新版电子病历的病历质量管理系统的设计与应用  

Design and application of medical record quality management system based on new electronic medical record

作　　者：李顺飞[1] 唐晓东[1] 刘书楠 赵振华[1] 符峰钊[1] 张文博[1] 贾元杰 

机构地区：[1]解放军第150医院全军医院信息管理研究基地,河南洛阳471031 [2]天津百泰网络科技有限公司,天津300040 [3]解放军第522医院医务处,河南洛阳471031

出　　处：《重庆医学》2014年第19期2452-2454,共3页Chongqing medicine

基　　金：济南军区"十二五"医学科学技术研究项目(CJN12C028)

摘　　要：目的通过新版电子病历的病历质量管理系统的设计与应用,提高病历质量检测效率和管理水平。方法系统基于JAVA技术设计开发,由数据交换平台和病历质量管理系统组成,平台采用C/S架构,主程序采用B/S架构;通过与业务数据库的数据交换实现与新版电子病历和临床信息系统的融合应用。结果改变了病历质量监控模式和业务工作流程,提高了环节及终末病历质量。结论系统的设计及应用为病历质量监控工作提供了有力支撑,对提高病历质量、临床工作效率、医疗质量起到了积极作用。Objective To enhance the test efficiency and management level of medical record quality by designing and using med- ical record quality management system based on new electronic medical record. Methods System design and development were based on JAVA,consisting of data exchange platform and medical record quality management system. The platform used C/S architecture and the main program used B/S architecture. Achieved the integration with new electronic medical record and clinical information system through data exchange with business database. Results The supervision model and business workflow of medical record quality were changed,and the process and terminal medical record quality were promoted. Conclusion Design and application of the system can provides strong support for medical record quality management, supplys effective supports for supervision of medical record quality, and plays positive role in promoting medical record quality, clinical work efficiency, and medical quality.

关 键 词：新版电子病历 质量控制 医院信息系统 

分 类 号：R197.323[医药卫生—卫生事业管理]