020-01-17 | 和宇健康科技股份有限公司 | Medical record analysis method and device, server and storage medium |
| CN111816288A (en) * | 2020-07-22 | 2020-10-23 | 望海康信(北京)科技股份公司 | Hospital operation system |
| CN113470799A (en) * | 2021-07-09 | 2021-10-01 | 深圳前海天智信息技术有限公司 | Intelligent editor of hospital comprehensive quality supervision platform |
-
2007
- 2007-12-05 CN CNA2007101938508A patent/CN101178804A/en active Pending
Cited By (9)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN105719212A (en) * | 2014-12-03 | 2016-06-29 | 王剑云 | Perioperative safety management method using information technology |
| CN104951894A (en) * | 2015-06-25 | 2015-09-30 | 成都厚立信息技术有限公司 | Intelligent analysis and assessment system for disease management in hospital |
| CN105046406A (en) * | 2015-06-25 | 2015-11-11 | 成都厚立信息技术有限公司 | Inpatient medical management quality assessment method |
| CN104951894B (en) * | 2015-06-25 | 2018-07-03 | 成都厚立信息技术有限公司 | Hospital's disease control intellectual analysis and assessment system |
| CN110704583A (en) * | 2019-09-20 | 2020-01-17 | 和宇健康科技股份有限公司 | Medical record analysis method and device, server and storage medium |
| CN111816288A (en) * | 2020-07-22 | 2020-10-23 | 望海康信(北京)科技股份公司 | Hospital operation system |
| CN111816288B (en) * | 2020-07-22 | 2023-10-13 | 望海康信(北京)科技股份公司 | Hospital operation system |
| CN113470799A (en) * | 2021-07-09 | 2021-10-01 | 深圳前海天智信息技术有限公司 | Intelligent editor of hospital comprehensive quality supervision platform |
| CN113470799B (en) * | 2021-07-09 | 2023-08-08 | 深圳前海天智信息技术有限公司 | Intelligent editor of comprehensive quality supervision platform for hospitals |
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Open date: 20080514 |