Electronic medical record quality control method and system

A technology of electronic medical records and quality control methods, applied in the medical field, can solve the problems of lagging processing process, inability to reflect the quality of medical records in a timely manner, and low efficiency of quality control process of electronic medical records, so as to achieve the effect of improving the efficiency of quality control process

Inactive Publication Date: 2019-12-20
和宇健康科技股份有限公司
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  • Summary
  • Abstract
  • Description
  • Claims
  • Application Information

AI Technical Summary

Problems solved by technology

Doctors who are responsible for the quality control of medical records still need to manually evaluate and check the electronic medical records filled by clinicians, resulting in low efficiency of the quality control process of electronic medical records, lagging processing, and failure to reflect the quality of medical records in a timely manner

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  • Electronic medical record quality control method and system
  • Electronic medical record quality control method and system
  • Electronic medical record quality control method and system

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Embodiment Construction

[0034] The following will clearly and completely describe the technical solutions in the embodiments of the present invention with reference to the accompanying drawings in the embodiments of the present invention. Obviously, the described embodiments are only some, not all, embodiments of the present invention. Based on the embodiments of the present invention, all other embodiments obtained by persons of ordinary skill in the art without creative efforts fall within the protection scope of the present invention.

[0035] It should be understood that the step numbers used herein are only for convenience of description, and are not intended to limit the execution order of the steps.

[0036] It should be understood that the terminology used in the description of the present invention is for the purpose of describing particular embodiments only and is not intended to limit the present invention. As used in this specification and the appended claims, the singular forms "a", "an"...

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Abstract

The invention discloses an electronic medical record quality control method and system. The method comprises: obtaining an electronic medical record to be subjected to quality inspection; according tothe operating status of the electronic medical record, performing a corresponding quality control operation on the electronic medical record, that is, performing pre-quality control, in-process quality control, and post-quality control for the incomplete status, the ongoing status and the complete status of electronic medical record respectively, wherein in the pre-quality control, the occurrenceof a diagnosis and treatment event of a target patient is detected in real time, an electronic medical record writing task is established, and a task reminder message and an overtime warning messageare sent to a physician; in the in-process quality control, the rationality of the entered medical record content is verified in real time, and a verification result is fed back to the physician; andin the post-quality control, online and offline quality control are performed on the electronic medical record, a score is given to the electronic medical record, and a rectification warning information about the electronic medical records with defects or medical record scores below a preset threshold is sent to the physician. The method and system can improve the quality control process efficiency of the electronic medical record, and timely reflect the quality of the electronic medical record.

Description

technical field [0001] The invention relates to the field of medical technology, in particular to a quality control method and system for electronic medical records. Background technique [0002] Medical records are the experience summaries of doctors using medical knowledge flexibly in the long-term clinical practice process. They objectively and completely record the patient's condition changes and the whole process of diagnosis and treatment. sum of the data. Today, with the increasing development of information technology, electronic medical record systems have gradually become popular in hospitals at all levels. Compared with the traditional paper medical records in the past, electronic medical records have the characteristics of convenient writing, convenient interaction, and flexible access. Its appearance is convenient for medical staff. Writing and querying have improved work efficiency, but some medical record quality problems have also emerged, and have become an...

Claims

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Application Information

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Patent Type & Authority Applications(China)
IPC IPC(8): G16H10/60
CPCG16H10/60
Inventor 周赞和廖勇余维刘伟雄陈雪林
Owner 和宇健康科技股份有限公司
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