CAJ | 학술논문

实时的环节中监控是医疗质量控制的关键,在信息化手段辅助下的医疗质控,更应强调可操作性.通过对电子病历时限和结构完整性要求、围手术期各项制度、危急值及时处理及规范记录、有创操作、高风险诊疗项目操作知情告知及规范记录等设定质量控制规则,集成化方式提供质控信息,建立有效质量控制信息反馈渠道,网络培训改变质控受众观念等一系列流程,最大限度发挥信息平台的严谨、实时、多样的特点,实现巩固和提高医疗质量的目的.
실시적배절중감공시의료질량공제적관건,재신식화수단보조하적의료질공,경응강조가조작성.통과대전자병력시한화결구완정성요구、위수술기각항제도、위급치급시처리급규범기록、유창조작、고풍험진료항목조작지정고지급규범기록등설정질량공제규칙,집성화방식제공질공신식,건립유효질량공제신식반궤거도,망락배훈개변질공수음관념등일계렬류정,최대한도발휘신식평태적엄근、실시、다양적특점,실현공고화제고의료질량적목적.
Real time process control is the key point of medical quality control. By the help of informatization methods, medical quality control needs to emphasis its implementation. By setting up quality control conditions which involve electronic medical record submission deadline and quality, perioperative period regulations, critical values timely intervention and standardized record, informed consent and standardized record on invasive manipulation and high risk manipulation, medical quality information can be integrated provided. By establishing effective quality control information feedback platform and website training to change conception, the strengths of information platform such as rigorous, real time and diverse are fully played to promote medical quality.