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Door (emergency) diagnosis electronic medical record quality control management method and system

An electronic medical record and quality control management technology, applied in the field of medical services, can solve problems such as low efficiency, large influence of subjective factors, poor quality control effect, etc., to improve efficiency, improve quality, and achieve the effect of performance management

Pending Publication Date: 2022-07-12
SHANDONG PROVINCIAL HOSPITAL AFFILIATED TO SHANDONG FIRST MEDICAL UNIVERSITY
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  • Abstract
  • Description
  • Claims
  • Application Information

AI Technical Summary

Problems solved by technology

[0004] As the National Health and Medical Commission continues to promote the grading and evaluation of the application level of electronic medical records in medical institutions across the country, all medical institutions have established outpatient (emergency) electronic medical record systems, but there is a big gap in the quality control management of outpatient (emergency) electronic medical records. Limitations, outpatient (emergency) medical records often need to be completed within a few minutes, quality control lacks a systematic, automated, and intelligent mechanism, and management is difficult
At present, the quality control of outpatient medical records is mainly carried out manually by the relevant departments of the hospital. However, the results of manual random checks are difficult to cover comprehensively, and subjective factors are greatly affected, which cannot fully reflect the medical records of the whole hospital. The efficiency is low and the quality control effect is poor.

Method used

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  • Door (emergency) diagnosis electronic medical record quality control management method and system
  • Door (emergency) diagnosis electronic medical record quality control management method and system
  • Door (emergency) diagnosis electronic medical record quality control management method and system

Examples

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Embodiment 1

[0061] This embodiment provides a quality control management method for electronic medical records of outpatient (emergency) clinics.

[0062] An outpatient (emergency) diagnosis electronic medical record quality control management method, such as figure 1 shown, including:

[0063] S01. Set the quality control and management rules of the electronic medical record of the door (emergency) clinic;

[0064] S02, carry out quality control management of outpatient (emergency) diagnosis electronic medical records according to the quality control and management rules;

[0065] S03. Obtain the quality control results of the electronic medical record of the outpatient (emergency) clinic, make a quality control management report, and conduct performance evaluation and quality control feedback.

[0066] Further, the quality control and management rules are set in accordance with the "Standards for Grading Evaluation of the Application Level of Electronic Medical Records System (Trial)"...

Embodiment 2

[0077] This embodiment provides an electronic medical record quality control management system for outpatient (emergency) clinics.

[0078] An electronic medical record quality control management system for outpatient (emergency) diagnosis, such as figure 2 shown, including:

[0079] The rule setting unit 1 is used to set the quality control and management rules of the electronic medical record of the door (emergency) clinic;

[0080] The process management unit 2 is used for real-time quality control and management in the process of writing medical records by doctors, and records all medical record operations of doctors at the same time;

[0081] The post-event management unit 3 is used for printing management, archiving management, post-event quality control management, various statistical inquiries and performance correlation management of medical records;

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Abstract

The invention discloses a door (emergency) diagnosis electronic medical record quality control management method and system. The method comprises the following steps: setting door (emergency) diagnosis electronic medical record quality control and management rules; performing quality control management on the door (emergency) diagnosis electronic medical record according to the quality control and management rules; and obtaining a door (emergency) diagnosis electronic medical record quality control result, making a quality control management report, and carrying out performance evaluation and quality control feedback. The system comprises a rule setting unit, a process management unit, a post management unit and an authority management unit. According to the invention, quality control management can be effectively carried out on the door (emergency) diagnosis electronic medical record, the quality of the door (emergency) diagnosis electronic medical record is improved, the quality control efficiency of the door (emergency) diagnosis electronic medical record is improved, and the quality control performance management of the door (emergency) diagnosis electronic medical record is realized.

Description

technical field [0001] The invention relates to the technical field of medical services, in particular to a quality control management method and system for electronic medical records of outpatient (emergency) diagnosis. Background technique [0002] The statements in this section merely provide background related to the present disclosure and do not necessarily constitute prior art. [0003] Medical records refer to the sum of words, symbols, charts, images and other data formed by medical staff in the process of medical activities, including outpatient (emergency) medical records and inpatient medical records. Most medical institutions are quite strict in the quality control management of inpatient medical records, but often ignore the quality control management of outpatient (emergency) medical records. Outpatient (emergency) medical records also serve as the information carrier of medical activities, and have both medical and legal value. Strengthening the quality cont...

Claims

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Application Information

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Patent Type & Authority Applications(China)
IPC IPC(8): G16H10/60
CPCG16H10/60
Inventor 张艳华包国峰付秀贾明谦
Owner SHANDONG PROVINCIAL HOSPITAL AFFILIATED TO SHANDONG FIRST MEDICAL UNIVERSITY
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