病历内涵质量核查管理系统设计及实现  

Design and implementation of medical record quality check management system

作　　者：王保中[1] 庄军[1] 叶世清[2] 刘侃[1] 

机构地区：[1]解放军322医院信息科,山西大同037006 [2]解放军261医院人力资源办,北京100094

出　　处：《医疗卫生装备》2014年第11期62-64,共3页Chinese Medical Equipment Journal

摘　　要：目的:进一步提高医院对于病历质量尤其是病历内涵质量的管理水平。方法:以医院信息系统(hospital information system,HIS)的Oracle后台数据库为基础,以Power Builder9.0为前台开发工具开发病历质量核查管理系统。结果:该系统已被成功应用到医院病历质量管理工作当中,并取得了良好的效果。结论:系统为临床医生和病历质量管理部门之间提供了良好的信息沟通平台,提高了医院病历质量管理的整体水平。Objective To improve the management level of medical record quality, especially the internal quality for hospital. Methods Based on the Oracle database of HIS system, Power Builder9.0 programming language was used to design the medical record quality check management system. Results The system was successfully applied in medical record quality management with satisfactory results. Conclusion It can provide a communicating platform for the clinician and the department of medical record quality management, and improve the management level of medical record quality.

关 键 词：病历质量 核查管理 医院信息系统 

分 类 号：TP311.52[自动化与计算机技术—计算机软件与理论] R197.323[自动化与计算机技术—计算机科学与技术]