| Study objective:Summary and analysis of the current domestic and foreign and military digital hospital construction present situation and strengthening medical quality management in military hospital development trend, comparative analysis of the traditional medical quality management and digital medical quality management advantages and disadvantages, discusses in the army hospital digital construction of military hospital medical quality management; proposes the construction of military digital hospital medical quality control mode, for the construction of military digital hospital medical quality control model provides theoretical basis.Research contents:First, summarize and analysis at home and abroad and the present situation of the construction of military digital hospital;Second, comparative analysis of the traditional medical quality management and the advantages and disadvantages of digital medical quality management;Third, to explore the modern military hospital of strengthening medical quality management plan;In fourth, the construction of modern hospital medical quality by digital means to control method; Fifth, preliminary evaluation of digital means to control medical quality effect; Sixth, digital means to control medical quality in the future.Research methods:First, review literature. Check and issue the related literature, summarizing and military digital hospital construction.Second, qualitative analysis and quantitative analysis. On the collection and access the data collation, analysis, compared with the traditional medical quality management and the advantages and disadvantages of digital medical quality management.In third, The expert interview. To Select experts consulting interviews, for the construction of military digital hospital medical quality control mode of foundation.The research process:The first, The literature review. Summary analysis at home and abroad and the present situation of the construction of military digital hospital,.The second, The data processing. The data were collated and analysed, compared with the traditional medical quality management and the advantages and disadvantages of digital medical quality management;The third step, The expert interview. On the correlation of selected interviews with experts, the collection and collation of experts opinion, the establishment of military digital hospital medical quality control mode of the basic content and matters needing attention.The fourth step, create military digital hospital medical quality control mode.Results and discussion:1. summary analysis at home and abroad and the present situation of the construction of the military digital hospital work, compared with the traditional medical quality management shortcomings and compose to build new period of military digital hospital medical quality control the necessity of mode analysis.In recent years, the construction of digital hospital has a rapid development in the context and achieved significant results. The United States, Europe and other countries of the digital hospital construction has entered a substantive stage. From the time, the United States, Europe, Japan and other developed countries in the construction of digital hospital started earlier. At present, the hospital information management system (HIS) in the western state hospital has gained widespread popularity, and in a variety of clinical information system (CIS) has been widely used. Domestic hospital information construction began in the ninety’s of last century, with the rapid development of hospital information system, make the hospital managers gradually realize that the construction of digital hospital to strengthen the scientific management of hospital and improve medical service level of importance, but in the digital hospital construction train of thought, each is in exploratory and practice stage. At present, in China, the military hospital informationization level was higher than that of the local hospital.Traditional medical quality management is a kind of quality of spot management and post management, management means a single, narrow range of management, low efficiency, quality evaluation index non-standard features, very difficult to achieve the real time quality of medical, scientific and standardized management. At the same time, the traditional management of medical quality is not on overall hospital operation is monitored, and the work efficiency is low, it is difficult to meet the need of the development of the hospital. At the same time, the current health reform environment, health safety environment change and hospital’s scientific management needs of the environment changes are required urgently need to build a new medical quality management mode of hospital medical quality, to achieve scientific management, standardization, modernization.Digital medical quality management is a whole process, real time, a full range of medical quality management, which is not only a kind of management mode innovation, is also a kind of transformation of management idea, the full realization of real time monitoring, quality control, all-round monitoring, multiple departments to monitor. Compared with the traditional ways, on one hand the innovative medical quality generation mode, on the other hand regulating medical quality and scientific management, has great superiority.2. Construction of military digital hospital medical quality control mode.Hospital medical quality is the soul, is the decisive factor for the development of hospital. Strengthening of military digital hospital medical quality management, optimize the management process, to strengthen the army hospital medical quality construction, improve the medical level, ensure medical safety plays an active role. Military hospital medical quality management mode of digital hospital is in hospital information system based on the computer network platform, through a variety of system application software, implementation covers medical quantity index, diagnosis and treatment of medical quality, work quality, drug quality management, hospital infection, medical behavior, health quality of economic management, and on the medical service efficiency and efficiency, accessibility and continuity, patient satisfaction, overall medical quality supervision and control, which is characterized in the full use of modern information technology on the basis of medical quality, realize the whole process control and management. Military digital hospital medical quality control mode of integration of modern hospital management concept, management means of building construction, system construction, personnel construction, finally to achieve the overall hospital medical quality management of the realization.Military digital hospital medical quality control mode is defined in the digital hospital construction under the guidance of the concept, perfect relevant information management system and safety system, the hospital information system based on the computer network platform, through a variety of information system application software, implementation covers medical quantity index, diagnosis and treatment of medical quality, work quality, drug management quality, hospital infection, medical behavior, health economic management quality, as well as on medical service efficiency and effectiveness, accessibility and continuity, patient satisfaction, overall medical quality supervision and control. Military digital hospital medical quality management new pattern, and traditional medical quality management, higher efficiency, the monitoring scope is more comprehensive, more time to highlight the real-time and full, to strengthening medical quality management in military hospitals, improving medical quality have positive help.New period of military digital hospital medical quality management mode of medical quality management concept is to in the hospital medical quality management and digital construction basis, with the help of modern computer technology, digital medical technology, information system and other means, through the improvement of management system and the medical quality evaluation index system, the implementation of professional information personnel training and other measures, to achieve the hospital medical quality all-round, full control, thereby improving the hospital’s overall medical quality and service level.New period of military digital hospital medical quality management mode of medical quality management must be fully embody the new period the development trend of medical quality management, medical quality management and scientific decision-making, the human nature of medical quality management, medical quality management means of medical quality management innovation, the whole process and real time feature.Military digital hospital medical quality control model is constructed to realize the new period military hospital medical quality standardization, science to change. Its management goal is in the use of modern information technology on the basis of hospital medical quality management, enhance the scientific level, realize the overall hospital medical quality improvement. Performance in specific macro goal decomposition, mainly reflected in the optimization of outpatient service process, improve service environment, digitalized hospital business management, digitization, standardization of data acquisition, electronic medical records as the core of development of medical information management, economic accounting as the core information of cost management, cost control as the core logistics information management in seven aspects.Military digital hospital medical quality control should be realized fully recur to the modern computer and network information technology, the management means mainly through the construction of information network, rely on a variety of clinical information system, to realize to the army medical quality monitoring and management. According to the military hospital medical quality management mode of digital hospital clinical information system function and nature, the clinical information system application software includes a main monitoring system and monitoring system of two categories.New period of military digital hospital medical quality control management system mainly includes two aspects of the contents of the system, i.e., information management system and the clinical medical system. Information management system and the clinical medical management system in military digital hospital medical quality control process is complementary, mutual support, in the construction of hospital system in the process of not only a party, must at the same time the two catch, at the same time are hard, only two systems which match each other, can display of military digital hospital medical quality control of the largest role.Military digital hospital medical quality control process mainly involves the work of hospital decision makers, hospital information engineering and technical personnel, and the hospital quality management and the majority of clinical medical staff. So in the military digital hospital medical quality control mode of the construction of the implementation process, we need to fully mobilize the hospital decision makers, hospital engineering and technical personnel, quality control personnel and hospital medical staffs enthusiasm, strengthen the personnel information knowledge education and training, to fully understand themselves in the military digital hospital medical quality control process the role and task, and strive to become qualified digital medical quality decision and management personnel.New period of military digital hospital medical quality control quality management organization structure is divided into five layers, and the military digital hospital medical quality control mode, at the same time by hospital engineering and technical personnel to provide technical support. And for the design of logistics, administration such as the scope of the control, for which the construction of the organizational structure, mainly according to their content, range, form different management supervision institutions such as financial audit office, medical ethics management office management.Military digital hospital medical quality control system mainly includes the military digital hospital medical quality control, quality elements of military digital hospital medical quality control standard system from two aspects.Military digital hospital medical quality control process mainly in patients in the military digital hospital hospital emergency medical flowchart and the hospitalization process as the main line, the hospital activities, patient information, including patients with basic personal information, diagnostic information, treatment information, digital equipment inspection, effects of diagnostic information and individual and the whole, medical insurance information people to the hospital integrated information network system, the information management process, the realization of medical quality management. Military digital hospital medical quality control process model for military digital hospital hospital emergency medical flowchart and the hospitalization process as the main line, can be divided into emergency monitoring, monitoring, surveillance, inpatient hospital comprehensive information monitoring4modules.Military digital hospital medical quality control mode to construct and hospital digital construction synchronism undertakes, must be strictly in accordance with the overall planning, step-by-step implementation based on. Military digital hospital medical quality control model according to demand principle, systematic principle, the principle of integrity, information management principle, safety principle, and gradually improve the development principle.Military digital hospital medical quality control mode is a process, in real time, a full range of medical quality management, which is not only a kind of management mode innovation, is also a kind of transformation of management idea. Its distinctive features for medical quality management:①The whole process monitoring:military digital hospital medical quality control mode is the digital environment in the hospital medical quality management, is a full of quality management, from patients admitted to hospital, end, treatment of the whole process all medical information in the monitoring.②The real-time quality control:in the military digital hospital medical quality management mode of hospital quality control personnel, may at any time through the network of the department patient monitoring, examination of each patient medication, disposition and physician records, access to every patient with various kinds of data and image data, and through timely communication network and the doctor. By means of digital quality monitoring system, establish an effective early-warning mechanism, avoid the process of medical malpractice, more conducive to the improvement of medical quality.③The all-round monitoring:in the military digital hospital medical quality control mode, the hospital medical quality monitoring is all-around monitoring, monitoring scope of clinicians, care, logistics management, administrative office and other aspects, is a hospital activities into the range of monitoring control.④The number of departments to monitor:military digital hospital medical quality control mode to hospitals and health management departments and other units to organize the implementation of. Hospital quality control department is mainly responsible for the patients in the hospital in the course of medical quality supervision; The patients with health insurance information management is a hospital medical insurance department and Department of health care management unit jointly responsible for the management of. At the same time, the hospital medical quality will also by the majority of the patients and the public supervision and management.Research on the innovation and deficiency:Military digital hospital medical quality control mode of innovation lies in:first, proposes the construction of military digital hospital medical quality control mode; second, for military digital hospital medical quality control modes of the specific content of the induction and the summary. In third, the military digital hospital medical quality control modes of realization, construction principle are discussed.The second drawback is:First, a single research methods. constructing the model of part of the contents of the lack of effective statistical indicators data support, content index determination method according to scientific sex is insufficient.Second, model construction research thorough enough, especially in the military digital hospital medical quality control mode specific mechanisms, organizational structure, system construction, quality evaluation system and other aspects detailed analysis failed to start. |
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