基于数据驱动的临床危急值数据直采与统筹管理实践  

Direct Data Collection and Overall Management of Clinical Critical Value Based on Data-Driven

作　　者：杨嘉麟[1] 龚兴荣[1] 姜若 徐晓波[3] 侯冷晨 YANG Jialin;GONG Xingrong;JIANG Ruo(Renji Hospital,School of Medicine,Shanghai Jiao Tong University,Shanghai,200127,China;不详)

机构地区：[1]上海交通大学医学院附属仁济医院,上海200127 [2]上海市第六人民医院,上海200233 [3]上海交通大学医学院附属第九人民医院,上海201900 [4]上海申康医院发展中心,上海200041

出　　处：《中国卫生质量管理》2024年第6期9-11,15,共4页Chinese Health Quality Management

基　　金：上海市2023年度“科技创新行动计划”软科学研究项目(编号:23692109700);国家卫生健康委员会医院管理研究所2023年医疗质量(循证)管理研究项目(编号:YLZLXZ23H002);上海申康医院发展中心市级医院诊疗技术推广及优化管理项目(编号:SHDC12023601)。

摘　　要：临床危急值管理是医疗质量安全核心制度的要求。为进一步推动住院患者危急值规范化管理,搭建基于数据驱动的市级医院医疗质量安全信息监管平台,制订临床危急值数据直采标准,加强危急值的数字化应用,建立临床危急值管理促进机制,在应用与联动中提升危急值管理标准化与精细化水平。实施后,危急值临床及时确认率、危急值临床及时处置率和危急值规范闭环率得以显著提升。统一的区域临床危急值数据直采与统筹管理体系,能够确保数据精准可靠,拓展分析广度和深度,促进医疗质量安全持续改进。Clinical critical value management is the requirement of the core system of medical quality and safety.In order to further promote the standardized management of critical value of inpatients,a data-driven medical quality and safety information supervision platform for municipal hospitals was built,the standards for direct collection of clinical critical value data were formulated,the digital application of critical value was strengthened,a promotion mechanism for clinical critical value management was established,and the standardization and refinement of critical value management were improved in the application and linkage.After implementation,the clinical timely confirmation rate of critical value,the clinical timely disposal rate of critical value and the closed loop rate of critical value specification had been significantly improved.The unified regional clinical critical value data direct collection and overall management system can ensure the accuracy and reliability of data,expand the analysis dimension and depth,and promote the continuous improvement of medical quality and safety.

关 键 词：数据驱动 临床危急值 医疗质量安全 数据直采 统筹管理 

分 类 号：R197[医药卫生—卫生事业管理]