以信息技术为依托实行手术分级精细化管理路径初探  

Path on the management of surgical graded and refined management based on information technology

作　　者：蒋文君[1] 过栋 赵锡江[1] 谢志毅 王志强[4] 杨轶群 董文霞[5] Jiang Wenjun;Guo Dong;Zhao Xijiang;Xie Zhiyi;Wang Zhiqiang;Yang Yiqun;Dong Wenxia(Quality Management Office,Affiliated Hospital of Jiangnan University,Wuxi 214062,China;Hospital Office,Affiliated Hospital of Jiangnan University,Wuxi 214062,China;Medical Office,Affiliated Hospital of Jiangnan University,Wuxi 214062,China;Cardiothoracic Surgery,Affiliated Hospital of Jiangnan University,Wuxi 214062,China;Education Department,Affiliated Hospital of Jiangnan University,Wuxi 214062,China)

机构地区：[1]江南大学附属医院质管处,无锡214062 [2]江南大学附属医院院办,无锡214062 [3]江南大学附属医院医务处,无锡214062 [4]江南大学附属医院胸心外科,无锡214062 [5]江南大学附属医院教育处,无锡214062

出　　处：《中华医院管理杂志》2019年第7期540-543,共4页Chinese Journal of Hospital Administration

基　　金：江苏省自然科学基金(BK20161141).

摘　　要：作者探索采用信息化手段对医师手术权限实行分级管理,通过建立手术分级目录数据库,对医师手术权限进行逐级信息化审批,根据最终授权级别设定医师手术医嘱、手术申请开立、特殊手术审批等权限.采用多维度客观数据对医师手术能力进行动态评价、分级授权与再授权,进一步规范了主刀医师的行为,从源头上杜绝越级手术,提升手术精细化管理水平,保障患者安全.The authors attempted to use information technology in hierarchical management on clinician′s surgical authority.By means of a hierarchical surgery catalogue database, clinicians′ surgical authority is subject to by-level IT-based approval, and such authorities as clinician′s surgical medical advice, application for surgery, and approval of special surgeries are regulated.Thanks to multi-dimensional objective data, clinicians′ surgical competence is subject to a dynamic evaluation, hierarchical authorization and reauthorization.These measures further standardize the behavior of the surgeons, and rule out unauthorized operations, thus improving fine management of surgeries and ensuring patient safety.

关 键 词：管理信息系统 手术分级管理 授权 医师手术能力评价 精细化管理 

分 类 号：R197.323[医药卫生—卫生事业管理]