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基于EMRS的医疗风险预警模型的建立
作者姓名:武芳  龙华  伍祥林  肖华成
作者单位:重庆医科大学公共卫生与管理学院社会医学与卫生事业管理教研室;重庆大学附属肿瘤医院信息工程部
基金项目:重庆市技术创新与应用发展专项重点项目(cstc2019jscx-fxydX0008);重庆市沙坪坝区决策咨询与管理创新项目(JCD2016012)。
摘    要:文章通过对"以电子病历为核心"的医院信息系统相关数据的实时监控,运用建立的医疗预警模型,实现医疗风险的提前预判.首先,通过文献检索收集引起医疗风险的相关因素,然后运用德尔菲法筛选相关风险指标,运用层次分析法量化指标,确定风险指标权重,并将三级指标评估值录入到风险预警模型中进行评估.然后,经过多轮分析分别从患方基本情况、...

关 键 词:EMRS  电子病历系统  风险模型  医疗风险  风险预警  信息系统

Establishment of Medical Risk Early Warning Model Based on EMRS
Authors:WU Fang  LONG Hua  WU Xianglin  XIAO Huacheng
Institution:(Department of Social Medicine and Health Management,Chongqing Medical University Public Health and Management School,Chongqing 400016,China;Department of Information Engineering,Chongqing University Cancer Hospital,Chongqing 400030,China)
Abstract:This paper uses real-time monitoring of the relevant data of the hospital information system with“electronic medical records as the core”and uses the established medical early warning model to realize the advance prediction of medical risks.Firstly,collected relevant factors of medical risks through literature search,then use Delphi method to screen relevant risk indicators,used analytic hierarchy process to quantify indicators,and determined the weight of risk indicators.And enter the three-level indicator evaluation value into the risk early warning model for evaluation.Then,after multiple rounds of analysis,a medical risk early warning indicator system was constructed from the four dimensions of the patient’s basic situation,disease information,quality indicators and management factors,including 13 secondary indicators and 40 tertiary indicators.The early warning system automatically captured quantitative risk indicators and qualitative risk indicators,comprehensively calculates and gives automatic prompts,displayed results such as no-risk,low-risk,medium-risk,and high-risk,and automatically reminded them in the internal system in time.Through the construction of the medical risk early warning system,the active control of medical risks has been successfully achieved,medical disputes have been reduced from the source,and a systematic and scientific basis for hospital risk management has been provided.
Keywords:EMRS  electronic medical record system  medical risk model  medical risk  risk warning  information system
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