CN110993079A

CN110993079A - Medical quality control management platform

Info

Publication number: CN110993079A
Application number: CN201911201595.6A
Authority: CN
Inventors: 钟新莉; 季科; 刘震; 张建贞; 黄元森; 王超
Original assignee: CHONGQING YADE TECHNOLOGY CO LTD
Current assignee: CHONGQING YADE TECHNOLOGY CO LTD
Priority date: 2019-11-29
Filing date: 2019-11-29
Publication date: 2020-04-10

Abstract

The invention provides a medical quality control management platform, which is based on a standard framework of J2EE, takes an Application Server as a construction basis, and comprises an Application presentation layer, a service layer, a data layer and a data center; the application display layer is used for directly providing a display interface of the B/S framework for a user and providing daily operation and operation maintenance functions; the service layer is positioned below the application layer and above the acquisition layer and is used for providing an operation management function based on business for an upper layer program and realizing various basic information management, operation of a workflow and data integration analysis; the data layer is used for the functions of platform access, data acquisition, control and protocol conversion, and provides data to other layers through a unified communication protocol and an information model after normalization and conversion; and the data center is used for storing various medical data and outputting the data to other layers. The invention establishes an effective early warning mechanism, avoids medical errors in the medical treatment process and is more beneficial to improving and enhancing the medical treatment quality.

Description

Medical quality control management platform

Technical Field

The invention relates to the field of Internet of things, in particular to a medical quality control management platform.

Background

The medical quality is the soul of the hospital and is the determining factor for the development of the hospital. Since the last 70 s, medical quality management has been advocated and developed in China gradually, and through more than 40 years of development, quality management is widely applied by hospitals at present, and along with continuous innovation of management theory, medical quality management is gradually developed towards refined and element management from final quality management.

The medical and health industry internally recognizes that 50 percent of the current medical accidents can be completely avoided. In terms of medical quality management, the inevitable medical accidents are basically caused by reasons such as failure to comply with the relevant medical health management system and medical treatment technical regulations.

The defects of traditional medical quality management in hospitals are mainly reflected in the four aspects of single management method, narrow management range, poor management timeliness and nonstandard quality evaluation indexes: 1) single management method, 2) narrow management range, 3) poor management timeliness and 4) imperfect quality evaluation index system.

Disclosure of Invention

Aiming at the defects of the prior art, the invention provides a medical quality control management platform which is used for solving the problems in the prior art.

According to one aspect of the invention, a medical quality control management platform is provided, which is based on the standard architecture of J2EE, takes Application Server as a construction basis, and comprises an Application presentation layer, a service layer, a data layer and a data center;

the application display layer is used for directly providing a display interface of the B/S framework for a user and providing daily operation and operation maintenance functions;

the service layer is positioned below the application layer and above the acquisition layer and is used for providing an operation management function based on business for an upper layer program and realizing various basic information management, operation of a workflow and data integration analysis;

the data layer is used for the functions of platform access, data acquisition, control and protocol conversion, and provides data to other layers through a unified communication protocol and an information model after normalization and conversion;

the data center comprises an HIS system, an LIS system, an EMR system and a PACS system and is used for storing various medical data and outputting the data to other layers.

Further, the application presentation layer comprises a key patient management module, a home page management module, a message notification module, a resource library management module, an in-hospital medical record quality management module, a link quality module, a final quality module, a quality control management and control mobile terminal module, a system management module and a message notification module;

the key patient management module is used for providing timely and accurate information for the professional hospital chief and the medical department to comprehensively and emphatically master the conditions of the inpatients, and is convenient for macroscopically controlling, timely commanding, supporting, coordinating and organizing the diagnosis and treatment work of the key patients of all departments of the whole hospital;

the home page management module is used for respectively providing quality control management or production inlets according to different user types, work responsibilities and business requirements;

the message notification module is used for issuing business contact information among the management functional department, the quality control personnel and the quality control doctor, and the business contact information mainly comprises notification and notification;

the resource library management module is used for realizing the matching between the hospital knowledge base and the quality control standard fine rule base, forming closed-loop management and converting the knowledge with different forms in the hospital clinical knowledge base into a structured quality control standard fine rule base;

the hospital medical record quality management module is used for improving the quality of medical records, wherein the quality of the medical records comprises the writing quality of the medical records, and also comprises whether diagnosis is timely, whether a diagnosis and treatment plan is perfect, whether medication is reasonable, and whether the diagnosis and treatment plan is timely adjusted when the condition of an illness changes;

the link quality module is used for monitoring the quality of a patient in the hospitalization process in real time, the medical quality management is changed into the process quality management with the key points of feedforward and field control from the control feedback of the final quality, and the prior and in-situ management formed by changing post-management into the medical quality is carried out;

the terminal quality module is used for realizing objective evaluation on a quality control process, automatically acquiring quality index data, reducing judgment of subjective factors and effectively promoting objective justice of a quality control result;

the quality control management and control mobile terminal module is used as a tool for quality control related personnel to carry out daily work, can operate the announcement and quality control link on a terminal, and provides support for quality control managers and quality control personnel to manage and control task execution conditions;

the system management module is used for providing a tool for managing the system for a system administrator and providing an operation help document for a system use user.

Furthermore, the in-hospital medical record quality management module comprises a medical record content information unit, an electronic medical record quality monitoring unit and a medical record quality defect management unit;

the medical record content information unit is used for storing all medical record information such as basic information of patients, admission records, medical advice, medical course records, examination and inspection, treatment application and report, consultation, operation application and record, temperature lists, nursing records and the like;

the electronic medical record quality monitoring unit is used for monitoring, recording and dynamically prompting all medical record information such as basic information, admission records, medical advice, course records, examination and inspection, treatment application and report, consultation, operation application and record, temperature sheets, nursing records and the like of patients in real time according to the requirements of hospitals on substantive problems affecting medical quality;

the medical record quality defect management unit is used for recording medical record defect point grading rules formulated by a user through building a database platform at a server side, comparing data to be checked generated by the client side with defect points in the database when a checking and verifying signal sent by the client side is received, and generating a statistical report to feed back to the user after the comparison is completed.

Furthermore, the link quality module comprises a monitoring management unit, a control management unit and a statistical unit

The monitoring management unit is used for monitoring medical quality real-time information according to quality rule standards, including daily disease course monitoring and surgical disease course monitoring;

the control management unit is used for evaluating the quality of each link in the medical process by using a medical quality evaluation rule standard library and comparing the acquired information, performing intervention control, giving a prompt for the found quality deviation, and feeding back the information to related responsible persons and managers through notification;

the statistical unit is used for counting medical quality deviation reasons, department and personal medical quality deviation times, sorting department and personal medical quality deviation times and counting key link element index deviation times.

Further, the final quality module comprises a template management unit, an index management unit, a quality scoring unit, a scoring management unit and a statistical query unit;

the template management unit is used for providing the editing capability of the annual and monthly indexes and setting a calculation formula to ensure that the system has the capability of automatically calculating the reference score;

the index management unit is used for providing editing capacity for indexes, including functions of adding, deleting, modifying and searching, providing definition of a grading calculation formula and providing an outline configuration function of index attribution;

the quality scoring unit is used for importing scores according to a preset template, automatically calculating comprehensive scoring scores according to contents and weights according to imported data, and supporting upward summary of final scores to serve as assessment results;

the scoring management unit is used for template export, data import, data filling, scoring confirmation and short message reminding;

and the statistical query unit is used for generating various statistical reports according to the final assessment results of monthly and annual statistical departments according to the weight of each quality control project.

Furthermore, the statistic query unit comprises a query function, a statistic data drilling function and a statistic report printing function;

and (4) query function: query can be carried out according to various dimensionalities of scoring, including scoring types, scoring classifications, scored departments, scoring time and other dimensionalities, by self-defining query contents;

and (4) a statistical function: the method comprises the steps of counting the scores of the whole hospital, wherein a counting report is divided into monthly assessment and annual assessment, and a counting result comprises a serial number and scores of department doctors;

statistical data drill function: the system provides a linking function of the assessment results, and all assessment detailed scores and conversion weights forming the scoring results can be checked through the links;

the statistical form downloading function: any statistical report can be downloaded into Excel and PDF files;

the statistical form printing function: the current report may be printed online.

Furthermore, the medical record quality defect management unit matches the defect items by accessing the relevant fields of the database table and adopting a method of writing SQL query statements, so that the data access of the database table and the defect items is found, and finally, a verification result is generated and fed back to a quality inspection user.

Further, the medical record quality defect management unit comprises a rule matching algorithm based on multi-rule node sharing, the condition part of a rule is formed by combining one or more sub-conditions, the sub-conditions are regarded as one node, the multi-rule can share the node due to the fact that the same sub-conditions exist among the rules, and the multi-rule is processed through calculation of a single node, so that the rule matching efficiency is improved.

Further, the data center adopts Oracle technology.

Further, the DES algorithm is used for encryption and decryption.

Compared with the prior art, the invention has the beneficial effects that:

the invention is a whole-course, real-time and omnibearing medical quality management, which is not only an innovation of a management mode, but also a revolution of a management idea. The main effects are embodied in the following four aspects:

first and whole-process monitoring: the hospital medical quality control mode is medical quality management under a hospital digital environment, is full-process quality management, and monitors all diagnosis and treatment information in the whole hospitalizing process from the beginning of patient admission to the end of hospitalizing of the patient;

secondly, real-time quality control: in the hospital medical quality management and control mode, hospital quality management and control personnel can monitor patients in all departments through a network at any time, check the medication, treatment conditions and doctor records of each patient, retrieve various examination data and image data of each patient, and communicate with doctors in time through the network. By means of the medical quality management system, an effective early warning mechanism is established, medical errors in the medical process are avoided, and improvement of medical quality are facilitated;

thirdly, all-round monitoring: in a digital medical quality control mode of a hospital, the medical quality control of the hospital is all-around control, the control range relates to various aspects such as clinicians, nursing, pharmacists and the like, and the control method brings various activities of the hospital into the control range;

fourthly, monitoring by multiple departments: the medical quality control mode relates to the organization and implementation of unit departments such as hospitals and health management. The quality management department of the hospital is mainly responsible for the medical quality supervision of patients in the hospitalizing process of the hospital, and meanwhile, the medical quality of the hospital is also supervised and managed by vast patients and the public.

Additional aspects and advantages of the invention will be set forth in part in the description which follows, and in part will be obvious from the description, or may be learned by practice of the invention.

Drawings

The foregoing and/or additional aspects and advantages of the present invention will become apparent and readily appreciated from the following description of the embodiments, taken in conjunction with the accompanying drawings of which:

fig. 1 is a block diagram schematically illustrating a medical quality control management platform according to an embodiment of the present invention;

FIG. 2 is a block diagram of a portion of an application presentation layer in an embodiment of the present invention;

FIG. 3 is a schematic diagram of a rules engine operating mechanism in an embodiment of the invention;

FIG. 4 is a rule engine module design diagram in an embodiment of the invention.

Detailed Description

In order to make the technical solutions of the present invention better understood, the technical solutions in the embodiments of the present invention will be clearly and completely described below with reference to the drawings in the embodiments of the present invention.

In some of the flows described in the present specification and claims and in the above figures, a number of operations are included that occur in a particular order, but it should be clearly understood that these operations may be performed out of order or in parallel as they occur herein, with the order of the operations being indicated as 101, 102, etc. merely to distinguish between the various operations, and the order of the operations by themselves does not represent any order of performance. Additionally, the flows may include more or fewer operations, and the operations may be performed sequentially or in parallel. It should be noted that, the descriptions of "first", "second", etc. in this document are used for distinguishing different messages, devices, modules, etc., and do not represent a sequential order, nor limit the types of "first" and "second" to be different.

The technical solutions in the embodiments of the present invention will be clearly and completely described below with reference to the drawings in the embodiments of the present invention, and it is obvious that the described embodiments are only a part of the embodiments of the present invention, and are not all embodiments. All other embodiments, which can be derived by a person skilled in the art from the embodiments given herein without making any creative effort, shall fall within the protection scope of the present invention.

It will be understood by those skilled in the art that, unless otherwise defined, all terms (including technical and scientific terms) used herein have the same meaning as commonly understood by one of ordinary skill in the art to which this invention belongs. It will be further understood that terms, such as those defined in commonly used dictionaries, should be interpreted as having a meaning that is consistent with their meaning in the context of the prior art and will not be interpreted in an idealized or overly formal sense unless expressly so defined herein.

The hospital medical quality management system further improves the hospital medical quality management index system, measures the medical quality of each department according to more scientific and strict evaluation standards, promotes the low-cost and high-efficiency operation of quality control work, and improves the hospital management efficiency and academic level. Meanwhile, the construction of the medical quality control management platform fills the gap of the information management of the hospital in the part, and provides a solution for the links of the information real-time supervision and control on the quality control. The final application of the system can reduce the working pressure of doctors, make the medical quality information timely, public and transparent to the public and improve the overall competitiveness of hospitals. According to the requirements of quality control work of hospitals, the goals of the medical quality management system are summarized as follows:

the management of the work of clinical cases, operations, diagnosis and treatment processes and the like of the clinical doctors in the hospital is realized by combining the electronic medical records with the existing systems and platforms such as the doctor workstations, the nursing systems, the hand anesthesia, the hospital feeling, the PACS, the LIS and the like, and the control capability of the hospital quality is improved;

a unified hospital quality management IT support system is built, quality control management, assessment and other works are supported, and standardization, standardization and fine management and control of quality control work are realized;

and the unified management and scheduling of quality control resources are enhanced, and the process management and result control of quality control work are enhanced.

And monitoring error points in the quality control management process, performing advance reminding, in-process supervision and post check (PDCA), and forming closed-loop management of quality control work so as to achieve the purposes of improving medical quality, reducing medical risks and reducing medical disputes and complaints.

Industry Standard

Principle of quality control

And a closed-loop quality control mode of pre-reminding, in-process monitoring and post-analysis is adopted.

The medical link is monitored in real time by an informatization means to find the conditions of omission or untimely and the like, and the system actively reminds.

The application of a closed-loop quality control mode is formed through informatization construction, the field quality control is changed into remote quality control, the after quality control is changed into the prior reminding and real-time monitoring, the manual quality control is changed into automatic quality control, and the form quality control is changed into connotative quality control.

The conversion of the medical quality control mode fundamentally changes the quality control mode which can only aim at paper case records in the past, changes the dependence of clinical departments on the quality control departments, and realizes some functions by the self-checking function of the quality control system, so that the inspection of quality control personnel is more focused on the medical quality.

Examples

As shown in fig. 1, the medical quality control management platform provided by the invention is based on a standard architecture of J2EE, and based on the Application Server as a construction basis, all functional module applications are uniformly incorporated into a core platform, so that on the basis of a uniform platform, a uniform development mode is adopted to establish platform-level characteristics such as high performance, reliability, availability and the like of an Application system based on a uniform component basis, rapid development and deployment and Application of an Application Server platform product are ensured.

The invention adopts DES algorithm to encrypt and decrypt. The security of DES depends on the confidentiality of the key completely, and the hierarchical and decentralized management is carried out on the system key according to the three-level key system principle of cryptography. The 'grading' means that the key is divided into three layers of a transmission key, an exchange key and a master key, and the 'dispersion' means that the PKG key, the PIN key, the MAC key and the exchange key respectively correspond to the own master key, and the loss of a certain master key does not affect other keys.

The system key is as follows:

1. PKG key: a key used to encrypt the entire packet.

2. PIN key: and a key for encrypting the client personal password in the data packet.

3. MAC key: the MAC algorithm is a non-public algorithm fusing a data verification algorithm and a DES algorithm, and is mainly used for judging the authenticity of a received data packet so as to prevent an attacker from constructing a false transaction packet and transmitting the false transaction packet to a bank and a certificate bank to achieve the purpose of committing a crime. The MAC key is a key used in calculating a MAC value.

4. And (3) transmission key: the operation objects encrypted by the PKG key, the PIN key and the MAC key are transaction data packets, belong to the first level of a three-level encryption system, and are commonly referred to as transmission keys.

5. Exchanging a key: the PIN key and the MAC key in the transmission keys are two dynamically changed keys, and when a bank receives a sign-in transaction request of a security before a transaction is started every day, a new PIN key and a new MAC key are randomly generated and transmitted to the security to serve as keys of two parties in the same day for communication. The two key values are not transmitted in the clear over the network, and the key used to encrypt the two keys is called the exchange key, which belongs to the second stage of the three-stage encryption scheme.

6. Master key: the transmission key and the exchange key need to be stored, the storage form of the transmission key and the exchange key cannot be stored in plaintext, encryption is required, a key used when the transmission key and the exchange key are stored in an encrypted mode is called a master key, the master key is also called a storage key, and the master key belongs to the third level of a three-level encryption system. (the permanent bank certificate transfer system carries out decentralized management on the master key in order to avoid the situation that an attacker can obtain all keys once stealing the master key, namely, the PKG key, the PIN key, the MAC key and the exchange key all have respective master keys)

In the key system, the PIN key and the MAC key are dynamically changed by the system every day, the life cycle of the system is only one day, and manual management is not needed. The PKG key is used to encrypt the communication data packet, so the life cycle of the PKG key is short, and the PKG key needs to be replaced after running for a while. The exchange key is used for encrypting the transmission key, so the life cycle of the exchange key is long, and the exchange key needs to be replaced after running for a long time. The PKG key and the exchange key are exchanged through the key fob. The master key has the longest life cycle because it is used to store other keys, but since other keys are randomly generated and the master key is artificially determined, theft of the master key should be prevented. Once a theft of a master key is suspected, the master key should be changed immediately and the exchange and transmission keys should be replaced.

A medical quality control management platform comprises an application presentation layer A110, a service layer A120, a data layer A130 and a data center A140;

the application display layer A110 is used for directly providing a display interface of a B/S architecture for a user, and the system adopts the technical architecture of Spring MVC + Spring + Hibernate/Mybati during specific design and implementation. The background database adopts Oracle technology; carrying out internal and external network data interaction through a hospital front-end processor; the deployment server is divided into a WEB application server side, a front-end processor, a file server and a database server side. The application presentation layer A110 provides daily operation and operation maintenance functions; and provides a rich, flexible and friendly human-computer interface for system users. The application display layer serves productive work, provides daily operation and operation maintenance functions, has clear requirements on accuracy, timeliness and intuition of data, and aims to quickly find and solve problems. Its main functions include: home page management, notification, resource pool management, key patient management, clinical case quality, link quality, end quality, mobile terminal and system setting.

The service layer A120 is positioned below the application layer and above the acquisition layer and is used for providing an operation management function based on business for an upper layer program and realizing various basic information management, operation of a workflow and data integration analysis;

the data layer A130 is used for the functions of platform access, data acquisition, control and protocol conversion, and provides data to other layers through a unified communication protocol and an information model after normalization and conversion; the data layer is mainly used for maintaining a data model of the medical quality control management platform, automatically acquiring data and importing and exporting the data.

The data center a140, including HIS system, LIS system, EMR system, PACS system, is used to store various medical data and output the data to other layers.

Data center a140 employs Oracle technology.

The application display layer A110 comprises a key patient management module A141, a home page management module A142, a message notification module A143, a resource library management module A144, an in-hospital medical record quality management module A145, a link quality module A146, a final quality module A147, a quality control management mobile terminal module A148 and a system management module A149;

the key patient management module A141 is used for providing timely and accurate information for the professional college chief and the medical department to comprehensively and emphatically master the conditions of the inpatients, and is convenient for macroscopically controlling, timely commanding, supporting, coordinating and organizing the diagnosis and treatment work of the key patients of all departments of the hospital;

the doctor-patient relationship is a sensitive topic of the current health system, and medical disputes are becoming more and more the focus of the attention of society and common people, which puzzles the difficulty of normal operation and development of medical institutions.

The key patient management provides timely and accurate information for the professional college and the medical department to comprehensively and emphatically master the conditions of inpatients, and is convenient for macroscopically controlling, timely commanding, supporting, coordinating and organizing the diagnosis and treatment work of the key patients of all departments of the hospital.

The system provides reporting management and automatic screening management for key patients, and screens the key patient data according to the early warning rules to early warn the patients with higher risk degree by compiling key patient classification dictionary management and key patient data maintenance.

At present, the quality control department of hospitals screens key patients from patient information data which meet reporting rules (multiple blood routine, large refund fee, multiple critical, multiple operations, extraordinary hospitalization, ultrahigh cost, multiple consultation, hospital admission in one week, examination mark, repeated outpatient service in one week, ICU and the like), reports the key patients to hospitalization group quality control experts, and the quality control experts audit the patients to manage doctors to process and report subsequent conditions.

Provides the system for automatically screening and reporting key patients by doctors.

The responsible doctors are responsible reporters, and the report contents include the hospitalization number, name, sex, age, bed number, current diagnosis and major problems of the patients.

The key patient information management specifically includes: the life cycle management of the key patients in the hospital is provided, diagnosis and treatment records, nursing details and the like of the key patients are contained, the key patients are judged in a background according to early warning rules in the dictionary management, and a condition list and early warning information of the key patients in the hospital at the current time can be presented. The key patient data come from business systems such as hospital workstations and nurse workstations, and the data acquired from the support system are stored locally.

The home page management module A142 is used for respectively providing quality control management or production inlets according to different user types, work duties and business requirements;

the system homepage provides access for quality control management or production according to different user types, work duties and business requirements.

According to different work responsibilities of users, the users can be divided into four roles: office managers, hospital quality control department personnel, quality control doctors, doctors and maintenance personnel. The medical quality control management system will provide different home page presentations for users of various roles.

The system has the functions of information to be handled (notification to be handled, running medical records to be handled, filing medical records to be handled, reporting of key patients and the like), and also has the functions of a personal workbench, a bulletin board and the like.

The system supports the presentation of notifications and tasks to be dealt with according to the login user authority and the department authority, and provides links for obtaining detailed information.

The system login interface is an entrance for a medical quality control management system user to log in the system.

The personal workbench provides users with quick links of common operations of the system, and the common operations comprise: new notification, new announcement, new task, etc.

The system should be able to enumerate all tasks to do, including: the to-do notification, the to-do medical records and the to-do tasks are clicked, and the to-do notification, the to-do medical records and the to-do tasks can be directly operated.

The system can classify, summarize and present the tasks to be handled, and all the tasks to be handled can be linked by clicking the task classification.

The to-do list contains fields: task classification, publisher, task subject, processing time limit.

The task list to be handled can realize the color rendering function of the overtime task and the task to be overtime. The overtime task is displayed by the color of a red font, namely the overtime task is displayed by the color of an orange font, the notification which is not clicked and viewed is displayed by the color of the red font, and the rest is displayed by the color of a black font. I.e. the timeout period is 2 hours before timeout.

Based on different posts, the system can realize the reminding function of routine tasks, and the routine tasks are displayed on an initial interface of system login in a ticker mode, such as: the number of notifications to be done and the number of tasks to be done. And the number of clicks can be linked to the details of the task to be dealt with.

Notice board

The method is used for issuing the bulletin related to the quality control work, clicking the bulletin title and checking the specific content of the bulletin. The known bulletin is not presented on the home page, and all historical bulletin information including a publisher, a bulletin title, a publishing time and an effective period can be checked by clicking more bulletin.

The inquiry function according to the announcer, the announcement time and the announcement title is provided.

The system should implement the automatic scrolling presentation function of the announcement information.

Database

The system provides data uploading, downloading and querying functions related to quality control work, and supports hierarchical classification management of data according to professional and task categories. Provides the functions of searching the subject, the key words and the full text of the data.

The system provides database management function, and can add, delete and modify the module menu structure in the database.

System maintenance hotline

And displaying the medical quality control management system maintenance on-duty contact modes including a telephone and a mailbox in a home page.

The message notification module A143 is used for issuing business contact information between the management functional department and the quality control personnel and the quality control doctor, and the business contact information mainly comprises notification and notification;

the notification management is used for issuing business contact information between the organ management functional department and the quality control personnel and the quality control doctors, and the business contact information mainly comprises notifications, notifications and the like, such as patient urine volume reminding in the nursing link.

And in the notification management, the information is used as a carrier, the business contact between a management functional department and a quality control related executive worker is realized through process driving, the formality of business communication is embodied through the process control of the notification, the standardized management of the process is realized, and the communication efficiency is improved.

The quality control administrator issues documents such as announcement, notification and the like in the module, and the documents are audited by the manager of the organ management and function department and then issued to all levels of personnel to check the notification content after the audition.

The system provides functions of creating, examining and approving, processing and filing the notice, provides functions of prompting the notice and optionally notifying the notice by short messages, and provides functions of inquiring according to the publisher, the publication time and the publication title.

The system provides notification processing flow information viewing, including all handlers, processing time, processing content, and processing status within the notification processing scope.

The system provides an "urgent" and "short message notification" checkbox identification to indicate that the notification is an urgent notification or that a recipient needs to be notified with a short message.

And (3) notification emergency: when the notification selects "urgent," the notification automatically adds "urgent" before the notification title, and places the top presentation.

And (3) short message notification: when the notice selects 'short message notice', the notice informs the current 'person to be processed' in a short message mode.

The resource library management module A144 is used for realizing the matching between the hospital knowledge library and the quality control standard fine rule library, forming closed-loop management, and converting the knowledge with different forms in the hospital clinical knowledge library into a structured quality control standard fine rule library;

and the resource library management is used for realizing the matching between the hospital knowledge library and the quality control standard detailed rule library to form closed-loop management. The knowledge with different forms in the clinical knowledge base of the hospital is converted into a structured quality control standard detailed rule base.

According to different work responsibilities of users, the users can be divided into four roles: office management personnel, hospital quality control department personnel, quality control doctors and doctors.

And the system provides support for a quality control platform, and provides various supports (such as screening of key patients, monitoring in medical records in hospitals, link monitoring and the like) for medical services according to the information of the knowledge base and the quality control standard.

Mainly comprises knowledge base information and a quality control standard base.

The knowledge base covers the clinical medicine related aspects, and the knowledge base information is provided in a database view mode. All data views need to provide a unique primary key ID that adds this knowledge in the knowledge management system.

A data maintenance mode: the resource data are maintained in the knowledge base management system, and the medical quality control management system only provides the functions of inquiry and check without providing the maintenance function.

The information related to quality control in the knowledge base can assist related quality control personnel to configure a quality control standard rule base, help a medical quality control system to monitor potential threats of specific clinical problems (such as nosocomial infection, acid-base balance, water electrolyte imbalance and the like), and a quality control management platform actively analyzes each medical link (such as admission, operation and the like) of a patient and various generated clinical documents (such as first Wa of a medical case, operation records and the like) of the patient according to the quality control standard rule base maintained in the resource base, and finally evaluates the risk of the occurrence of the clinical problems. The monitoring result of the platform is fed back to a quality control personnel, and then the monitoring result and a clinician determine the control of the risk.

The quality control standard rule library mainly comprises a medical record quality evaluation standard defect library and a link quality index rule library (which are distinguished according to different business and technical implementation).

The quality control link management mainly comprises modifying or deleting the monitoring link, supporting the query of the template through the monitoring link name and the quality control point, editing the template into a configuration interface, supporting the manual configuration of sub-items by a user and supporting the setting of quality control rules by the user. If any quality control item is not selected under the large items, the system cannot add the quality control item into the monitoring link.

The medical record quality management module A145 is used for improving the quality of medical records, wherein the quality of the medical records comprises the writing quality of the medical records, and also comprises whether diagnosis is timely, whether a diagnosis plan is perfect, whether medication is reasonable, and whether the diagnosis plan is timely adjusted when the state of an illness changes;

the medical history is not only the embodiment of medical quality and academic level, but also the basic data of medical teaching and scientific research work, and simultaneously, the medical history is also significant in monitoring the medical quality as an important basis when medical insurance, medical dispute and legal action are involved, so the medical history is independently provided in the scheme.

The medical record quality management module A145 comprises a medical record content information unit, an electronic medical record quality monitoring unit and a medical record quality defect management unit;

the medical record content information unit is used for storing all medical record information such as basic information of patients, admission records, medical advice, medical course records, examination and examination, treatment application and report, consultation, operation application and record, temperature lists, nursing records and the like;

the electronic medical record quality monitoring unit is used for carrying out real-time monitoring recording and dynamic prompting on all medical record information such as basic information, admission records, medical advice, course of disease records, examination and inspection, treatment application and report, consultation, operation application and record, temperature sheets, nursing records and the like of patients according to the requirements of hospitals on substantive problems influencing medical quality;

in order to improve the quality of medical records, the quality of medical records should be determined to be included in the whole process of forming the medical records, not only the writing quality of the medical records, but also a series of problems such as whether diagnosis is timely, whether a diagnosis and treatment plan is perfect, whether medication is reasonable, whether the diagnosis and treatment plan is timely adjusted when the condition of an illness changes, and the like. Therefore, the quality control of the medical record should be started from the admission of the patient and run through the whole hospitalization process. The quality control department should check each link of quality formation at any time:

(1) when a patient is admitted, checking basic information, outpatient information and the like of the patient;

(2) in the initial stage of admission, checking whether the admission record and the first disease course record are timely or not and whether the planned diagnosis discussion is reasonable or not;

(3) during the hospitalization period, the conditions of diagnosis and treatment plan, superior ward round record, medical advice, medication and the like are checked;

(4) after discharge, the final quality of the paper medical record was checked.

The medical record quality mode in the platform refers to a quality control mode in which hospital quality control personnel carry out whole-course real-time quality inspection control on patients in all hospital departments from admission to discharge through an information network. The quality management of medical records is controlled from the original post-event control through establishing the quality control of medical records in a hospital, and the process quality control is improved. The traditional medical record quality inspection mode is broken through, so that the medical record quality control reaches unprecedented height. The modernization and digital management of the electronic medical record information of the hospital is realized step by step, so that:

(1) the quality of medical staff processing medical record content information and the work efficiency of quality control staff auditing and managing medical records are improved.

(2) The medical staff is prompted to strictly regulate the medical activities and strictly process the medical affairs.

(3) The time for medical staff to write medical record documents and look up medical documents is shortened.

(4) The medical quality is improved, errors are reduced, the working process is optimized, and the work efficiency is improved.

(5) Providing basic data for clinical scientific research and medical management.

(6) Reliable and safe medical service is provided for patients by utilizing high-quality medical records.

By establishing a medical record quality evaluation standard defect library, the completeness and the logicality of writing contents of each running and terminal medical record data and the time limit of medical record completion are monitored, and advance reminding, in-process supervision and after-event assessment (PDCA) are realized.

The main functions include medical record content information, electronic medical record quality monitoring, medical record quality defect management and the like:

quality monitoring function

The control system adopts a logical condition relation judgment method to automatically judge unique relations, priority relations, equivalence relations, substitution relations, parallel relations, grade relations and the like which are complicated and complicated among various records in different states of illness and different stages, and accurately find out the most appropriate record and the specified time limit thereof for real-time monitoring. The comprehensive dynamic monitoring of medical record content information is realized: including basic information of patients, admission records (chief complaints, current medical history, past medical history, personal history, physical examination, diagnosis and treatment plan), medical advice, medical history records, examination, treatment application and report, consultation, operation application and record, body temperature list, nursing record and other medical record information. According to the time point of completing the medical records specified by relevant medical treatment, medical record and nursing management specifications, the time of completing the medical record documents and records of the medical records, medical advice, nursing and operation is comprehensively monitored in a time limit mode. The monitoring management of the academy level, the department and the doctor is realized; the hospital leader, the quality control department and the doctor can dynamically examine the electronic medical records and the problem medical records. The patient can be automatically monitored as soon as the patient is admitted, the clinician can be started up for dynamic prompt, the clinician can be supervised to complete the recording of each medical record and look up the examination and examination report on time, and the medical record problem can be corrected automatically according to the monitoring prompt, so that the improvement of the medical record continuous process can be realized, and the quality problem can be solved in the hospitalization process of the patient. Real-time quality monitoring including electronic medical record time limit monitoring

Electronic medical record time limit monitoring

The time limit monitoring management of the completion time of the medical record is important content of medical quality management. The electronic medical record time limit monitoring can achieve the accurate and efficient management level which cannot be achieved by manual medical record management. In the process of completing the electronic medical record, the system can prompt the time that medical staff should finish in time, and the quality problem that the time limit is exceeded is avoided.

Medical record time limit control function points:

(1) the prompt of the medical record writing time limit is in accordance with the basic standard of electronic medical records in hospitals

(2) The doctor can be reminded in time by the short message platform when the medical record is 2 hours away from the completion period.

(3) The system makes a work prompt for filling out an infectious disease report according to the admission diagnosis.

(4) After the doctor prescribes, corresponding medical record writing prompts exist, for example, after the doctor prescribes, work prompts needing informed consent, preoperative records and operative records appear.

(5) The time limit controls the content that the dictionary defines continuously.

Electronic medical record missing item monitoring

The lack of medical record content is the most common problem in medical record quality management. The electronic medical record can be controlled in real time through the monitoring system, when the electronic medical record is input, the automatic input of the project is completed by the software system for the medical record project capable of automatically collecting data, and the system automatically detects the missing project for the medical record project needing to be input by medical staff, prompts and requires the technical requirements of the medical staff to complete the input of the medical record project, so that the medical record can be free from missing project, and the post-examination is not needed.

The defect function in the defect monitoring condition contained in the time limit monitoring dictionary in the electronic medical record quality control system is explained as follows:

(1) the content of the missing item monitoring can be increased according to the needs of the hospital.

(2) All the missing item monitoring items can not appear missing items.

Electronic medical record medical quality monitoring

The medical record system comprises basic information of patients, admission records (chief complaints, current medical history, past medical history, personal history, physical examination, diagnosis and diagnosis plans), medical advice, medical course records, examination and inspection, treatment application and report, consultation, operation application and record, body temperature sheet, nursing records and other all medical record information, and carries out real-time monitoring record and dynamic prompt on substantive problems influencing medical quality according to the requirements of hospitals.

Medical quality monitoring and description of medical records:

(1) the medical record quality monitoring content can be customized, continuously increased and continuously improved by the hospital according to the needs of the hospital and the actual problems of medical records, and the continuous improvement and improvement of the medical record quality are realized.

(2) All medical quality monitoring has records and prompts and can be used as medical record evaluation indexes.

Electronic medical record CPF monitoring

In the case of the medical record of the hospitalization, the copy-and-paste (CPF) condition of the medical staff is used for a plurality of times in the medical record writing process. When the copy information is in the same medical record or is pasted to a plurality of patients in a mobile way, the method has the functions of promoting communication and improving efficiency, and more importantly, the time can be saved, and the method has the opportunity to be more compatible with patients. But with these benefits also face the potential risk of authenticity of medical records. These potential risks include:

1. copying and pasting inaccurate or outdated information;

redundant information in the EHR, making it difficult to identify current information;

3. failure to identify the author or intent of the document;

4. the first creation time of the document cannot be identified;

5. propagating false information;

6. recording the course of disease with inconsistent contents;

7. unnecessary lengthy disease course recording.

For these risks, by the medical quality control platform it is possible to:

1. a method for accuracy supervision, the method comprising a feedback mechanism to alert medical personnel when their documentation is inaccurate or overly lengthy.

2. Special trigger mechanisms and measures are used to ensure the accuracy of clinical records and emphasize the continuous assessment of professional performance.

3. And (3) continuously and comprehensively evaluating potential misuse or error cases caused by the CPF, and performing powerful quality inspection so as to improve the safety of patients.

Medical record auditing and evaluating function

The automatic grading and grading of the electronic medical records realizes scientific and efficient management of grading and grading of the medical records, and the method comprises the following steps: and automatically, dynamically and continuously grading and grading in real time from the time when the patient is admitted. And prompting feedback to the resident doctor, the superior doctor, the medical and quality control management department and the hospital leader.

The medical records of the individual patients are automatically and manually evaluated together according to a certain selected medical record evaluation standard each time. After the medical records are submitted to the quality control department, quality control personnel can conveniently and quickly check the medical records, if obvious defects are found, the medical records can be returned to a department, return reason information is written, and doctors are prompted to modify the medical records again.

The quality control score regulates the scoring standard and the deduction content of the medical record. For example: admission records lack 5 points for primary diagnostic buttons; the disease course record lacks the characteristics of a case, the diagnosis basis, the differential diagnosis or the diagnosis plan deducts 3 points each, and the first disease course record is not directly judged as a second-grade medical record and the like.

And automatically auditing and evaluating the scores, wherein the quality control rules all have a deduction item, if the quality control rules are found not to be met, the system automatically deducts the scores according to the deduction item, and the quality control personnel modify the scoring results according to the weights on the basis of automatic deduction.

And (4) grading, namely after the auditing, evaluating and grading are finished, automatically grading the medical records by the system according to the total score.

Medical record quality evaluation standard defect library

And establishing a quality evaluation standard defect library according to medical record writing standard established by relevant national policies and actual quality control standard conditions of hospitals. The library content may be classified into three categories, natural, threshold, and weight. The natural classification is classified according to all text information generated in the patient treatment process, the limitation classification is classified according to different doctor authorities, and the weight classification is classified according to the importance degree of medical record quality control items.

A comparison platform is needed to know whether medical data generated by an electronic medical record client accords with medical record quality writing specifications, the platform is a core of medical record quality monitoring, namely a quality monitoring system server, the operation mechanism of the quality monitoring system server is that a database platform is built at the server to record medical record defect point grading rules formulated by a user, when a checking and checking signal sent by the client is received (for example, when the user executes a storage button function), the data generated by the client and required to be checked are compared with defect points in the database, and after the comparison is completed, a statistical report is generated and fed back to the user.

The method specifically comprises the following steps: the evaluation standard of medical records, the setting of quality control rules and the setting of quality control doctors, such as the setting of quality control rules, for example, the chief complaint is not more than 20 characters (admission record) detection, the medical record missing item detection and the like, and the rules are according to the basic specifications of electronic medical records in hospitals.

And the medical record quality defect management unit is used for building a database platform at the server side, recording medical record defect point grading rules formulated by a user, comparing data to be checked generated by the client side with defect points in the database when a checking and verifying signal sent by the client side is received, and generating a statistical report to feed back to the user after the comparison is finished.

In general, the data items in the electronic medical record are divided into two data modes, one is structured data, such as basic information of a patient, medical order information, examination and examination information, and the other is unstructured data, such as a course record, an operation record, a ward round record, and the like, which exist in a medical record server in a text form, usually in a doc, xml, html format, and the like. The method comprises the specific steps of accessing relevant fields of a database table, matching defect items by adopting a method of writing SQL query sentences, finding the access of the two data, and finally generating a verification result and feeding the verification result back to a quality inspection user. And determining the used technical scheme for the unstructured medical record text data according to the technical capability of the next development team. The key point of the current high-level technology is a search engine technology, keyword indexes are established, inverted arrangement is carried out, so that defect points are found, data comparison is carried out, and results are obtained and fed back to a user. Or a regular matching mode can be selected to search the full text, so that defect keyword data is obtained and is compared with the defect library standard, and the result is fed back to a quality inspection user.

The quality control of the medical record documents mainly comprises comprehensive dynamic monitoring of various medical documents, inspection reports, consultation records, temperature sheets, nursing records and the like, wherein a specific quality control process is that doctors or nurses write related medical record records, when the written medical record records are stored, a monitoring and checking program is automatically triggered, text content is subjected to full-text retrieval, and document defect points (such as record completion time, operation code filling, doctor signature conditions, blood transfusion indications and the like) recorded in a defect library are compared, so that a check result is obtained and fed back to a writing user, and meanwhile, a statistical report is generated. Meanwhile, the quality control user of the department and the medical department can comprehensively monitor the medical records in the hospital, the time limit medical records and the final medical records after discharge, check whether the related medical record documents are written less or not and generate a statistical report.

Rule engine techniques

A rule matching algorithm based on multi-rule node sharing is provided in a medical quality control platform, the condition part of a rule is formed by combining one or more sub-conditions, the sub-conditions are regarded as one node, the multi-rule can share the node due to the fact that the same sub-conditions exist among the rules, and the multi-rule is processed through calculation of a single node, so that the rule matching efficiency is improved. Meanwhile, the Java reflection mechanism can dynamically acquire class information and dynamically call the object method, the requirement of the rule engine system on the dynamic property is met, the defect of the traditional rule engine on the real-time property is overcome, and therefore the rule engine is designed and realized on the basis of the Java reflection technology.

Principle of operation

The medical quality control platform rule engine is developed from a rule-based knowledge base system, analyzes business rules by receiving data input, and performs corresponding medical quality control according to the business rules. The business rules are stripped from the business logic components by introducing the rule engine, the specific business is represented by the rules, the logic components do not need to be redesigned when the business requirements are changed, and the rules only need to be correspondingly modified, so that the system development cost is reduced, and the business rule management and the system maintenance are facilitated.

The rule engine simply has 2 inputs (input for facts and input for rules) and one output (output for matching results). The brief workflow of the rules engine is shown in FIG. 3:

1) inputting the Fact data (Fact) into a Working Memory (Working Memory);

2) carrying out mode matching on a Rule (Rule) in a static Rule base and data (Fact) in a working memory;

3) putting the matched rules into an Agenda (Agenda), and if the rules conflict, putting the conflicting rules into a conflict set;

4) resolving the rule conflict and then putting into the Agenda (Agenda);

5) and executing the rules in the rule execution queue one by one.

As shown in fig. 4, the module design of the reflection driven rules engine:

to meet the requirements of the rules engine for real-time, the rules execution engine is implemented based on Java reflection. Java reflection can acquire all attributes and methods of any class; for any one object, its method can be called; this function of dynamically acquiring class information and dynamically calling object methods is referred to as the Java reflection mechanism. Therefore, the reflection mechanism can help to create flexible codes, build flexible applications and realize dynamic matching.

1) The rule base defines and stores business rules by using XML language, and in the program design, a condition part (LHS) of a lefthand side package rule is created, wherein the LHS consists of one or more constraint conditions; creating a RightHandSide type used for encapsulating a conclusion part (RHS), wherein the RHS is an execution action of the rule after all LHS constraint conditions are met; the Rule class is LHS and RHS used for packaging rules, and the Rule class, the lefthand side class and the righthand side class belong to a aggregation relation.

2) And the rule parsing (RuleParser) module is used for parsing the rules in the rule base, the module adopts Jdom to parse an XML rule file, and encapsulates all constraint conditions in the rules LHS and all execution actions in the RHS in a HashMap form.

3) And the information acquisition module (GetFacts) acquires the fact attribute of the current service object through Java reflection, and encapsulates the fact attribute in a HashMap form.

4) And matching the constraint conditions of the rules with the fact attributes of the object by a pattern matcher (Pattern matcher), and putting the successfully matched rules into matched rules.

5) The Agenda (Agenda) is used to manage the execution order of the rule sets that match the current object facts.

6) The rule execution engine (ExecutionEngine) is an important component of the rule engine, and the method of executing the current object is called by Java reflection, i.e. the action to be executed matching the RHS part of the rule is executed using the method.

The link quality module A146 is used for monitoring the quality of the patient in the hospitalization process in real time, the medical quality management is changed into the process quality management with the key points of feedforward and field control from the control feedback of the final quality, and the prior and in-situ management formed by changing post-management into the medical quality is carried out;

the quality of a patient in a hospitalization process is monitored in real time through link quality, the medical quality management is changed into process quality management with the key points of feedforward and field control from control feedback of final quality, and the process quality management is changed into advance and in-process management formed by medical quality from after-management; transition from phased management to persistent management; from longitudinal management of the medical procedure to cross-sectional management. The passive management is gradually changed into the active management, and a quality control management platform which can be used for treating and preventing is established.

The link quality module A146 comprises a monitoring management unit, a control management unit and a statistic unit

aqueous electrolyte imbalance monitoring

Imbalance of water electrolyte balance is common clinically, electrolyte metabolism disorder can be caused by pathological processes, external environment changes, iatrogenic factors and the like, and serious medical accidents can occur if the imbalance of water electrolyte balance cannot be corrected in time.

Monitoring quality control items including water and sodium metabolic disorder, potassium abnormity (hypokalemia, hyperkalemia) and the like, monitoring examination indexes such as urine volume, urine specific gravity, urine NA +, serum sodium, fluid infusion and the like in the existing LIS system according to a quality control fine rule standard library, and reminding a hospitalization group in real time if abnormal indexes and critical values occur, so that the patients are not subjected to corresponding obstacles on physiological functions of all organ systems of the whole body, particularly cardiovascular systems and nervous systems, and matter metabolism of organisms, and are seriously died, thereby achieving link monitoring and reducing the probability of medical accident disputes.

Monitoring of input and output volumes

The fluid is the part of body fluid which constitutes the substance of the human body, and it constitutes the internal environment of the human body, and the normal body fluid keeps constant dynamic balance, which is the necessary condition for maintaining life activities.

Monitoring the amount of clinical patients' entry and exit indicates the severity, urgency and outcome of the disease. The system comprises quality control items such as daily intake (water intake, food water content, transfusion amount and blood transfusion amount) and daily discharge (urine amount, stool amount, expectoration amount, vomit amount, bleeding amount, drainage amount and wound surface seepage amount), and monitors the existing liquid inflow and outflow nursing list according to a quality control rule standard library, and if inequality occurs, the system reminds a hospitalization group in real time, so that link monitoring is achieved.

Surgical procedure monitoring

The operation is a link which is easy to cause medical disputes in medical activities, so the operation process monitoring is particularly important, and the operation safety is ensured through the operation process monitoring and the combined monitoring of medical records and medical advice. The detection rules are as follows, for example, the detection rules include that the operation is to be performed before and during the preoperative discussion in the above-mentioned moderate operations, the operation is to be performed within one hour after the operation, the operation record is completed, the operator on the operation notice is consistent with the operator recorded after the operation, the routine examination items before the operation name are filled in the back of the homepage of the operator with the operation notice, and the like, the detection result of the system is described in a list, and the defects are timely reminded and corrected.

The control management unit is used for evaluating the quality of each link in the medical process by using the medical quality evaluation rule standard library and comparing the acquired information, performing intervention control, giving a prompt for the found quality deviation, and feeding back the information to related responsible persons and managers through notification;

and the counting unit is used for counting medical quality deviation reasons, counting departments and personal medical quality deviation times, sequencing departments and personal medical quality deviation times and counting key link element index deviation times.

The final quality module A147 is used for realizing objective evaluation on the quality control process, automatically acquiring quality index data, reducing judgment of subjective factors and effectively promoting objective justice of quality control results;

the final quality module A147 comprises a template management unit, an index management unit, a quality scoring unit, a scoring management unit and a statistic query unit;

the terminal quality management module is used for realizing objective evaluation on the quality control process, automatically acquiring quality index data, reducing judgment of subjective factors and effectively promoting objective justice of quality control results. And recording and presenting the quality control evaluation index data of the whole hospital through the terminal quality management function of the system. The method comprises the functions of template management, index management, quality scoring, scoring management, statistical query and the like.

The template management unit is used for providing the editing capability of the annual index and the monthly index and setting a calculation formula so that the system has the capability of automatically calculating the reference score;

template management provides the ability of editing the annual and monthly indexes, and can set a calculation formula, so that the system has the ability of automatically calculating the reference score; and the data management and the scoring are carried out depending on the template issued by the module.

According to the 'clinical department medical quality evaluation standard' of hospital, setting a final quality template which consists of six basic outline classifications and the following subclass indexes thereof, wherein the basic outline classification (tentative) comprises data quality, basic quality, medical safety, reasonable medication, medical efficiency and medical service.

the quality scoring unit is used for importing scores according to a preset template, automatically calculating comprehensive scoring scores according to contents and weights according to imported data, and supporting upward summary of final scores to serve as assessment results; the module can inquire the scoring result of the assessment object according to the assessment object, show the scoring result in a list form, and can inquire the detailed data of the assessment object by clicking one record.

further comprising scoring queries: the scores of the historical times can be inquired, and the inquiry conditions comprise various levels of organizations, departments, synopsis, assessment months/years and state information conditions. The query result is displayed in a list form, the result displays information such as assessment objects, time, scores, confirmation units, current examination and approval states and the like, and detailed assessment data can be queried by clicking one assessment scoring result record. The module comprises the following functions:

and (3) authority control: each department can only check the examination results of the department.

Scoring and drilling: the query result can be clicked, the detailed scoring records of the organization can be checked, the score can be clicked, and various algorithms for evaluating the score and the detailed content of the scoring result can be continuously drilled.

Sequencing query results: clicking the column head of the query result can sort the column in a forward and backward manner.

And the statistical query unit is used for generating various statistical reports according to the final assessment results of the monthly and annual statistical departments according to the weight of each quality control project.

The statistical query unit comprises a query function, a statistical data drilling function and a statistical report printing function;

Also includes a scoring ranking report form: and (4) carrying out scoring ranking according to a scoring result, wherein the ranking can be presented according to the granularity of synopsis, monthly degrees (appointed months), years and the like, and the ranking can be carried out in an ascending order or a reverse order by clicking the head of the list of the assessment ranking.

The ranking should include the following 2 categories: department assessment result ranking and doctor assessment result ranking.

The medical record quality defect management unit matches defect items by accessing relevant fields of a database table and adopting a method of writing SQL query statements, so that the data access of the medical record quality defect management unit and the data access of the database table are found, and finally, a verification result is generated and fed back to a quality inspection user.

The medical record quality defect management unit comprises a rule matching algorithm based on multi-rule node sharing, the condition part of a rule is formed by combining one or more sub-conditions, the sub-conditions are regarded as one node, the multi-rule can share the node because the rules have the same sub-conditions, and the multiple rules are processed by calculating the single node, so that the rule matching efficiency is improved.

The quality control management and control mobile terminal module A148 is used for a tool for the quality control related personnel to carry out daily work, can operate the announcement and quality control link on the terminal, and provides support for the quality control management personnel and the quality control personnel to manage and control the task execution condition; the functions of logging in by the mobile terminal user, checking medical quality control management system bulletin, inquiring system basic data, transmitting mobile terminal data information and configuring the terminal are provided for the user.

The system management module A149 is used for providing a tool for managing the system for a system administrator and providing operation help documents for a system use user.

Version and help definitions

The system provides for server-side viewing of versions and historical viewing of versions.

The system can provide help files. The online approach provides help documentation while supporting downloads to the local.

Authority role definition

User management

The user management is specific to all users of the system, and comprises functions of adding, deleting, modifying and inquiring user information. The user information includes: user login account number, user password, account number state, account number validity period, password validity period and the like. For internal users, synchronous account information needs to be supported; other users support creating users within the system. The user may change the account password after logging into the system.

The user may change the account password after logging into the system. If the user forgets the password, the system provides a password recovery function. The password retrieving function is realized by two ways:

firstly, the system sends a short message containing a dynamic password to a user account binding mobile phone, and a user can log in the system according to the dynamic password and reset an account password after logging in;

second, the user contacts the system administrator to reset the user account password.

For security, the user password should be a combination of letters and numbers, and the password length is not less than 6 bits, such as yZc 965.

The user account is the only indication that the system user logs in the system.

Outputting information: user account number, account state, account validity period, mobile phone number, affiliated organization, user role and other information.

Role management

A role is a bi-directional set of permissions and users. Each user may be granted a certain set of roles. When the user accesses, a part of roles can be selected, and the authority of the user to access the system resource is the authority union of the selected roles.

The system provides functions of adding, deleting, modifying and inquiring roles.

The management of the authority includes giving authority to the user and the role and canceling the authority.

When a user requests a resource (e.g., an html page or a jsp page, etc.), the system determines whether to allow the resource according to the corresponding role relationship of the resource and the role set to which the user belongs. If the check passes, the user will have access, otherwise it will be denied. And the function menu without access right is hidden to limit the use of the user.

And the operable data of the user is limited according to the role of the user and the organization structure of the user, and the operable data range is determined according to the 'affiliated organization' managed by the personnel information in the 'organization management'.

Log management

Log-in operation history information (including successful and failed logins) of the user is recorded and a query function is provided.

Recording the system operation history information of the user and providing a query function.

Provides a page display function, supports the selection of the previous page, the next page, the first page and the last page, and allows the operator to select the number of records displayed in each page.

And the log is stored within one year by default, and the log exceeding the period limit can be filed.

Login log management

And recording all user login events of the system. The recording content includes: login user name, IP address, login time, logout time, login result (success or failure).

And providing a log query function, and querying the log condition according to query conditions such as a log user name, a log time period, a log result and the like. The log logs within three days are queried by default.

The query conditions in the query interface comprise: logging in a user, logging in starting time, logging in ending time and logging in results, and executing logging in log query operation after clicking a query button.

The log query result comprises: login user, login IP address, login time, logout time, login result and other information.

Operation log management

And recording all user operation events of the system. The recording content includes: user name, IP address, operation module, operation time and operation result.

And providing an operation log query function, and querying the operation log condition according to query conditions such as user names, operation time periods, operation results and the like. And querying the operation log within three days by default.

The administrator can inquire which users perform which specific operations in the time period according to the range of the user login time.

The query conditions in the query interface comprise: and operating the user name, the operation starting time, the operation ending time and the operation result, and executing the operation log query operation after clicking the query button.

The operation log query comprises: operation user, IP address, operation time, operation module, operation result, operation content and other information.

Dictionary management

The method provides powerful functions of data dictionary management and maintenance, and facilitates the user to maintain and manage the user-defined data dictionary.

The dictionary management mainly comprises: a key patient classification type dictionary (custom adding key patient classification types) and an early warning rule (custom early warning rule).

The system comprises a knowledge base, a resident workstation, nursing and the like, wherein the knowledge base, the resident workstation, the nursing and the like provide two database interfaces of full amount and increment, and the system reads data in a dblink or web service mode and loads the data to a database of a medical quality control management system.

A synchronization period: incremental updates are recommended once a day, and full data synchronization and comparison are performed every 2 weeks to prevent data anomalies caused by incremental synchronization errors.

The synchronization mode is as follows:

1) data that would be physically deleted when it was collected from its original system is only allowed to be updated in full volume.

2) Besides, the resource data must support both full-scale updating and incremental updating. Except for one-time full synchronization when the system is on line, incremental synchronization is performed at regular time. The medical quality control management system and the data source system appoint the synchronization time, which is defined by the user. And a column of data updating time is required to be added in the view adopting the incremental updating for marking the updating time of the resource data, so that the updating time can be used as condition query when the medical quality control management system is updated in an incremental manner every day.

A data maintenance mode: data are maintained in an original system, and the medical quality control management system only provides the functions of inquiry and check without providing the maintenance function.

Interface monitoring and exception handling

The system provides interface monitoring and exception handling functions, and for all interface protocols, the system includes but is not limited to:

unified interface log management

In order to effectively analyze and manage the operation condition of each interface, unified interface log management is carried out, and data is exported according to a unified log data model, so that the system can record the operation logs when the system accesses other systems and when an external system calls the system, and further process and analyze the operation logs.

All data interfaces are guaranteed to be stable and uninterrupted, abnormal information can be reported in time when abnormal conditions occur, management personnel are reminded in a graphical or short message mode, and meanwhile the interfaces have an automatic retransmission function so as to guarantee continuous operation of system interfaces.

Interface log analysis and exception handling

The interface log analysis is to automatically analyze the exception type recorded in the unified log management by the system, and provide an exception handling mechanism for the exception type, including but not limited to:

1) automatic notification

Once the interface has a certain formulated abnormal type, the interface can remind the pre-configured system maintenance personnel to pay attention according to a configured reminding mode, including but not limited to short message communication.

2) Automatic retransmission

The system automatically calls the interface again after the abnormity occurs.

Data anomaly checking

The system is to provide exception handling for interface data, for all interface protocols, including but not limited to:

data integrity check

Integrity checking refers to checking against all mandatory items predefined in a specific interface specification.

Data mapping verification

Dictionary values or state values defined in the interface specification and needing mapping of both systems need to be checked, and if the mapping is incorrect, the records are marked, and the fields are incorrectly mapped.

Data uniqueness checking

The uniqueness check refers to checking the uniqueness of data according to the unique mark agreed by both parties.

Data availability check

The availability check refers to availability check performed on data for which the integrity check and the mapping check are completed, for example, a site and a device, and if a site corresponding to the device does not exist in a site object, the data is unavailable. To ensure interface efficiency, the availability check is not mandatory to be performed in the interface, and implementations are defined by each software company.

In the embodiments provided in the present application, it should be understood that the disclosed systems, modules and/or units may be implemented in other ways. For example, the above-described method embodiments are merely illustrative, and for example, the division of the modules is only one logical functional division, and other divisions may be realized in practice, for example, a plurality of modules or components may be combined or integrated into another system, or some features may be omitted, or not executed. The units described as separate parts may or may not be physically separate, and parts displayed as units may or may not be physical units, may be located in one place, or may be distributed on a plurality of network units. Some or all of the units can be selected according to actual needs to achieve the purpose of the solution of the embodiment.

The foregoing is only a partial embodiment of the present invention, and it should be noted that, for those skilled in the art, various modifications and decorations can be made without departing from the principle of the present invention, and these modifications and decorations should also be regarded as the protection scope of the present invention.

Claims

1. A medical quality control management platform is characterized in that the medical quality control management platform is based on a standard framework of J2EE, takes an applicationServer as a construction basis, and comprises an application presentation layer, a service layer, a data layer and a data center;

2. The medical quality control management platform according to claim 1, wherein the application presentation layer comprises a key patient management module, a home page management module, a message notification module, a resource library management module, an in-hospital medical record quality management module, a link quality module, a final quality module, a quality control management mobile terminal module, and a system management module;

3. The medical quality control management platform according to claim 2, wherein the in-hospital medical record quality management module comprises a medical record content information unit, an electronic medical record quality monitoring unit and a medical record quality defect management unit;

4. The medical quality control management platform according to claim 2, wherein the link quality module comprises a monitoring management unit, a control management unit and a statistic unit

5. The medical quality control management platform according to claim 2, wherein the final quality module comprises a template management unit, an index management unit, a quality scoring unit, a scoring management unit, and a statistical query unit;

6. The medical quality control management platform according to claim 5, wherein the statistical query unit comprises a query function, a statistical data drilling function, and a statistical form printing function;

7. The medical quality control management platform according to claim 2, wherein the medical record quality defect management unit matches defect items by accessing relevant fields of a database table and adopting a method of writing an SQL query statement, so as to find out the entry and exit of the data of the two, and finally generates a verification result to feed back to a quality inspection user.

8. The medical quality control management platform according to claim 2 or 7, wherein the medical record quality defect management unit comprises a rule matching algorithm based on multi-rule node sharing, the condition part of a rule is formed by combining one or more sub-conditions, the sub-conditions are regarded as a node, the multi-rule can share the node due to the same sub-conditions among the rules, and the multiple rules are processed through calculation of a single node, so that the rule matching efficiency is improved.

9. The medical quality control management platform according to claim 1, wherein the data center employs Oracle technology.

10. The medical quality control management platform according to claim 1, wherein encryption and decryption are performed using a DES algorithm.