以质量安全为核心的智能化电子病历系统开发与应用  

Development and Application of Intelligent Electronic Medical Record System with Quality and Safety as the Core

作　　者：张雷[1] 叶舟[2] 拓宽前[2] 洪明玉 刘正伟 张铁军[2] 杨丽萍[2] 沈彬华[2] 戴向军[2] 赵芮[2] 

机构地区：[1]新疆克拉玛依市中心医院病案管理科 [2]新疆克拉玛依市中心医院 [3]厦门市智业软件工程有限公司

出　　处：《中国数字医学》2014年第5期32-36,共5页China Digital Medicine

基　　金：新疆维吾尔自治区科技支撑计划项目-克拉玛依市数字健康城市战略研究(编号:201342128)~~

摘　　要：克拉玛依市中心医院在实施"智能化电子病历系统开发与应用"项目中,运用全过程质量管理理论,紧密围绕医疗安全和质量管理的关键环节、关键路径和关键节点,以实现"全流程医疗数据闭环管理和高级医疗决策支持"的电子病历系统为目标,在三大平台建设和智能化系统功能开发与应用中进行大胆创新与实践,初步建成基于智能化电子病历系统的医院全过程质量管理体系,具有先进性、系统性、全面有效性、预防性、动态性和持续受控等特点。During the implementation of the project of ＂development and application of intelligent electronic medical record system＂, with the theory of the whole-process quality management, closely around the key link, key path and key nodes of medical safety and quality management, aiming at realizing the electronic medical record system of ＂whole-process medical data closed-loop management and advanced medical decision support＂, Karamay Center Hospital boldly innovates and practices in the construction of three platforms and development and application of intelligent system function, and preliminarily builds the hospital wholeprocess quality management system based on the intelligent electronic medical record system characterized by advanced, systematic, comprehensive effectivess, preventive, dynamic, continuous control, etc.

关 键 词：医院信息化 电子病历系统 医疗质量控制 医疗安全 智能化 

分 类 号：R319[医药卫生—基础医学]