CN114596948A - Method for establishing field library of hospital management statistical index source - Google Patents
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Abstract
The invention discloses a method for establishing a field library of a hospital management statistical index source, which comprises the following steps: the evaluation indexes in the hospital management files are sorted, and a hospital management statistical index entry set is established; carrying out standardized definition on each hospital management type statistical index entry to obtain an operation field; performing system analysis on each operation field, finding out confounding factors generated by interfering the operation field in the hospital information system, defining the confounding factors as condition fields, and obtaining the aperture of the condition fields acquired in the hospital information system; and establishing a hospital management statistical index source field library according to the operation field and the condition field. The method provided by the invention eliminates human intervention in the whole process, avoids errors in calculating statistical indexes caused by subjective ambiguity and objective systematic complexity, and can obtain accurate and reliable statistical indexes of hospital management.
Description
Technical Field
The invention relates to the technical field of hospital quality management, in particular to a method for establishing a field library of a hospital management statistical index source.
Background
The existing hospital management indexes comprise statistical reporting of national health and fitness committee and evaluation indexes of provinces and cities, part of the existing hospital management indexes are from various reports of hospitals, part of the existing hospital management indexes are from manual statistics, and part of the existing hospital management indexes are from acquisition and calculation of hospital informatization systems. Although the national health statistics survey system, the health statistics working specifications of each province and the instruction manual of each hospital management examination or rating file explain the concept and calculation of the evaluation index, compared with the actual site situation of the traditional Chinese medicine, the concepts are relatively rough, and no specific standard operation guide is given. Various factors influence the quality of the original data of the statistical indexes and the accuracy of calculation from generation to collection of the data of the statistical indexes calculated by each hospital and the calculation of the indexes, and further directly influence the reliability of data analysis conclusions and the realization of information value.
In the actual work of hospitals, or because the definition and the statistical caliber of part of statistical indexes are not clear enough, or because the statistical staff of each hospital understand the deviation and the informatization construction degree of each hospital are inconsistent, it is often seen that the statistical connotation of the same index in different hospitals is inconsistent, so that the difference occurs in the actual data acquisition process, and the data is inaccurate. Even in the same hospital, the same index is calculated by different departments, and the calculation results often have certain difference. The auditing after data acquisition is relatively limited, only inspection can be performed from a logic perspective, the self quality of the data is difficult to check, and the application of the data lacks homogeneity, so that the statistical index for evaluating the actual condition of the hospital cannot be accurately obtained.
How to scientifically, accurately and reliably acquire the raw data required by the hospital management statistical indexes from the complex hospital information system is obviously an important problem. The quality control of the original data acquisition is the guarantee of data accuracy, and the data is accurate and reliable, so that the effect of promoting medical quality management and control work by hospital management statistical indexes can be really exerted.
Disclosure of Invention
Therefore, the technical problem to be solved by the invention is to overcome the defects that data are mixed and the statistical index for evaluating the actual condition of the hospital cannot be accurately obtained in the prior art, thereby providing a method for establishing a hospital management statistical index source field library.
The invention provides a method for eliminating data confounding factors and accurately obtaining statistical indexes for evaluating the actual conditions of a hospital, in particular to a method for establishing a field library of a hospital management statistical index source, which comprises the following steps:
s1: the evaluation indexes in the hospital management files are sorted, and a hospital management statistical index entry set is established;
s2: carrying out standardized definition on each hospital management type statistical index entry to obtain an operation field;
s3: performing system analysis on each operation field, finding out confounding factors generated by interfering the operation field in the hospital information system, defining the confounding factors as condition fields, and obtaining the aperture of the condition fields acquired in the hospital information system;
s4: and establishing a hospital management statistical index source field library according to the operation field and the condition field.
Preferably, in S1, the evaluation indexes in the state, province and each hospital management file are sorted, and a hospital management statistical index entry set is established.
Preferably, in S2, the name, meaning, and calculation formula of each hospital management type statistical index entry are defined in a standardized manner, a calculation variable is obtained according to the calculation formula of each hospital management type statistical index entry, and an operation field of each calculation variable and an aperture of the operation field collected in the hospital information system are determined.
Preferably, the hospital management statistical index entries with a plurality of names are normalized, and the hospital management statistical index entries with different connotations and calculation formulas are subjected to sub-indexing.
Preferably, S3 further includes, S3.1: and according to the influence mode of the condition field, making a processing strategy to eliminate the influence of the confounding factors.
Preferably, in S4, a hospital management statistical index source field library is established according to the operation field, the caliber acquired by the operation field in the hospital information system, the condition field, and the caliber acquired by the condition field in the hospital information system; and establishing a standard interface of a hospital management statistical index source field library according to the characteristic attributes of the operation field and the condition field, wherein the characteristic attributes comprise field names, Chinese meanings, data types, emptiness and explanations.
Preferably, the operation field comprises a registration running water, and the condition field comprises registration time, registration department, doctor receiving and cost totalization, and is used for determining the number of outpatients as a statistical index.
Preferably, the method further comprises the step of S5:
according to the operation field, the condition field, the caliber acquired by the operation field in the hospital information system and the caliber acquired by the condition field in the hospital information system, screening data of the number of times of the statistical index outpatient in a hospital management statistical index source field library and acquiring;
establishing an algorithm framework model for calculating hospital management statistical index entries in a hospital information system based on the calculation variables, the operation fields and the condition fields;
the algorithm framework model and the standard interface of the hospital management statistical index source field library are used for finishing automatic capture of collected data of the times of statistical index outpatients by a hospital information system data platform, and then calculating by itself to obtain accurate and reliable hospital management statistical indexes; the algorithm framework model comprises a calculation step of an operation field and a calculation step of a management type statistical index entry.
Preferably, the calculation step of the operation field is established according to the processing strategy for the relation between the operation field and the condition field; and establishing a calculation step of managing statistical index entries according to the relation between the calculation variables and the operation fields.
Preferably, the hospital management type statistical index entry set comprises hospital rating index entries such as level one, hospital performance assessment index entries such as level one, related professional quality control index entries and hospital internal department performance assessment indexes.
Has the advantages that: the method provided by the invention eliminates human intervention in the whole process, avoids errors in calculating statistical indexes caused by subjective ambiguity and objective systematic complexity, and can obtain accurate and reliable statistical indexes of hospital management.
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In order to more clearly illustrate the embodiments of the present invention or the technical solutions in the prior art, the drawings used in the description of the embodiments or the prior art will be briefly described below, and it is obvious that the drawings in the following description are some embodiments of the present invention, and other drawings can be obtained by those skilled in the art without creative efforts.
Fig. 1 is a flowchart of a method for establishing a field library of a hospital management statistical index source in the embodiment of the present invention.
Detailed Description
The technical solutions of the present invention will be described clearly and completely with reference to the accompanying drawings, and it should be understood that the described embodiments are some, but not all embodiments of the present invention. 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.
In addition, the technical features involved in the different embodiments of the present invention described below may be combined with each other as long as they do not conflict with each other.
As shown in fig. 1, the present embodiment provides a method for establishing a field library of hospital management statistical index sources, which performs system analysis on a process of generating hospital information system data to find out relevant factors affecting statistical index calculation; and the quality control is adopted in the process of calculating the statistical indexes, and the mixed factors influencing the result of calculating the statistical indexes are removed.
The method comprises the following steps:
s1: classifying and sorting evaluation indexes in state, province and hospital management files, and establishing a hospital management statistical index entry set;
the hospital management type statistical index entry set comprises hospital rating index entries such as level one, hospital performance assessment index entries such as level one, related professional quality control index entries and hospital internal department performance assessment indexes.
S2: the name, the connotation and a calculation formula of each hospital management type statistical index entry are defined in a standardized way, and a calculation variable is obtained according to the calculation formula of each hospital management type statistical index entry, wherein the calculation formula is an index operation relation (+, -, +, /); further determining the operation field of each calculation variable and the caliber of the operation field collected in the hospital information system;
according to the national relevant guide documents, combining the actual operation condition of the hospital, following the statistical principle, adopting a system research method and a literature research method to fully analyze the meaning of the indexes and accurately describe the index definition; specifically, the hospital management statistical index entries with a plurality of names are normalized, and the hospital management statistical index entries with different connotations and calculation formulas are subjected to sub-indexing processing; the hospital management statistical index entries are accurately read by the method, and the specific contents of the entries are definitely described by accurate and unmistakable terms.
S3: performing system analysis on each operation field, finding out confounding factors generated by interfering the operation field in the hospital information system, defining the confounding factors as condition fields, and obtaining the aperture of the condition fields acquired in the hospital information system;
s3.1: and according to the influence mode of the condition field, making a processing strategy to eliminate the influence of the confounding factors.
S4: establishing a hospital management statistical index source field library according to the operation field, the caliber acquired by the operation field in the hospital information system, the condition field and the caliber acquired by the condition field in the hospital information system; and establishing a standard interface of a hospital management statistical index source field library according to the characteristic attributes of the operation field and the condition field, wherein the characteristic attributes comprise field names, Chinese meanings, data types, emptiness and explanations.
The operation field comprises a registration assembly line, and the condition field comprises registration time, registration departments, doctor and cost totalization and is used for determining the number of outpatients of the statistical index.
S5: according to the operation field, the condition field, the caliber acquired by the operation field in the hospital information system and the caliber acquired by the condition field in the hospital information system, screening data of the number of times of the statistical index outpatient in a hospital management statistical index source field library and acquiring;
establishing an algorithm framework model for calculating hospital management statistical index entries in a hospital information system based on the calculation variables, the operation fields and the condition fields;
the algorithm framework model and the standard interface of the hospital management statistical index source field library are used for finishing automatic capture of collected data of the times of statistical index outpatients by a hospital information system data platform, and then calculating by itself to obtain accurate and reliable hospital management statistical indexes; the algorithm frame model comprises a calculation step of an operation field and a calculation step of a management type statistical index entry;
wherein, for the relation between the clear operation field and the condition field, the calculation step of the operation field is established according to the processing strategy; and establishing a calculation step of managing statistical index entries according to the relation between the calculation variables and the operation fields.
This example provides a use case for this method, as follows:
hospital management statistical index entries: number of outpatients.
And (3) normalized definition: the number of patients in the clinic visit is counted during the period.
Connotation: including initial diagnosis, follow-up diagnosis, pregnancy examination in outpatient service, postpartum examination, one-way health examination, etc.; the workload of various examinations, treatments (such as skin tests, injections, debridement and suture), immunization and the number of times of health management service persons are not included according to the medical orders; the number of the patient who has returned and registered but has not yet visited the clinic is not counted.
Calculating the formula: the number of outpatients is the number of outpatients registered.
To increase workload, common confounders include: the times of partial physical examination persons, the times of massage physical therapy persons, zero-cost registration and the like, the number of times of no treatment after registration and the like; confounding factors due to the complex scene in the field are: the first multi-department visit, the second multi-department visit, the multi-department visit of different system diseases, the no-number visit, the self-fee medical insurance transfer, the number withdrawal and the like.
And establishing a processing strategy through system analysis.
And (4) counting a calculation formula, an operation field and an aperture of the hospital management type statistical index entry.
The calculation formula after the change is as follows: the number of outpatient times is the sum of the number of outpatient times of 'registration and visit'; the operation field is 'registration pipelining' with uniqueness, and the statistical caliber is an HIS registration table and an on-network reservation registration table.
Confounding factor processing strategy, condition field and caliber;
the processing strategy is as follows: the patients who see a doctor can control various subjective and objective mixed factors seen at present according to the registration time, the registration department, the doctor who receives the doctor and the record of the cost recorded by the hospital information system;
the condition field is: the 'registration time', 'registration department' and 'cost total', the caliber of the operation field collected in the hospital information system is the corresponding field table in the hospital information system;
and according to the total of the operation field registration running water and the condition field registration time, the registration department, the doctor and the cost, and standard interfaces of the operation field registration running water and the condition field registration time, the registration department, the doctor and the cost, which collect the caliber in a hospital system, the collection of the data related to the number of the outpatients is completed.
The current statistical methods are: the system registers tickets, and the statistical method has the following problems, for example: it is clearly specified that the workload of each examination, treatment and treatment according to the medical advice is not within the calculation, but in the implementation process, the workload of a hospital such as a plurality of times of treatment and physical examination in an outpatient department is counted by the hospital and does not meet the requirement.
Compared with the existing method, through the system analysis of data in the hospital information system and the quality control of the confounding factors, the calculated number of times of outpatients avoids the deviation of the value calculation statistical indexes of different personnel or different systems, and the direct scientific, accurate and reliable generation of the hospital management statistical indexes by the system is realized.
The method provided by the embodiment eliminates human intervention in the whole process, avoids errors in calculating the statistical indexes caused by subjective ambiguity and objective systematic complexity, and can obtain accurate and reliable statistical indexes of hospital management.
It should be understood that the above examples are only for clarity of illustration and are not intended to limit the embodiments. Other variations and modifications will be apparent to persons skilled in the art in light of the above description. And are neither required nor exhaustive of all embodiments. And obvious variations or modifications therefrom are within the scope of the invention.
Claims (10)
1. A method for establishing a field library of a hospital management statistical index source is characterized by comprising the following steps:
s1: the evaluation indexes in the hospital management files are sorted, and a hospital management statistical index entry set is established;
s2: carrying out standardized definition on each hospital management type statistical index entry to obtain an operation field;
s3: performing system analysis on each operation field, finding out confounding factors which interfere the generation of the operation field in a hospital information system, defining the confounding factors as condition fields, and obtaining the aperture of the condition fields acquired in the hospital information system;
s4: and establishing a hospital management statistical index source field library according to the operation field and the condition field.
2. The method for establishing a hospital management statistical index source field library according to claim 1, wherein in S1, evaluation indexes in the state, province and each hospital management file are classified and sorted to establish a hospital management statistical index entry set.
3. The method for establishing a hospital management statistical index source field library according to claim 2, wherein in S2, the name, the content and the calculation formula of each hospital management type statistical index entry are defined in a standardized manner, the calculation variables are obtained according to the calculation formula of each hospital management type statistical index entry, and the operation field of each calculation variable and the aperture of the operation field collected in the hospital information system are determined.
4. The method of claim 3, wherein the hospital management statistical index source field library is normalized and sub-indexed for hospital management statistical index entries with different connotations and calculation formulas.
5. The method for establishing a hospital management statistical index source field library according to claim 4, wherein S3 further comprises, S3.1: and according to the influence mode of the condition field, establishing a processing strategy to eliminate the influence of the confounding factors.
6. The method for establishing a hospital management statistical index source field library according to claim 5, wherein in S4, the hospital management statistical index source field library is established according to the operation field, the caliber of the operation field collected in the hospital information system, the condition field, and the caliber of the condition field collected in the hospital information system; and establishing a standard interface of a hospital management statistical index source field library according to the characteristic attributes of the operation field and the condition field, wherein the characteristic attributes comprise field names, Chinese meanings, data types, emptiness and explanations.
7. The method as claimed in claim 6, wherein the operation field comprises a registration queue, and the condition field comprises registration time, registration department, doctor and cost total for determining the number of outpatients.
8. The method for establishing the hospital management statistical index source field library according to claim 7, further comprising S5:
according to the operation field, the condition field, the caliber acquired by the operation field in the hospital information system and the caliber acquired by the condition field in the hospital information system, screening data of the number of times of the statistical index outpatient in the hospital management statistical index source field library and acquiring the data;
establishing an algorithm framework model for calculating hospital management statistical index entries in the hospital information system based on the calculation variables, the operation fields and the condition fields;
the algorithm framework model and the standard interface of the hospital management statistical index source field library are used for finishing automatic capture of collected data of the times of statistical index outpatients by a hospital information system data platform, and then calculating by itself to obtain accurate and reliable hospital management statistical indexes; the algorithm framework model comprises a calculation step of an operation field and a calculation step of a management type statistical index entry.
9. The method for establishing a hospital management statistical index source field library according to claim 8, characterized by a calculation step of establishing an operation field according to a processing strategy with respect to a relationship between the operation field and a condition field; and establishing a calculation step of managing statistical index entries according to the relation between the calculation variables and the operation fields.
10. The method for establishing a hospital management statistical index source field library according to claim 1, wherein the hospital management type statistical index entry set comprises a third-level-A hospital rating index entry, a third-level-A hospital performance assessment index entry, a related professional quality control index entry and a hospital internal department performance assessment index.
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