基于VB 6.0的病案首页数据质量控制系统的实现与应用  

Implementation and application of quality control system for medical record homepage data based on VB 6.0

作　　者：李昕昊 潘宗林 汤盛兴 曾少婷 苏嘉立 Li Xinhao;Pan Zonglin;Tang Shengxing;Zeng Shaoting;Su Jiali(Shenzhen Bao'an District Traditional Chinese Medicine Hospital,Shenzhen 518101,China;Shenzhen Bao'an Authentic TCM Therapy Hospital,Shenzhen 518101,China;Shenzhen Hospital of Beijing University of Traditional Chinese Medicine,Shenzhen 518172,China;Third Affiliated Hospital of Guangdong Medical University,Longjiang Hospital of Shunde District,Foshan 528300,China)

机构地区：[1]深圳市宝安区中医院,广东深圳518101 [2]深圳市宝安纯中医治疗医院,广东深圳518101 [3]北京中医药大学深圳医院(龙岗),广东深圳518172 [4]广东医科大学附属第三医院(佛山市顺德区龙江医院),广东佛山528300

出　　处：《中国医院统计》2024年第1期67-71,共5页Chinese Journal of Hospital Statistics

基　　金：深圳市宝安区医疗卫生基础研究立项课题(2021JD292);深圳市卫生经济学会2023年基金项目(202371)。

摘　　要：目的基于VB 6.0编程设计软件开发病案首页数据质量控制系统,提高病案首页数据质量。方法通过调用SQL Server数据库中省规则、字典规则、数据逻辑规则和院内规则4个存储过程的方式构建病案首页数据质量控制系统。结果该系统实施应用后,根据首页数据质量评估系统每月评分反馈,2019年10月至2022年7月触犯校验规则为月均3.29例次,2022年8月至2023年8月降低至月均0.23例次;病案首页质量满分率由17.65%提升至84.62%,提升明显;病案质量满分率和校验规则满分率分别达100.00%、84.62%,有显著提升。结论目前大部分医院病案首页质量受医院信息化水平不高、医生相关病案知识匮乏、医院信息和病案工作人员的协作关系不佳等多方面制约,可通过应用该系统,帮助医院病案工作人员提高病案首页数据质量。Objective To develop a quality control system for medical record homepage data based on VB6.0 programming software to improve the quality of medical record homepage data.Methods The data quality control system of the first page of medical records was constructed by calling four stored procedures of the SQL Server database:provincial rules,dictionary rules,data logic rules and hospital rules.Results After the implementation and application of the system,according to the monthly rating feedback of the homepage data quality evaluation system,the monthly average number of violations of the verification rule was 3.29 from October 2019 to July 2022,and decreased to 0.23 from August 2022 to August 2023;the full score rate of medical record homepage quality increased from 17.65%to 84.62%,with a significant improvement;the full score rate of medical record quality and the full score rate of verification rules reached 100.00% and 84.62% respectively,and the full score rate was also significantly improved.Conclusion Currently,many hospitals are limited by factors such as low level of hospital informationization,inadequate knowledge of doctors regarding relevant medical records,and poor collaboration between hospital information and medical record personnel.This method can be used to assist hospital medical record personnel in improving the quality of medical record data.

关 键 词：病案首页 质量控制 VB 6.0 SQL Server 存储过程 

分 类 号：R197.323[医药卫生—卫生事业管理]