以信息化手段实现医疗质量的精细化管理与控制

信息化技术是实现精细化管理的重要手段。烟台毓璜顶医院创新性地提出了“诊断路径”、“评估路径”和“治疗路径”医疗质量管理模式，实现了对医师诊疗行为的“事前”主动引导；通过实施技术准入、资质授权、围手术期、临床用药和输血等重点环节的信息化管理，强化了对医疗过程的“事中”控制；通过探索和应用病历质量综合管控系统、单病种质控系统、特殊病例管理系统、医疗质量分析应用系统等信息平台，实施了对医疗质量的“事后”分析评价。这种全方位、深层次的信息化医疗质量管控模式有效促进了医院医疗质量的持续改进和提高。

Elaborating medical quality management and control by information technology

Information technology is an important method for elaborating management. New medical quality mode whose characters can be summarized as diagnosis pathway, assessment pathway and treatment pathway in Yuhuangding hospital was implemented, which can actively guide doctor＇s treatment behavior in advance. By implementing information technology on key link of medical service provision such as technical admission, quality authorization, preoperative period, drug use and transfusion, medical service process control was strengthened. By implementing medical record quality management system, single disease quality control system, special cases management system, medical quality analysis system, the final medical quality was assessed. The full round information technology based medical quality control mode has effectively improved medical quality.