WO2018049832A1 - 医疗质量控制系统及方法 - Google Patents
医疗质量控制系统及方法 Download PDFInfo
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- WO2018049832A1 WO2018049832A1 PCT/CN2017/084231 CN2017084231W WO2018049832A1 WO 2018049832 A1 WO2018049832 A1 WO 2018049832A1 CN 2017084231 W CN2017084231 W CN 2017084231W WO 2018049832 A1 WO2018049832 A1 WO 2018049832A1
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- G—PHYSICS
- G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G16H50/00—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics
- G16H50/70—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for mining of medical data, e.g. analysing previous cases of other patients
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- G—PHYSICS
- G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G16H40/00—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
- G16H40/20—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the management or administration of healthcare resources or facilities, e.g. managing hospital staff or surgery rooms
Definitions
- the present invention relates to the technical field of medical informationization, and in particular, to a medical quality control system and method.
- a primary object of the present invention is to provide a medical quality control system and method for solving the problems of randomness and error proneness of existing medical behaviors.
- the present invention provides a medical quality control system, which is applied to a network hospital platform, which is connected to a medical information database through a database link, and is connected through a communication network.
- the medical quality control system includes: a medical process segmentation module, configured to divide the medical process into multiple medical links, each medical link corresponding to a medical behavior in the medical process, and each a medical behavior is displayed on the patient terminal for the patient to select a desired medical behavior;
- a medical behavior execution module is configured to generate a medical serial number for the medical behavior selected by the patient, according to the medical serial number from the medical information Introducing a clinical path of the medical behavior into the library, transmitting the clinical path of the medical behavior to a doctor workstation corresponding to the medical serial number for the doctor to perform a medical behavior, and obtaining medical information for performing the medical behavior from the doctor workstation;
- the medical quality control module is configured to perform detailed data analysis on the medical information of the medical behavior
- the medical quality control system further includes an electronic medical record generation module, wherein the electronic medical record generation module is configured to: when the quality indicator of the medical behavior selected by the patient does not exceed a standard threshold, the medical information of the medical behavior is The predetermined format generates an electronic medical record of the medical behavior, stores the electronic medical record of the medical behavior in a memory of the network hospital platform, and transmits the electronic medical record of the medical behavior to the patient terminal for review by the patient.
- the electronic medical record generation module is configured to: when the quality indicator of the medical behavior selected by the patient does not exceed a standard threshold, the medical information of the medical behavior is The predetermined format generates an electronic medical record of the medical behavior, stores the electronic medical record of the medical behavior in a memory of the network hospital platform, and transmits the electronic medical record of the medical behavior to the patient terminal for review by the patient.
- the medical behavior execution module is further configured to monitor whether the network hospital platform receives a medical behavior selected by the patient from the patient terminal.
- the medical behavior includes registration, payment, medical treatment, hospitalization, consultation, discharge, and referral, and each doctor workstation corresponds to a medical behavior and is assigned an IP address corresponding to the medical behavior.
- the medical quality control module includes a factor analysis sub-module and a quality indicator analysis module
- the factor analysis sub-module is configured to perform longitudinal data mining and analysis on the detailed data of the medical information of the medical behavior selected by the patient.
- the influencing factors of the behavior, the quality indicator analysis module is used to horizontally compare the influencing factors of the medical behavior to obtain the quality index of the medical behavior.
- the present invention also provides a medical quality control method, which is applied to a network hospital platform, which is connected with a medical information database through a database link, and has multiple medical contacts connected through a communication network.
- the workstation and the patient terminal the medical quality control method includes the steps of: dividing the medical process into multiple medical links, each medical link corresponding to a medical behavior in the medical process; a medical behavior is displayed on the patient terminal for the patient to select a desired medical behavior; a medical serial number is generated for the selected medical behavior of the patient, and the medical behavior is imported from the medical information database based on the medical serial number
- the clinical path of the medical behavior is sent to the doctor workstation corresponding to the medical serial number for the doctor to perform the medical behavior, and the medical information for performing the medical behavior is obtained from the doctor workstation; the medical treatment selected for the patient
- the medical information of the behavior is analyzed by detailed data to obtain the quality index of the medical behavior; whether the quality index of the medical behavior selected by the patient exceeds the standard threshold; when the
- the medical quality control method comprises the steps of: generating an electronic medical record of the medical behavior according to a predetermined format when the quality indicator of the medical behavior selected by the patient does not exceed a standard threshold;
- the electronic medical record of the medical behavior is stored in a memory of the network hospital platform; the electronic medical record of the medical behavior is sent to the patient terminal for review by the patient.
- the medical quality control method comprises the steps of: monitoring whether the network hospital platform receives a medical behavior selected by the patient from the patient terminal.
- the medical behavior includes registration, payment, medical treatment, hospitalization, consultation, discharge, and referral, and each doctor workstation corresponds to a medical behavior and is assigned an IP address corresponding to the medical behavior.
- the step of performing detailed data analysis on the medical information of the medical behavior selected by the patient to obtain the quality index of the medical behavior comprises: performing longitudinal data mining on the detailed data of the medical information of the medical behavior selected by the patient Analyze the influencing factors of medical behavior; compare the influencing factors of medical behaviors horizontally to obtain the quality indicators of medical behavior.
- the medical quality control system and method of the present invention adopts the above technical solutions, and achieves the following technical effects:
- the medical process is divided and the medical quality control of the individual medical behavior is implemented, thereby enabling Simplicity, low cost, high efficiency, objectivity and ambiguity in medical quality control; standard medical pathways for medical behavior control the quality of care, thus avoiding different treatment options that may be used by different physicians for a particular disease Avoid the arbitrariness of medical behavior, reduce errors in medical behavior, improve the accuracy of medical behavior, and assess the prognosis of medical outcomes.
- the quality indicators of each medical behavior and passing the medical warning information to the doctor or related responsible person through the quality indicators exceeding the threshold, the medical quality of the medical behavior is realized.
- FIG. 1 is a schematic diagram of an application environment of a preferred embodiment of the medical quality control system of the present invention
- FIG. 2 is a flow chart of a preferred embodiment of the medical quality control method of the present invention.
- FIG. 1 is a schematic diagram of an application environment of a medical quality control system of the present invention.
- the medical quality control system 10 is installed and operated in the network hospital platform 1, and the network hospital platform 1 is connected to the medical information database 2 through the database link 4, and is connected through the communication network 5 Medical workstation 3 and patient terminal 6.
- the network hospital platform 1 is a network server, a file server, and other computer devices with large data processing capabilities.
- the medical information base 2 stores a clinical pathway of medical behaviors of various diseases, which is a comprehensive treatment mode and a treatment procedure for a certain disease, and is a comprehensive mode for clinical treatment.
- the medical workstation 3 can be a personal computer, a laptop, a PDA device, a cell phone or other computing device.
- the database link 4 can be a dry database link such as JDBC or ODBC.
- the communication network 5 can be a wireless network (such as a mobile communication network such as GPRS), a local area network (such as intmnet), or an Internet (such as the Internet).
- the patient terminal 6 can be a laptop, a PDA Equipment, cell phone or other mobile communication device.
- the network hospital platform 1 interacts with the medical information database 2 through the database link 4, and obtains the clinical path of the medical behavior from the medical information database 2.
- Each medical workstation 3 can interact with the network hospital platform 1 via the communication network 5. Specifically, each medical workstation 3 can exchange information with the network hospital platform 1 through the application software running on the medical workstation 3, or can log in to the network hospital platform 1 through a browser, and directly perform information with the network hospital platform 1. Interaction to effectively control the quality of care for medical procedures.
- the patient terminal 6 is configured to display each medical action for the patient to select a desired medical behavior and to transmit the selected medical behavior to the network hospital platform 1.
- the network hospital platform 1 includes, but is not limited to, a medical quality control system 10, a communication unit 11, a memory 12, and a processor 13.
- the communication unit 11 is a wireless communication interface with remote wireless communication function, for example, a communication interface supporting communication technologies such as GSM, GPRS, WCDMA, CDMA, TD-SC DMA. WiMAX, TD-LTE, FDD-LTE.
- the memory 12 can be a read only memory ROM, an electrically erasable memory EEPROM, or a flash memory FLASH or the like for storing program instruction codes constituting the medical quality control system 10.
- the processor 13 may be a microprocessor, a data processing chip, or an information processing unit having a data processing function for performing the medical quality control system 10 to perform processing functions for medical quality control.
- the medical quality control system 10 includes, but is not limited to, a medical process segmentation module 101, a medical behavior execution module 102, a medical quality control module 103, and an electronic medical record generation module 104.
- the module referred to in the embodiment of the present invention refers to a series of computer program instruction segments that can be executed by the processor 13 of the network hospital platform 1 and can perform a fixed function, which is stored in the memory of the network hospital platform 1. 12 in.
- the medical process segmentation module 101 is configured to divide the medical process into multiple medical links, each medical link corresponding to a medical behavior in the medical process, and displaying each medical behavior on the patient terminal 6 for the patient Choose the medical behavior you need.
- the medical behavior includes, but is not limited to, registration, payment, medical treatment, hospitalization, consultation, discharge, re-diagnosis, and the like.
- the patient terminal 6 actually displays each medical behavior in the medical procedure, and the patient can select the medical behavior required for medical quality control on the medical terminal 6, and send the patient-selected medical behavior to the network hospital platform 1 to select the patient. Medical behavior for medical quality control.
- This embodiment uses the segmentation of the medical business process and The unique medical behavior carries out medical quality control, so it can solve the problems of complexity, high cost, low efficiency, subjectivity and lag of medical procedures, thus achieving the simplification, low cost, high efficiency and objectivity of medical quality control. And ambiguity.
- the medical behavior execution module 102 is configured to monitor whether the network hospital platform 1 receives the medical behavior selected by the patient from the patient terminal 6, and when the network hospital platform 1 receives the medical behavior selected by the patient, the patient selects the medical behavior.
- the medical behavior generates a medical serial number and a clinical pathway for importing the medical behavior from the medical information base 2 based on the medical serial number. For example, when the patient selects a medical treatment from the patient terminal 6, the medical behavior execution module 102 generates a serial number for the medical behavior selected by the patient, and imports the clinical behavior of the medical behavior from the medical information database 2 according to the serial number. path.
- the medical information database 2 stores clinical paths of various medical behaviors and corresponding medical serial numbers, and each clinical path pointer establishes a standardized treatment mode and treatment program for a certain disease, which is a A comprehensive model of clinical treatment, guided by evidence-based medical evidence and medical guidelines to promote treatment of tissue and disease management methods, ultimately to regulate medical behavior, reduce variation, reduce costs, and improve the quality of care.
- the medical serial number is a combination of letters, numbers or alphanumerics, for example "20150125 A03", where "20150125” represents the medical date, "A" represents the type of disease, and "03" represents medical behavior.
- the medical behavior execution module 102 is further configured to send the clinical path of the medical behavior to the doctor workstation 3 corresponding to the medical serial number for the doctor to perform a medical behavior, and obtain the medical treatment from the doctor workstation 3 Behavioral medical information.
- each doctor workstation 3 corresponds to a medical behavior and is assigned an IP address corresponding to the medical behavior, so that the clinical path of the medical behavior can be sent to the corresponding doctor workstation 3, when the doctor performs the medical behavior process.
- the medical behavior execution module 102 actually obtains medical information for performing the medical behavior from the doctor workstation 3.
- medical information of "visiting" medical information includes, but is not limited to, patient identity information, doctor identity information, disease information, medical information, diagnosis Information, inspection information, treatment information, prescription information, medical expenses information, and information.
- the medical information is input to the doctor workstation 3 by the doctor during the execution of the medical behavior, so the medical behavior execution module 102 can obtain the medical information of the medical behavior.
- the medical quality control module 103 is configured to perform detailed data analysis on the medical information of the medical behavior to obtain a quality indicator of the medical behavior, and determine whether the quality index of the medical behavior exceeds a standard threshold. After the quality index of the treatment behavior exceeds the standard threshold, the medical warning information is sent to the doctor workstation 3 to notify the doctor to correct the medical behavior.
- the medical quality control module 103 includes a factor analysis sub-module 1031 and a quality indicator analysis module 1032, and the factor analysis sub-module 1031 is used to analyze the medical behavior of the detailed data of the medical information.
- the quality indicator analysis module 1032 is configured to perform horizontal comparison on the influencing factors of the medical behavior to obtain a quality indicator of the medical behavior.
- the quality indicators of each medical behavior are calculated as an absolute number or relative number of medical information according to a predetermined association algorithm, which reflects the summary of various aspects of medical behavior.
- the standard value threshold of medical behavior can be set according to the specific medical behavior, and the quality index of the medical behavior is calculated according to the medical information according to a predetermined association algorithm, and the medical behavior corresponding to the quality index exceeding the limit is compared by comparing with the standard threshold.
- the electronic medical record generation module 104 is configured to: when the quality indicator of the medical behavior does not exceed the standard threshold, generate the medical medical record of the medical behavior according to the medical information of the medical behavior, and store the electronic medical record of the medical behavior In the memory 12 of the network hospital platform 1.
- the predetermined format is a standard format specified in accordance with evidence-based medicine or medical guidelines.
- the electronic medical record generation module 104 can transmit the electronic medical record of each medical behavior to the doctor workstation 3 for viewing or printing by the doctor through the communication unit 11.
- the electronic medical record generation module 104 can also send the electronic medical record of each medical behavior to the patient terminal 6 through the communication unit 11 for the patient to consult, thereby facilitating the patient to know his or her medical behavior immediately.
- the present invention also provides a medical quality control method for use in the network hospital platform 1 shown in FIG. 1.
- Figure 2 is a flow chart of a preferred embodiment of the medical quality control method of the present invention.
- the medical quality control method includes the following steps:
- Step S21 the medical process is divided into multiple medical links, and each medical link corresponds to a medical behavior in the medical process; specifically, the medical process segmentation module 101 divides the medical process into multiple medical links.
- Each medical session corresponds to a medical behavior in the medical process.
- the medical behavior includes, but is not limited to, registration, payment, medical treatment, hospitalization, consultation, discharge, re-diagnosis, etc.
- each medical link corresponds to a medical behavior in the medical procedure.
- step S22 displaying each medical behavior at the patient terminal for the patient to select a desired medical behavior;
- the medical process segmentation module 101 sends each medical action to the patient terminal 6 via the communication network 5, and displays each medical action on the patient terminal 6 for the patient to select the desired medical behavior, so the patient can
- the medical terminal 6 selects the medical behavior required for medical quality control, and sends the medical behavior selected by the patient to the network hospital platform 1 to perform medical quality control on the medical behavior selected by the patient.
- the complexity, high cost, low efficiency, subjectivity, and lag of the medical process can be solved, thereby realizing the medical quality. Control simplification, low cost, high efficiency, objectivity and ambiguity.
- Step S23 Actually monitoring whether the medical behavior selected by the patient is received; specifically, the medical behavior execution module 102 actually monitors whether the network hospital platform 1 receives the medical behavior selected by the patient. If the network hospital platform 1 receives the medical behavior selected by the patient, the process proceeds to step S24; if the network hospital platform 1 does not receive the medical behavior selected by the patient, the process proceeds to step S22.
- Step S24 Generate a medical serial number for the medical behavior selected by the patient, and import the clinical path of the medical behavior from the medical information database according to the medical serial number.
- the medical behavior execution module 102 Upon receiving the medical behavior selected by the patient, the medical behavior execution module 102 generates a medical serial number for the medical behavior selected by the patient, and imports the clinical route of the medical behavior from the medical information base 2 based on the medical serial number. For example, when the patient selects a medical treatment from the patient terminal 6, the medical behavior execution module 102 generates a serial number for the medical behavior selected by the patient, and imports the clinical behavior of the medical behavior from the medical information database 2 according to the serial number. path.
- the medical information database 2 stores clinical paths of various medical behaviors and corresponding medical serial numbers, and each clinical path pointer establishes a standardized treatment mode and treatment program for a certain disease, which is a A comprehensive model of clinical treatment, guided by evidence-based medical evidence and medical guidelines to promote treatment of tissue and disease management methods, ultimately to regulate medical behavior, reduce variation, reduce costs, and improve the quality of care.
- the medical serial number is a combination of letters, numbers or alphanumerics, for example "20150125 A03", wherein "20150125” represents the medical date, "A" represents the disease type, and "03" represents the medical behavior.
- Step S25 the clinical path is sent to the doctor workstation corresponding to the medical serial number for the doctor to perform the medical behavior, and the medical information for performing the medical behavior is obtained from the doctor workstation.
- the medical behavior execution module 102 sends the clinical path of the medical behavior to the doctor's work corresponding to the medical serial number.
- Station 3 is for a doctor to perform a medical act, and from the doctor's workstation 3, obtain medical information for performing the medical action.
- each doctor workstation 3 corresponds to a medical behavior and is assigned an IP address corresponding to the medical behavior, so that the clinical path of the medical behavior can be sent to the corresponding doctor workstation 3, when the doctor performs the medical behavior process.
- the medical behavior execution module 102 actually obtains medical information for performing the medical behavior from the doctor workstation 3.
- medical information for medical treatments includes, but is not limited to, patient identification information, doctor identification information, disease information, medical treatment information, diagnostic information, inspection information, Treatment information, prescription information, medical expense information, and daytime information.
- the medical information is input to the doctor workstation 3 by the doctor during the execution of the medical behavior, so the medical behavior execution module 102 can obtain the medical information of the medical behavior.
- Step S26 performing detailed data analysis on the medical information to obtain a quality indicator of the medical behavior; in the embodiment, the medical quality control module 103 performs detailed data analysis on the medical information of the medical behavior to obtain a quality indicator of the medical behavior.
- the factor analysis sub-module 1031 performs longitudinal data mining analysis on the medical behavior of the detailed information of the medical information
- the quality indicator analysis module 1032 horizontally compares the influencing factors of the medical behavior to obtain the quality index of the medical behavior.
- the quality indicators of each medical behavior are calculated as an absolute or relative number of medical information according to a predetermined association algorithm, which reflects an overview of all aspects of medical behavior.
- Step S27 Whether the quality indicator exceeds the standard threshold; specifically, the medical quality control module 103 determines whether the quality indicator of the medical behavior exceeds a standard threshold, and the standard value threshold of the medical behavior may be set according to a specific medical behavior. If the quality index of the medical behavior exceeds the standard threshold, indicating that the quality of the medical behavior is unqualified, the process proceeds to step S28, and then returns to step S25; if the quality index of the medical behavior does not exceed the standard threshold, indicating that the quality of the medical behavior is acceptable, the process proceeds to step S29. .
- Step S28 sending the medical warning information to the doctor workstation to notify the doctor to correct the medical behavior; specifically, the medical quality control module 103 sends the medical warning information to the doctor workstation 3 through the communication network 5 to notify the doctor to correct the medical behavior.
- the standard value threshold of the medical behavior can be set according to the specific medical behavior, and the medical behavior corresponding to the quality indicator exceeding the limit is given an early warning and the medical warning information is sent to the doctor workstation 3 to notify the doctor by comparing with the standard threshold. Correct the medical action.
- step S29 generating medical information of the electronic medical record in a predetermined format according to a predetermined format;
- the quality index of the treatment behavior does not exceed the standard threshold, and the electronic medical record generation module 104 generates the medical record of the medical behavior according to the medical information of the medical behavior, and stores the electronic medical record of the medical behavior in the memory 12 of the network hospital platform 1.
- the predetermined format is a standard format specified according to an evidence-based medicine or medical guide.
- the electronic medical record generation module 104 can send the electronic medical record of each medical behavior to the doctor workstation 3 for consultation or printing by the doctor through the communication unit 11.
- the electronic medical record generation module 104 can also send the electronic medical record of each medical behavior to the patient terminal 6 through the communication unit 11 for the patient to consult, thereby facilitating the patient to know the situation of his or her medical behavior immediately.
- the medical quality control system and method provided by the present invention adopts a medical process segmentation and medical quality control of a single medical behavior, thereby solving the complexity, high cost, low efficiency, subjectivity, and lag of the medical process.
- the problem achieves simplification, low cost, high efficiency, objectivity and ambiguity in medical quality control.
- the medical quality control system and method of the present invention control the quality of medical care by adopting a standard clinical path of medical behavior, thereby avoiding different treatment schemes that may be adopted by different physicians for a certain disease, and avoiding the randomness of medical behavior. , reducing errors in medical behavior, improving the accuracy of medical behavior, and assessing the prognosis of medical outcomes.
- the quality indicators exceeding the threshold are passed to the doctor or the relevant responsible person through the medical warning information, thereby realizing the medical quality of the medical behavior.
- the medical quality control system and method of the present invention adopts the above technical solutions, and achieves the following technical effects:
- the medical process is divided and the medical quality control of the individual medical behavior is implemented, thereby enabling Simplicity, low cost, high efficiency, objectivity and ambiguity in medical quality control; standard medical pathways for medical behavior control the quality of care, thus avoiding different treatment options that may be used by different physicians for a particular disease Avoiding the randomness of medical behavior, reducing errors in medical behavior, improving the accuracy of medical behavior, and assessing the prognosis of medical outcomes; analyzing the quality indicators of each medical behavior and the quality indicators exceeding the threshold Through the medical warning information to the doctor or the relevant responsible person, the medical quality of the medical behavior can be realized.
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Abstract
一种医疗质量控制系统及方法，应用于网络医院平台中，该方法包括步骤：将医疗流程分割为多个医疗环节，每个医疗环节对应医疗流程的一个医疗行为（S21）；将每个医疗行为显示在患者终端上供患者选择（S22）；为患者所选择的医疗行为生成一个医疗序列号，并根据医疗序列号从医疗信息库导入医疗行为的临床路径（S24）；将医疗行为的临床路径发送至医疗序列号对应的医生工作站供医生执行医疗行为，并从医生工作站获取执行医疗行为的医疗信息（S25）；对医疗行为的医疗信息进行分析得到医疗行为的质量指标（S26）；当质量指标超过标准阈值时，发送医疗预警信息通知医生为医疗行为纠错（S28）。本方法能够避免医疗行为的随意性，减少医疗行为的差错，提高医疗行为的准确性。
Description
医疗质量控制系统及方法 技术领域
[0001] 本发明涉及医疗信息化的技术领域， 尤其涉及一种医疗质量控制系统及方法。
背景技术
[0002] 传统的医疗服务提供方在为患者提供医疗服务吋， 主要以医生个体的能力和经 验行事， 每个医生的知识背景和经验决定了每个医疗事件的质量和效益， 虽然 医院等机构会通过培训和制定诸如诊疗常规等方法来指导医生个体的医疗行为 ， 但是并不能在医疗过程中随吋提供参考方法和相应的提示， 致使医生个体在 实际操作吋仍然以习惯和经验为主。 由于医疗行为的随意性， 因此医疗过程中 发生医疗差错吋有发生。 此外， 不同医生之间不同的医疗方法没有技术手段进 行客观比较， 无法判断其优劣， 致使好的医疗方法不能及吋得到推广， 差的医 疗方法不能得到及吋淘汰， 年轻的医生不能避免重复犯错而直接采用好的医疗 方法， 从而影响医疗质量和费用， 一定程度上造成了看病贵、 看病难的问题。 一些政府或学术机构希望通过制定临床路径标准来规范医生的医疗行为， 但是 这些临床路径标准都是基于书面文本型的， 只能靠医生个体的记忆和理解来指 导医疗实践， 不能在临床一线指导医生的医疗行为， 目前主要是对医疗事件采 取手动记录的方式生成电子病历， 容易造成遗漏和不准确。 此外， 医疗流程的 复杂化、 高成本、 低效率、 主观性以及滞后性等问题， 给医疗服务质量的控制 带来操作上的难度。
技术问题
[0003] 本发明的主要目的在于提供一种医疗质量控制系统及方法， 旨在解决现有医疗 行为的随意性及易发生差错的问题。
问题的解决方案
技术解决方案
[0004] 为实现上述目的， 本发明提供了一种医疗质量控制系统， 应用于网络医院平台 中， 该网络医院平台通过数据库链接连接有医疗信息库， 并通过通信网路连接
有多个医疗工作站以及患者终端， 所述医疗质量控制系统包括： 医疗流程分割 模块， 用于将医疗流程分割为多个医疗环节， 每个医疗环节对应医疗流程中的 一个医疗行为， 以及将每一个医疗行为显示在所述患者终端上以供患者选择所 需的医疗行为； 医疗行为执行模块， 用于为患者所选择的医疗行为生成一个医 疗序列号， 根据该医疗序列号从所述医疗信息库中导入该医疗行为的临床路径 ， 将该医疗行为的临床路径发送至所述医疗序列号对应的医生工作站供医生执 行医疗行为， 以及从该医生工作站实吋获取执行该医疗行为的医疗信息； 医疗 质量控制模块， 用于对患者所选择的医疗行为的医疗信息进行明细数据分析得 到该医疗行为的质量指标， 判断该医疗行为的质量指标是否超过标准阈值， 当 该医疗行为的质量指标超过标准阈值吋， 通过通信网路发送医疗预警信息至所 述医生工作站通知医生为该医疗行为纠错。
[0005] 优选的， 所述医疗质量控制系统还包括电子病历生成模块， 该电子病历生成模 块用于当患者所选择的医疗行为的质量指标没有超过标准阈值吋， 将该医疗行 为的医疗信息按预定格式生成该医疗行为的电子病历， 将该医疗行为的电子病 历存储在网络医院平台的存储器中， 以及将该医疗行为的电子病历发送至所述 患者终端供患者査阅。
[0006] 优选的， 所述医疗行为执行模块还用于实吋监测所述网络医院平台是否从所述 患者终端接收到患者选择的医疗行为。
[0007] 优选的， 所述医疗行为包括挂号、 缴费、 就诊、 住院、 会诊、 出院和复诊， 每 一个医生工作站对应有一种医疗行为并分配有该种医疗行为对应的 IP地址。
[0008] 优选的， 所述医疗质量控制模块包括因素分析子模块及质量指标分析模块， 所 述因素分析子模块用于对患者所选择的医疗行为的医疗信息的明细数据进行纵 向数据挖掘分析医疗行为的影响因素， 所述质量指标分析模块用于对该医疗行 为的影响因素进行横向比较得到医疗行为的质量指标。
[0009] 为实现上述目的， 本发明还提供了一种医疗质量控制方法， 应用于网络医院平 台中， 该网络医院平台通过数据库链接连接有医疗信息库， 并通过通信网路连 接有多个医疗工作站及患者终端， 所述医疗质量控制方法包括步骤： 将医疗流 程分割为多个医疗环节， 每个医疗环节对应医疗流程中的一个医疗行为； 将每
一个医疗行为显示在所述患者终端上以供患者选择所需的医疗行为； 为患者所 选择的医疗行为生成一个医疗序列号， 并根据该医疗序列号从所述医疗信息库 中导入该医疗行为的临床路径； 将该医疗行为的临床路径发送至所述医疗序列 号对应的医生工作站供医生执行医疗行为， 并从该医生工作站实吋获取执行该 医疗行为的医疗信息； 对患者所选择的医疗行为的医疗信息进行明细数据分析 得到该医疗行为的质量指标； 判断患者所选择的医疗行为的质量指标是否超过 标准阈值； 当患者所选择的医疗行为的质量指标超过标准阈值吋， 通过通信网 路发送医疗预警信息至所述医生工作站通知医生为该医疗行为纠错。
[0010] 优选的， 所述医疗质量控制方法包括步骤： 当患者所选择的医疗行为的质量指 标没有超过标准阈值吋， 将该医疗行为的医疗信息按预定格式生成该医疗行为 的电子病历； 将所述医疗行为的电子病历存储在所述网络医院平台的存储器中 ； 将所述医疗行为的电子病历发送至所述患者终端供患者査阅。
[0011] 优选的， 所述医疗质量控制方法包括步骤： 实吋监测所述网络医院平台是否从 所述患者终端接收到患者选择的医疗行为。
[0012] 优选的， 所述医疗行为包括挂号、 缴费、 就诊、 住院、 会诊、 出院和复诊， 每 一个医生工作站对应有一种医疗行为并分配有该种医疗行为对应的 IP地址。
[0013] 优选的， 所述对患者所选择的医疗行为的医疗信息进行明细数据分析得到该医 疗行为的质量指标的步骤包括： 对患者所选择的医疗行为的医疗信息的明细数 据进行纵向数据挖掘分析医疗行为的影响因素； 对该医疗行为的影响因素进行 横向比较得到医疗行为的质量指标。
发明的有益效果
有益效果
[0014] 相较于现有技术， 本发明所述医疗质量控制系统及方法采用上述技术方案， 达 到了如下技术效果： 采用对医疗流程进行分割并对单独医疗行为进行医疗质量 控制， 因此能够实现医疗质量控制的简单化、 低成本、 高效率、 客观性和及吋 性； 采用医疗行为的标准临床路径对医疗质量进行控制， 从而避免了因不同医 师个人针对某一疾病可能采用的不同治疗方案， 避免了医疗行为的随意性， 减 少了医疗行为中发生的差错， 提高了医疗行为的准确性、 医疗预后的可评估性
； 通过分析每个医疗行为的质量指标并对超过阀值的质量指标通过医疗预警信 息至传递给医生或者相关责任人， 从而实现实吋控制医疗行为的医疗质量。 对附图的简要说明
附图说明
[0015] 图 1是本发明医疗质量控制系统优选实施例的应用环境示意图；
[0016] 图 2是本发明医疗质量控制方法优选实施例的流程图。
[0017] 本发明目的实现、 功能特点及优点将结合实施例， 参照附图做进一步说明。
实施该发明的最佳实施例
本发明的最佳实施方式
[0018] 为更进一步阐述本发明为达成上述目的所采取的技术手段及功效， 以下结合附 图及较佳实施例， 对本发明的具体实施方式、 结构、 特征及其功效进行详细说 明。 应当理解， 此处所描述的具体实施例仅仅用以解释本发明， 并不用于限定 本发明。
[0019] 参照图 1所示， 图 1是本发明医疗质量控制系统的应用环境示意图。 在本实施例 中， 所述医疗质量控制系统 10安装并运行于网络医院平台 1中， 所述网络医院平 台 1通过数据库链接 4连接有医疗信息库 2， 以及通过通信网路 5连接有多个医疗 工作站 3以及患者终端 6。 所述网络医院平台 1为网络服务器、 文件服务器以及其 它具有大数据处理能力的计算机设备。 所述医疗信息库 2存储有各种疾病的医疗 行为的临床路径 （Clinical pathway) ， 所述临床路径是指针对某一疾病建立一套 标准化治疗模式与治疗程序， 是一个有关临床治疗的综合模式， 以循证医学证 据和医疗指南为指导来促进治疗组织和疾病管理的方法， 最终起到规范医疗行 为， 减少变异， 降低成本， 提高医疗质量的作用。 相对于医疗指南来说， 临床 路径的内容更简洁、 易读、 适用于多学科多部门具体操作， 是针对特定疾病的 诊疗流程、 注重治疗过程中各专科间的协同性、 注重治疗的结果、 注重吋间性 。 所述医疗工作站 3可以为个人计算机、 笔记本电脑、 PDA设备、 手机或者其它 计算设备。 所述数据库链接 4可以为 JDBC或 ODBC等幵放式数据库链接。 所述通 信网路 5可以为无线网路 （例如 GPRS等移动通信网路） 、 局域网络 （例如 intmne t) 、 或互联网际网络 （例如 Internet) 。 所述患者终端 6可以为笔记本电脑、 PDA
设备、 手机或者其它移动通信设备。
[0020] 在本实施例中， 所述网络医院平台 1通过数据库链接 4与医疗信息库 2进行信息 交互， 从医疗信息库 2中获取医疗行为的临床路径。 每一个医疗工作站 3均可通 过通信网路 5与网络医院平台 1进行信息交互。 具体地， 每一个医疗工作站 3均可 通过运行于该医疗工作站 3的应用软件与网络医院平台 1进行信息交互， 也可通 过浏览器登录到网络医院平台 1中， 与网络医院平台 1直接进行信息交互以有效 控制医疗流程的医疗质量。 所述患者终端 6用于显示每一个医疗行为供患者选择 所需的医疗行为， 并将所选择的医疗行为发送至所述网络医院平台 1。
[0021] 在本实施例中， 所述的网络医院平台 1包括， 但不仅限于， 医疗质量控制系统 1 0、 通信单元 11、 存储器 12和处理器 13。 所述通信单元 11是一种具有远程无线通 讯功能的无线通讯接口， 例如， 支持 GSM、 GPRS、 WCDMA、 CDMA、 TD-SC DMA. WiMAX、 TD-LTE、 FDD-LTE等通讯技术的通讯接口。 所述存储器 12可 以为一种只读存储器 ROM、 电可擦写存储器 EEPROM、 或者快闪存储器 FLASH 等， 用于存储构成所述医疗质量控制系统 10的程序指令代码。 所述的处理器 13 可以为一种微处理器、 数据处理芯片、 或者具有数据处理功能的信息处理单元 ， 用于执行所述医疗质量控制系统 10完成对医疗质量控制的处理功能。
[0022] 本实施例中， 所述医疗质量控制系统 10包括， 但不仅限于， 医疗流程分割模块 101、 医疗行为执行模块 102、 医疗质量控制模块 103以及电子病历生成模块 104 。 本发明实施例所称的模块是指一种能够被所述网络医院平台 1的处理器 13所执 行并且能够完成固定功能的一系列计算机程序指令段， 其存储在所述网络医院 平台 1的存储器 12中。
[0023] 所述医疗流程分割模块 101用于将医疗流程分割为多个医疗环节， 每个医疗环 节对应医疗流程中的一个医疗行为， 以及将每一个医疗行为显示在患者终端 6上 以供患者选择所需的医疗行为。 在本实施例中， 所述医疗行为包括， 但不仅限 于， 挂号、 缴费、 就诊、 住院、 会诊、 出院、 复诊等。 患者终端 6实吋显示医疗 流程中的每一个医疗行为， 患者可以在医疗终端 6上选择所需进行医疗质量控制 的医疗行为， 并将患者选择的医疗行为发送至网络医院平台 1对患者所选择的医 疗行为进行医疗质量控制。 本实施例因为采用对医疗业务流程进行分割并对单
独的医疗行为进行医疗质量控制， 因此能够解决医疗流程的复杂化、 高成本、 低效率、 主观性以及滞后性等问题， 进而实现了医疗质量控制的简单化、 低成 本、 高效率、 客观性和及吋性。
[0024] 所述医疗行为执行模块 102用于实吋监测网络医院平台 1是否从患者终端 6接收 到患者选择的医疗行为， 当网络医院平台 1接收到患者选择的医疗行为吋为患者 所选择的医疗行为生成一个医疗序列号， 以及根据该医疗序列号从医疗信息库 2 中导入该医疗行为的临床路径。 例如， 当患者从患者终端 6选择的医疗行为"就诊 "， 医疗行为执行模块 102为患者所选择的医疗行为生成一个序列号， 并根据该序 列号从医疗信息库 2中导入该医疗行为的临床路径。 在本实施例中， 所述医疗信 息库 2存储有各种医疗行为的临床路径以及相应的医疗序列号， 每一种临床路径 指针对某一疾病建立一套标准化治疗模式与治疗程序， 是一个有关临床治疗的 综合模式， 以循证医学证据和医疗指南为指导来促进治疗组织和疾病管理的方 法， 最终起到规范医疗行为， 减少变异， 降低成本， 提高医疗质量的作用。 所 述医疗序列号为一种字母、 数字或者字母数字组合， 例如" 20150125 A03"， 其中 ， "20150125"代表医疗日期、 "A"代表疾病类型、 "03"代表医疗行为。
[0025] 所述医疗行为执行模块 102还用于将该医疗行为的临床路径发送至所述医疗序 列号对应的医生工作站 3供医生执行医疗行为， 并从该医生工作站 3实吋获取执 行该医疗行为的医疗信息。 在本实施例中， 每一个医生工作站 3对应有一种医疗 行为并分配有该种医疗行为对应的 IP地址， 从而使得医疗行为的临床路径能够发 送至对应的医生工作站 3， 当医生执行医疗行为过程中， 所述医疗行为执行模块 102实吋获取从医生工作站 3执行该医疗行为的医疗信息。 在本实施例中， 不同 的医疗行为对应有不同的医疗信息， 例如， 医疗行为"就诊"的医疗信息包括， 但 不仅限限于， 患者身份信息、 医生身份信息、 病种信息、 就诊信息、 诊断信息 、 检査信息、 治疗信息、 处方信息、 医疗费用信息、 吋间信息。 这些医疗信息 由医生在执行该医疗行为过程中输入到医生工作站 3中， 因此医疗行为执行模块 102可以获取到医疗行为的医疗信息。
[0026] 所述医疗质量控制模块 103用于对医疗行为的医疗信息进行明细数据分析得到 该医疗行为的质量指标， 判断该医疗行为的质量指标是否超过标准阈值， 当医
疗行为的质量指标超过标准阈值吋， 发送医疗预警信息至医生工作站 3通知医生 为该医疗行为纠错。 在本实施例中， 所述医疗质量控制模块 103包括因素分析子 模块 1031以及质量指标分析模块 1032， 该因素分析子模块 1031用于对医疗信息 的明细数据进行纵向数据挖掘分析医疗行为的影响因素， 所述质量指标分析模 块 1032用于对该医疗行为的影响因素进行横向比较得到医疗行为的质量指标。 每一个医疗行为的质量指标根据医疗信息按预定的关联算法相互计算而成的一 个绝对数或相对数， 其反应了医疗行为各方面的概要情况。 医疗行为的标准值 阈值可根据具体的医疗行为进行设定， 医疗行为的质量指标根据医疗信息按预 定的关联算法相互计算而成， 通过与标准阈值进行比较对超限的质量指标对应 的医疗行为给予预警并发送医疗预警信息至医生工作站 3通知医生为该医疗行为 纠错。
[0027] 所述电子病历生成模块 104用于当医疗行为的质量指标没有超过标准阈值吋， 将该医疗行为的医疗信息按预定格式生成该医疗行为的电子病历， 并将医疗行 为的电子病历存储在网络医院平台 1的存储器 12中。 在本实施例中， 所述预定格 式为一种根据循证医学或医疗指南指定的标准格式。 此外， 所述电子病历生成 模块 104可以通过通信单元 11将每一种医疗行为的电子病历发送医生工作站 3供 医生査阅或者打印。 所述电子病历生成模块 104还可以通过通信单元 11将每一种 医疗行为的电子病历发送患者终端 6供患者査阅， 从而方便患者即吋了解自己的 医疗行为的情况。
[0028] 本发明还提供了一种医疗质量控制方法， 应用于如图 1所示的网络医院平台 1中 。 如图 2所示， 图 2是本发明医疗质量控制方法优选实施例的流程图。 在本实施 例中， 所述医疗质量控制方法包括如下步骤：
[0029] 步骤 S21， 将医疗流程分割为多个医疗环节， 每个医疗环节对应医疗流程中的 一个医疗行为； 具体地， 医疗流程分割模块 101将医疗流程分割为多个医疗环节
， 每个医疗环节对应医疗流程中的一个医疗行为。 在本实施例中， 所述医疗行 为包括， 但不仅限于， 挂号、 缴费、 就诊、 住院、 会诊、 出院、 复诊等， 每个 医疗环节对应医疗流程中的一个医疗行为。
[0030] 步骤 S22， 将每一个医疗行为显示在患者终端供患者选择所需的医疗行为； 具
体地， 医疗流程分割模块 101将每一个医疗行为通过通信网路 5发送至患者终端 6 ， 并将每一个医疗行为显示在患者终端 6上以供患者选择所需的医疗行为， 因此 患者可以在医疗终端 6上选择所需进行医疗质量控制的医疗行为， 并将患者选择 的医疗行为发送至网络医院平台 1对患者所选择的医疗行为进行医疗质量控制。 本实施例因为采用对医疗业务流程进行分割并对单独的医疗行为进行医疗质量 控制， 因此能够解决医疗流程的复杂化、 高成本、 低效率、 主观性以及滞后性 等问题， 进而实现了医疗质量控制的简单化、 低成本、 高效率、 客观性和及吋 性。
[0031] 步骤 S23， 实吋监测是否接收到患者选择的医疗行为； 具体地， 医疗行为执行 模块 102实吋监测网路医院平台 1是否接收到患者选择的医疗行为。 若网路医院 平台 1接收到患者选择的医疗行为， 流程则执行步骤 S24; 若网路医院平台 1没有 接收到患者选择的医疗行为， 流程则执行步骤 S22。
[0032] 步骤 S24， 为患者所选择的医疗行为生成一个医疗序列号， 并根据该医疗序列 号从医疗信息库中导入该医疗行为的临床路径。 当接收到患者选择的医疗行为 吋， 医疗行为执行模块 102为患者所选择的医疗行为生成一个医疗序列号， 并根 据该医疗序列号从医疗信息库 2中导入该医疗行为的临床路径。 例如， 当患者从 患者终端 6选择的医疗行为"就诊"， 医疗行为执行模块 102为患者所选择的医疗行 为生成一个序列号， 并根据该序列号从医疗信息库 2中导入该医疗行为的临床路 径。 在本实施例中， 所述医疗信息库 2存储有各种医疗行为的临床路径以及相应 的医疗序列号， 每一种临床路径指针对某一疾病建立一套标准化治疗模式与治 疗程序， 是一个有关临床治疗的综合模式， 以循证医学证据和医疗指南为指导 来促进治疗组织和疾病管理的方法， 最终起到规范医疗行为， 减少变异， 降低 成本， 提高医疗质量的作用。 所述医疗序列号为一种字母、 数字或者字母数字 组合， 例如" 20150125 A03"， 其中， "20150125"代表医疗日期、 "A"代表疾病类 型、 "03"代表医疗行为。
[0033] 步骤 S25， 将该临床路径发送至医疗序列号对应的医生工作站供医生执行医疗 行为， 并从该医生工作站实吋获取执行该医疗行为的医疗信息。 具体地， 医疗 行为执行模块 102将医疗行为的临床路径发送至所述医疗序列号对应的医生工作
站 3供医生执行医疗行为， 并从该医生工作站 3实吋获取执行该医疗行为的医疗 信息。 在本实施例中， 每一个医生工作站 3对应有一种医疗行为并分配有该种医 疗行为对应的 IP地址， 从而使得医疗行为的临床路径能够发送至对应的医生工作 站 3， 当医生执行医疗行为过程中， 所述医疗行为执行模块 102实吋获取从医生 工作站 3执行该医疗行为的医疗信息。 不同的医疗行为对应有不同的医疗信息， 例如， 医疗行为"就诊"的医疗信息包括， 但不仅限限于， 患者身份信息、 医生身 份信息、 病种信息、 就诊信息、 诊断信息、 检査信息、 治疗信息、 处方信息、 医疗费用信息、 吋间信息。 这些医疗信息由医生在执行该医疗行为过程中输入 到医生工作站 3中， 因此医疗行为执行模块 102可以获取到医疗行为的医疗信息
[0034] 步骤 S26， 对医疗信息进行明细数据分析得到该医疗行为的质量指标； 在本实 施例中， 医疗质量控制模块 103对医疗行为的医疗信息进行明细数据分析得到该 医疗行为的质量指标。 具体地， 因素分析子模块 1031对医疗信息的明细数据进 行纵向数据挖掘分析医疗行为的影响因素， 质量指标分析模块 1032对该医疗行 为的影响因素进行横向比较得到医疗行为的质量指标。 每一个医疗行为的质量 指标根据医疗信息按预定的关联算法相互计算而成的一个绝对数或相对数， 其 反应了医疗行为各方面的概要情况。
[0035] 步骤 S27， 质量指标是否超过标准阈值； 具体地， 医疗质量控制模块 103判断医 疗行为的质量指标是否超过标准阈值， 该医疗行为的标准值阈值可根据具体的 医疗行为进行设定。 若医疗行为的质量指标超过标准阈值， 说明医疗行为质量 不合格， 流程则执行步骤 S28， 而后返回步骤 S25; 若医疗行为的质量指标没有 超过标准阈值， 说明医疗行为质量合格， 流程则执行步骤 S29。
[0036] 步骤 S28， 发送医疗预警信息至医生工作站通知医生为该医疗行为纠错； 具体 地， 医疗质量控制模块 103通过通信网络 5发送医疗预警信息至医生工作站 3通知 医生为该医疗行为纠错。 在本实例中， 医疗行为的标准值阈值可根据具体的医 疗行为进行设定， 通过与标准阈值进行比较对超限的质量指标对应的医疗行为 给予预警并发送医疗预警信息至医生工作站 3通知医生为该医疗行为纠错。
[0037] 步骤 S29， 将医疗信息按预定格式生成该医疗行为的电子病历； 具体地， 当医
疗行为的质量指标没有超过标准阈值吋， 电子病历生成模块 104将该医疗行为的 医疗信息按预定格式生成该医疗行为的电子病历， 并将医疗行为的电子病历存 储在网络医院平台 1的存储器 12中。 在本实施例中， 所述预定格式为一种根据循 证医学或医疗指南指定的标准格式。 此外， 所述电子病历生成模块 104可以通过 通信单元 11将每一种医疗行为的电子病历发送医生工作站 3供医生査阅或者打印 。 所述电子病历生成模块 104还可以通过通信单元 11将每一种医疗行为的电子病 历发送患者终端 6供患者査阅， 从而方便患者即吋了解自己的医疗行为的情况。
[0038] 本发明提供的医疗质量控制系统及方法采用对医疗流程进行分割并对单独医疗 行为进行医疗质量控制， 因此能够解决医疗流程的复杂化、 高成本、 低效率、 主观性以及滞后性等问题， 进而实现了医疗质量控制的简单化、 低成本、 高效 率、 客观性和及吋性。 此外， 本发明所述医疗质量控制系统及方法采用医疗行 为的标准临床路径对医疗质量进行控制， 从而避免了因不同医师个人针对某一 疾病可能采用的不同治疗方案， 避免了医疗行为的随意性， 减少了医疗行为中 发生的差错， 提高了医疗行为的准确性、 医疗预后的可评估性。 通过分析每个 医疗行为的质量指标的上下限阀值， 对超过阀值的质量指标通过医疗预警信息 至传递给医生或者相关责任人， 从而实现实吋控制医疗行为的医疗质量。
[0039] 以上仅为本发明的优选实施例， 并非因此限制本发明的专利范围， 凡是利用本 发明说明书及附图内容所作的等效结构或等效功能变换， 或直接或间接运用在 其他相关的技术领域， 均同理包括在本发明的专利保护范围内。
工业实用性
[0040] 相较于现有技术， 本发明所述医疗质量控制系统及方法采用上述技术方案， 达 到了如下技术效果： 采用对医疗流程进行分割并对单独医疗行为进行医疗质量 控制， 因此能够实现医疗质量控制的简单化、 低成本、 高效率、 客观性和及吋 性； 采用医疗行为的标准临床路径对医疗质量进行控制， 从而避免了因不同医 师个人针对某一疾病可能采用的不同治疗方案， 避免了医疗行为的随意性， 减 少了医疗行为中发生的差错， 提高了医疗行为的准确性、 医疗预后的可评估性 ； 通过分析每个医疗行为的质量指标并对超过阀值的质量指标通过医疗预警信 息至传递给医生或者相关责任人， 从而实现实吋控制医疗行为的医疗质量。
Claims
[权利要求 1] 一种医疗质量控制系统， 应用于网络医院平台中， 该网络医院平台通 过数据库链接连接有医疗信息库， 并通过通信网路连接有多个医疗工 作站以及患者终端， 其特征在于， 所述医疗质量控制系统包括： 医疗 流程分割模块， 用于将医疗流程分割为多个医疗环节， 每个医疗环节 对应医疗流程中的一个医疗行为， 以及将每一个医疗行为显示在所述 患者终端上以供患者选择所需的医疗行为； 医疗行为执行模块， 用于 为患者所选择的医疗行为生成一个医疗序列号， 根据该医疗序列号从 所述医疗信息库中导入该医疗行为的临床路径， 将该医疗行为的临床 路径发送至所述医疗序列号对应的医生工作站供医生执行医疗行为， 以及从该医生工作站实吋获取执行该医疗行为的医疗信息； 医疗质量 控制模块， 用于对患者所选择的医疗行为的医疗信息进行明细数据分 析得到该医疗行为的质量指标， 判断该医疗行为的质量指标是否超过 标准阈值， 当该医疗行为的质量指标超过标准阈值吋， 通过通信网路 发送医疗预警信息至所述医生工作站通知医生为该医疗行为纠错。
[权利要求 2] 如权利要求 1所述的医疗质量控制系统， 其特征在于， 该系统还包括 电子病历生成模块， 该电子病历生成模块用于当患者所选择的医疗行 为的质量指标没有超过标准阈值吋， 将该医疗行为的医疗信息按预定 格式生成该医疗行为的电子病历， 将该医疗行为的电子病历存储在网 络医院平台的存储器中， 以及将该医疗行为的电子病历发送至所述患 者终端供患者査阅。
[权利要求 3] 如权利要求 1所述的医疗质量控制系统， 其特征在于， 所述医疗行为 执行模块还用于实吋监测所述网络医院平台是否从所述患者终端接收 到患者选择的医疗行为。
[权利要求 4] 如权利要求 1所述的医疗质量控制系统， 其特征在于， 所述医疗行为 包括挂号、 缴费、 就诊、 住院、 会诊、 出院和复诊， 每一个医生工作 站对应有一种医疗行为并分配有该种医疗行为对应的 IP地址。
[权利要求 5] 如权利要求 1至 4任一项所述的医疗质量控制系统， 其特征在于， 所述
医疗质量控制模块包括因素分析子模块以及质量指标分析模块， 所述 因素分析子模块用于对患者所选择的医疗行为的医疗信息的明细数据 进行纵向数据挖掘分析医疗行为的影响因素， 所述质量指标分析模块 用于对该医疗行为的影响因素进行横向比较得到医疗行为的质量指标
[权利要求 6] —种医疗质量控制方法， 应用于网络医院平台中， 该网络医院平台通 过数据库链接连接有医疗信息库， 并通过通信网路连接有多个医疗工 作站以及患者终端， 其特征在于， 所述医疗质量控制方法包括步骤： 将医疗流程分割为多个医疗环节， 每个医疗环节对应医疗流程中的一 个医疗行为； 将每一个医疗行为显示在所述患者终端上以供患者选择 所需的医疗行为； 为患者所选择的医疗行为生成一个医疗序列号， 并 根据该医疗序列号从所述医疗信息库中导入该医疗行为的临床路径； 将该医疗行为的临床路径发送至所述医疗序列号对应的医生工作站供 医生执行医疗行为， 并从该医生工作站实吋获取执行该医疗行为的医 疗信息； 对患者所选择的医疗行为的医疗信息进行明细数据分析得到 该医疗行为的质量指标； 判断患者所选择的医疗行为的质量指标是否 超过标准阈值； 当患者所选择的医疗行为的质量指标超过标准阈值吋 ， 通过通信网路发送医疗预警信息至所述医生工作站通知医生为该医 疗行为纠错。
[权利要求 7] 如权利要求 6所述的医疗质量控制方法， 其特征在于， 该方法还包括 步骤： 当患者所选择的医疗行为的质量指标没有超过标准阈值吋， 将 该医疗行为的医疗信息按预定格式生成该医疗行为的电子病历； 将所 述医疗行为的电子病历存储在所述网络医院平台的存储器中； 将所述 医疗行为的电子病历发送至所述患者终端供患者査阅。
[权利要求 8] 如权利要求 6所述的医疗质量控制方法， 其特征在于， 该方法还包括 步骤： 实吋监测所述网络医院平台是否从所述患者终端接收到患者选 择的医疗行为。
[权利要求 9] 如权利要求 6所述的医疗质量控制方法， 其特征在于， 所述医疗行为
包括挂号、 缴费、 就诊、 住院、 会诊、 出院和复诊， 每一个医生工作 站对应有一种医疗行为并分配有该种医疗行为对应的 IP地址。
[权利要求 10] 如权利要求 6至 9任一项所述的医疗质量控制方法， 其特征在于， 所述 对患者所选择的医疗行为的医疗信息进行明细数据分析得到该医疗行 为的质量指标的步骤包括： 对患者所选择的医疗行为的医疗信息的明 细数据进行纵向数据挖掘分析医疗行为的影响因素； 对该医疗行为的 影响因素进行横向比较得到医疗行为的质量指标。
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| CN102068309A (zh) * | 2009-11-25 | 2011-05-25 | 成澄 | 临床路径实施方法以及包含临床路径数据的医疗信息管理系统 |
| CN102509000A (zh) * | 2011-10-14 | 2012-06-20 | 广东巨龙信息技术有限公司 | 临床路径集中数据传输显示的方法和系统 |
| CN106355028A (zh) * | 2016-09-14 | 2017-01-25 | 深圳市前海安测信息技术有限公司 | 医疗质量控制系统及方法 |
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