通过事件报告系统和电子病历系统进行医疗质量管理。
Health care quality management by means of an incident report system and an electronic patient record system.
作者信息
Takeda Hiroshi, Matsumura Yasushi, Nakajima Kazue, Kuwata Shigenori, Zhenjun Yang, Shanmai Ji, Qiyan Zhang, Yufen Chen, Kusuoka Hideo, Inoue Michitoshi
机构信息
Department of Medical Information Science, Graduate School of Medicine, Osaka University, 2-2, Yamada-oka, Suita 565-0871, Japan.
出版信息
Int J Med Inform. 2003 Mar;69(2-3):285-93. doi: 10.1016/s1386-5056(03)00010-8.
BACKGROUND
Quality management in health care services has not been as successful as in other industries.
OBJECTIVE
To assess the potential contribution of an on-line incident reporting system (OIRS) and of an electronic patient record (EPR) system to quality management in hospitals.
METHODS
The two approaches are being implemented in Osaka University Hospital.
RESULTS
Analysis of the early use of the on-line reporting system indicates that this qualitative approach has been effective to avoid adverse medical events. The quantitative methodology with the EPR is still in the phase of developing.
CONCLUSION
Direct data entry by medical staff and an EPR based on dynamic templates and a dynamic problem oriented approach could be useful for building clinical data repositories that can support clinical quality management.
背景
医疗服务中的质量管理并不像其他行业那样成功。
目的
评估在线事件报告系统（OIRS）和电子病历（EPR）系统对医院质量管理的潜在贡献。
方法
大阪大学医院正在实施这两种方法。
结果
对在线报告系统早期使用情况的分析表明，这种定性方法在避免不良医疗事件方面是有效的。基于电子病历的定量方法仍处于开发阶段。
结论
医护人员直接数据录入以及基于动态模板和动态问题导向方法的电子病历，可能有助于建立支持临床质量管理的临床数据仓库。
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