基于信息平台的危急值报告制度和全流程闭环管理在健康体检中心的应用价值  

Value of whole process closed-loop management for critical value reporting based on information system at healthcare department

作　　者：焦月新 林小兰 黄琼芳 刘怀予 吴伟晴 JIAO Yuexin;LIN Xiaolan;HUANG Qiongfang(Department of Health Management,Shenzhen People’s Hospital,Guangdong,Shenzhen 518020,China)

机构地区：[1]广东省深圳市人民医院健康管理科,518020

出　　处：《河北医药》2022年第22期3409-3412,共4页Hebei Medical Journal

基　　金：深圳市科技计划项目(编号:201203132)。

摘　　要：目的探讨建立基于信息平台的危急值报告系统和全流程闭环管理在健康管理中心的应用价值。方法收集2020年9月至2021年8月深圳市人民医院健康体检中心建立基于信息平台的体检危急值报告系统和进行闭环管理发生危急值客户的临床和相关资料作为观察组。以2018年9月至2019年8月的危急值资料作为对照组。观察2组各种危急值的检出率,并进行满意度评价。结果观察组体格检查、实验室检查中血红蛋白、血糖、血脂、肝功能、肾功能危急值检出率高于对照组,差异均有统计学意义(P<0.05)。观察组甲状腺结节、肺结节/肿块、肝脏肿块、肾脏肿块影像学检查危急值报告率高于对照组,差异均有统计学意义(P<0.05)。全部发生危急值的受检者都得到临床合适诊治,无1例意外发生,无客户提出不满意投诉。观察组受检者满意度高于对照组,差异有统计学意义(P<0.01)。结论在健康管理中心建立基于信息系统的危急值报告系统的全流程闭环管理可以使发生危急值的客户得到及时诊治,保障生命安全,提高体检服务的质量和客户满意度,预防相关医疗风险,值得推广。Objective To investigate the value of whole process closed-loop management for critical value reporting based on information systems at healthcare department.Methods Whole process closed-loop management for critical value reporting based on information systems was established in Shenzhen People’s Hospital Health Checkup Center.The critical value data after establishment(from September 2020 to August 2021)were used as the observation group,which before establishment(from September 2018 to August 2019)as the control group.The detection rates of critical value reporting in the two groups were compared for evaluation the satisfaction.Results The detection rates of critical values reporting(he moglobin,blood glucose,blood lipids,liver function and renal function)in the physical examination and laboratory examination in the observation group were significantly higher than those in the control group(P<0.05).The reporting rates of critical value reporting(thyroid nodules,lung nodules/masses,liver masses,and kidney masses)in the observation group was significantly higher than those in the control group(P<0.05).All the subjects with critical value have received appropriate clinical diagnosis&treatment,without accidents and complaints.The satisfaction of the subjects in the observation group was markedly higher than that in the control group.(P<0.01).Conclusion The whole process closed-loop management for critical value reporting based on information systems can ensure every individual,who had the critical values,to be promptly and appropriately treatment.This process can improve service quality and the customer satisfaction,and prevent the related medical risks,worthy recommending.

关 键 词：危急值报告系统 体检 全流程 闭环管理 

分 类 号：R851.3[医药卫生—航空、航天与航海医学]