医政管理精细化与病案信息数据的利用

Refinement of Medical Administration and the Application of Medical Record Information Data

充分利用病案信息数据,保障医政管理精细化的实施,遵循PDCA原则,对提高医政管理水平具有提升作用。利用住院病案、住院病案首页、国家卫健委法定医疗工作统计表、医院医疗工作统计报表数据,经过合理分析、评估后指导医政管理工作精细化展开。有效的病案信息数据,使医政管理工作在执行国家政策、法律法规、行业标准中整体精细化管理有持续性提高。利用病案信息数据库,支撑医政管理工作达到精细化,是改善医院整体管理、降低医疗风险、管理风险、法律风险的有效办法。通过精细化的医政管理,规范临床医师的医疗行为.提高病历书写的内涵质量是保障医院高水平发展的生命线。

Making full use of medical record information data,ensuring the implementation of fine medical administration,and following the PDCA principle can improve the level of medical administration management.After reasonable analysis and evaluation,the inpatient medical records,the front page of the inpatient medical records,the statistical table of the legal medical work of the National Health Commission,and the statistical report of the medical work of a hospital are used to guide the fine implementation of the medical administration work.Effective medical record information data can continuously improve the overall fine management of medical administration in the implementation of national policies,laws and regulations,and industry standards.It is an effective way to improve the overall management of the hospital and reduce the medical risk,management risk and legal risk by using the medical record information database to support the fine management of medical administration.It is the lifeline to ensure the high level development of hospitals to standardize the medical behavior of clinicians and improve the connotation and quality of medical record writing through fine medical administration.