Study On Quality Control Of Digital Intelligent Medical Ward

Background:Inpatient service is the core part of the hospital medical service, the ward in hospital information system is one of the important part of hospital information system, as a priority among priorities of the hospital construction, not only reflects the comprehensive medical quality, but also reflects the level of diagnosis and treatment technology, is one of the important symbol of the overall management level. At present, most of the medical institutions in our country have been carried out in informatization construction, but the overall level is still relatively backward, and based on the construction of quality management system of medical information is lacking. In the underdeveloped regions, lack of information of medical quality control hardware facilities, information technology rapid development of hospital has used electronic medical records system, but to use its quality control is still lack of research. Therefore, the application of information technology to promote the continuous improvement of medical quality has become the urgent demand.Compared to the traditional end quality control management system, hospital information of medical quality control system pays more attention to the factors that influence the health care quality "prevention" and "rule". From the control modes of the two point of view, final quality control mainly based on traditional medical record information feedback patients discharged to control the next link medical quality, emphasize the control mode is the "rule", and can not play a preventive role, is a kind of passive management and control; the latter, the information of medical quality control can achieve real-time control of the patient’s condition, relying on the modern information system set up a complete set of real time control of medical quality, this mode of operation can be realized when the influence factors on the quality of medical care (such as doctors misdiagnosed, medication unreasonable) process control, this control mode that is "anti-""treatment with", is a kind of active management.In recent years, with the comprehensive hospital information construction process, our hospital ward information construction has begun to take shape. With the comprehensive application of various information systems, hospital to realize the unified management of the entire hospitalization and cost calculation of hospitalized patients during disease. Hospital management pattern is also changing to the digital management mode from traditional management mode gradually, controlled by the experience of management, terminal change to scientific management, process control. Construction of electronic medical record system, doctor workstation, reasonable use system, LIS, PACS, anesthesia, operation of consultation, medical quality monitoring, mobile medical care, the overall call system, department management in information provides for ward digital quality management and control theory.Objectives:With the theory of digital hospital and medical quality management, and based on the medical ward building wisdom of digital hospital in China many research results, a military general hospital wards for digital design case, the medical quality control system, provides the ideas, methods and new management mode for Digital Ward quality control. Contents:1.digital Hospital and medical quality control status quo and prospects of the construction.2.analysis and ward in digital medical quality control requirements.3. design and realization of digital wisdom medical ward system.4. constructing digital wisdom medical ward, the quality control system.5.analysis and discussion of digital intelligent medical ward and quality control system.Results:1.Construction of digitalhospital and analysis of medical quality control requirements. An empirical study on the information construction of hospital has a good foundation, after the construction of more than ten years of development, the construction of the hospital ward information system also has a certain scale, has been implemented in application of electronic medical record system, doctor workstation system, infection control monitoring system, the rational use of drugs, drug management system, material management system, cost management system so, the electronic medical record system has also been integrated with PACS, LIS, rational use of drug; medical quality control in development by means of informationization has also begun to take effect, in the electronic medical record system in medical records quality monitoring subsystem, rational drug use, infection control monitoring system as the main body, the medical record time requirements, the integrity of the structure medical quality online monitoring, request to remind, for clinical reasonable use of real-time reminders, the infection of patients timely monitoring and early warning.2. Design and implement of digital intelligent medical ward system In full analysis Ward management and the medical business process of based Shang, from overall Shang grasp application needs, based on computer and communications technology of development, application software development, and database, and property networking, and information integrated, modern information technology, design and building to electronic records for core, and to sections management system for pillar of involves clinical medical nursing, and drug equipment and the logistics guarantees; performance examination, and costing and the Office management, more system of digital wisdom medical ward system, achieved medical business, and Chief Shi intelligent operation and automated management of supplies, built by "patient-centered" warm, easy, smart and efficient medical service environment.Digital wisdom medical ward, clinical management and Department management system consists of two parts. Former to full structure of electronic records for core, application, and integrated PACS, and LIS, and reasonable medication, and surgery anesthesia, and records quality monitoring, and clinical path, and mobile medical, and with blood management, and discharged with drug, and section between consultation, system, building "to patients for Center" of convenient, and comfort, and security, and specification of hospital clinic service mode, achieved clinical business full digital; which is including video monitoring, and electronic shift, and drug management, and material management, and cost management, and performance management, and discharged settlement audit management, and Management systems, such as e-Government.3. Digital wisdom medical ward construction of quality control system Digital management and quality control of patients into the branch link. In science, the use of integrated health care nurse workstation into the science of patient information, distribution of bed set up tube bed doctor. Then, the use of mobile medical system and single record data entry admission assessment. Digital management and quality control in patients receiving bed process. The doctor will be in bed by income integration doctor workstation, set up electronic medical records, according to whether the admission diagnosis patients into clinical path judgment.Digital management and quality control orders issued link. To enter the clinical path management of patients, the treatment process is carried out according to a path set, the doctor only needs to pay attention to whether there is variation. For not enter the clinical path management of patients, doctors prescribe in the integration of doctor workstation in order, when issuing the real-time judgment of rational drug use system order whether medication and incompatibility etc..Digital management and quality control of medical nursing link. The ward rounds and only carrying a mobile terminal, can be in all medical data of patients with real-time access to patients bedside, including image data were collected; bedside signs also by the nursing staff at the patient’s bedside directly into the mobile medical system, and automatic synchronization to electronic medical recordsDigital management and quality control inspection. To apply for inspection is completed in the integration of medical workstation, doctors prescribe the test orders, nurses from performing the test order, LIS extraction has been performed the test orders, automatic generation of application information, application information system through the interface of LIS and electronic medical records automatically synchronized to the electronic medical record system.Digital management and quality control check link. Relevant inspection departments sent using PACS extraction Department inspection application, arrangement and execution of inspection, after the completion of the execution of inspection, inspection cost information automatically written in HIS patients cost information. Digital management and quality control operation link. For the convenience of doctors, the system of operation operation anesthesia application module integrated into integration medical workstation, the doctor in the doctor workstation directly issue operation application, apply for Department of Anesthesiology anesthesia using operation system extraction operation, arrangement, operation between anesthesiologist, automatic feedback system arrangement after the doctor.Digital management of using blood link and quality control. Department of blood transfusion after receiving the application for preparation of blood, blood after confirmation, system automatically generates feedback information to remind the doctor.Digital management and quality control of the consultation process. Through the integration of consultation system and electronic medical record system, when invited the doctor confirmed this information, you can open the electronic medical records of the patients, the patients to browse all medical information, and thus in the first time writing consultation records, complete the consultation.Digital management and quality control of medical records management. Doctor of medical records, electronic medical records in the integration of medical quality monitoring system to record time, structural integrity of real-time monitoring, to remind, to improve the quality of medical records, reduce medical risks.Digital management and quality control of infection control management. The control system is put forward to make clear a requirement for management of hospital infection in the application, system combined with LIS, PACS, electronic medical records of patients inspection results, signs of change of the automatic analysis of patients with daily control and management for prompt, as soon as possible in order to facilitate the problem as soon as possible, control. Digital management in the Department of management and quality control patients. Patients daily in department management easily become a blind area of medical quality management, but the application of video monitoring system through the whole area coverage and medical patients overall call system, can reduce medical disputes caused by the unexpected situation to a great extent.Digital management and quality control of discharge process. Discharge process mainly involves the settlement of medical expenses, drug management, query notifications to patients after discharge from the hospital doctor completed before leaving hospital medical security. At the same time, also set up a self-assessment system, used to evaluate the clinical departments and medical level, service quality, ethics etc..Digital management and quality control of up link. The doctor self definition on the follow-up of patients with screening, automatic generation of management, to the follow-up plan for follow-up tasks automatically remind the follow-up data, automatic recording, the follow-up work more efficient and orderly.Conclusions:First, the service flow optimizes, service idea clearly Hospital information system by means of computer network and information technology, has changed the traditional manual mode of operation, providing a new automation and network operation mode of [50] hospital. The application of hospital information system and between the various business Dept. open up, many of the original manual participation process can reduce or cancel, make the hospital business process more convenient, efficient and smooth. According to the characteristics of the information model and information system, optimize and reorganize the hospital business process, realize the hospital management from traditional mode to the great leap forward development of information management. Second, system integration, sharing information Digital hospital is the core of the patient information sharing, non paper take the database as the center to realize the patient information and non film. Digital management is changing the traditional work flow, work mode network for medical staff to improve work efficiency, convenient for the patients; at the same time, managers can timely access to a variety of medical information through the network to make scientific decision.Third, the medical code of conduct, and link monitor in place Application of hospital information systems, significantly changed the manual operation mode was arbitrary, quality supervision problem, for health care workers to improve standard business operations and effective quality management platforms.①electronic medical instrument to replace the handwritten medical instruments. Format specification, page order, complete project, retains traces all changes and can be stamped with the electronic seal to protect.②to standardize medical behaviors and processes, reducing arbitrariness and uncertainty. In the medical process, with lots of action, timelines, approvals, detection and diagnosis, check monitor link, the above specifications and requirements set in the information system, medical personnel in the use of information systems, are monitored in real time and tip, ensure that the specifications and accurate diagnosis and treatment.③through rational drug use, adverse drug reactions, nosocomial infection, severe disease, the project’s online monitoring, timely tips, warning and control procedures quality issues that may arise.④application significantly reduces manual operations of information systems, using digital identification and recognition technology, automatic identification, data collection and processing replaces the last manual and error-prone process.Fourth, electronic medical record application, promotion wisdom level Electronic medical records system information previously scattered in different medical systems consolidate patient index, forming patient electronic medical records, physician search, access, use, archiving, information to provide effective means of diagnosis and treatment of patients, enable physicians to fully understand and grasp the patient’s condition, in order to make a correct diagnosis and management. Electronic medical record system saves a patient’s diagnosis and treatment of complete data, in addition to the patient’s treatment, which formed a large accumulation of medical knowledge base containing objective information on the patient and disease, as well as medical personnel’s knowledge and wisdom in the diagnosis and treatment of patients. Through data analysis and mining tools such as discovery and synthesis of clinic law, guiding and supporting clinical activities. Archive provides electronic medical records also provide the residents health residents in hospital inpatient, outpatient or clinic during the medical examination data, are important components of resident health records.Innovations:Design of digital intelligent medical ward platform architecture, innovative digital ward medical service mode, the application of "taking patients as the center" safe convenient and efficient diagnosis and treatment process. Construct digital intelligent medical ward quality control system, improves the medical quality and management level in.