用信息化技术将医疗质量监管向前移
田燕① 胡占生① 陈穗芬① 莫晓华① 赵霞① 陈伟元②
①广州军区广州总医院信息科，510010，广州市流花路111 号
②成都木老仁康软件信息有限公司，610041，成都市武侯区人民南路四段49 号
摘 要 医疗质量是医院生存和发展的基础，是医院发展的决定性因素[1] 。以往对医疗质
量的监控都是滞后、被动的，对已发生的医疗质量问题无法挽回，只能起到亡羊补牢的作用。
我院近年来利用信息化技术改变旧的医疗质量监管模式，将质量监管工作向前移，从医嘱源
头开始，正确指引医生进行合理医疗，有效阻止医疗问题发生。本文具体介绍了信息化监管
的内容、方法及取得的效果。
关键词 医疗质量 合理医疗指引 信息化技术 医嘱
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out-of-date control models for medical quality in our hospital has been changed using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
医疗质量是医院的生命线，没有科学的医疗质量管理，医院的整体发展成为
无源之水，无本之木[2]，加强医疗质量管理才可能提升医院的核心竞争力。传统
的医疗质量管理都是由医疗行政部门进行，多为阶段性地对医疗质量进行分析、
讲评，虽然能起到总结经验的作用，但无法在医疗问题发生前进行有效阻止。如
何将医疗质量监管向前移，真正起到预防、阻止医疗问题的发生，是我们近年来
研究的课题。通过实践，我们体会到只有利用计算机信息技术，才能使这一 |
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