用信息化技術將醫(yī)療質量監(jiān)管向前移
田燕① 胡占生① 陳穗芬① 莫曉華① 趙霞① 陳偉元②
①廣州軍區(qū)廣州總醫(yī)院信息科，510010，廣州市流花路111 號
②成都木老仁康軟件信息有限公司，610041，成都市武侯區(qū)人民南路四段49 號
摘 要 醫(yī)療質量是醫(yī)院生存和發(fā)展的基礎，是醫(yī)院發(fā)展的決定性因素[1] 。以往對醫(yī)療質
量的監(jiān)控都是滯后、被動的，對已發(fā)生的醫(yī)療質量問題無法挽回，只能起到亡羊補牢的作用。
我院近年來利用信息化技術改變舊的醫(yī)療質量監(jiān)管模式，將質量監(jiān)管工作向前移，從醫(yī)囑源
頭開始，正確指引醫(yī)生進行合理醫(yī)療，有效阻止醫(yī)療問題發(fā)生。本文具體介紹了信息化監(jiān)管
的內容、方法及取得的效果。
關鍵詞 醫(yī)療質量 合理醫(yī)療指引 信息化技術 醫(yī)囑
Push Forward Medical Quality Supervision with Information Techniques / TIAN Yan,
HU Zhan-sheng, CHEN Sui-fen, et al
Corresponding author Department of information, Guangzhou General Hospital of
Guangzhou Military Command, Guangzhou 510010, Guangdong Province, P.R.C.
Abstract Medical quality is the fundamental and crucial element for existence and
development of hospital. In the past, medical quality supervision was always
stagnant and passive because it only showed the results afterward without prediction
and prevention while medical quality problems had happened. In current years,
out-of-date control models for medical quality in our hospital has been changed using
information techniques, control work has been pushed forward through measures of
carrying out supervision beginning with medical orders, correctly guiding doctors
to treat patients reasonably and then preventing medical problems effectively. In
this paper, contents, methods and effects of information based supervision for
medical quality were introduced concretely.
Keywords Medical quality, reasonable medical guidance, Information techniques,
Medical orders
醫(yī)療質量是醫(yī)院的生命線，沒有科學的醫(yī)療質量管理，醫(yī)院的整體發(fā)展成為
無源之水，無本之木[2]，加強醫(yī)療質量管理才可能提升醫(yī)院的核心競爭力。傳統
的醫(yī)療質量管理都是由醫(yī)療行政部門進行，多為階段性地對醫(yī)療質量進行分析、
講評，雖然能起到總結經驗的作用，但無法在醫(yī)療問題發(fā)生前進行有效阻止。如
何將醫(yī)療質量監(jiān)管向前移，真正起到預防、阻止醫(yī)療問題的發(fā)生，是我們近年來
研究的課題。通過實踐，我們體會到只有利用計算機信息技術，才能使這一 |
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