医学影像危急值闭环管理流程的设计与应用OA

Objective To improve the processing efficiency of critical examination values,ensure the traceability of critical value processing information,and design a set of closed-loop management processes for medical imaging critical values,thereby achieving refined management of critical values.Methods With reference to the national standards for the functional application level 5 evaluation of electronic medical record systems and the interconnection and interoperability standardization maturity evaluation criteria,a closed-loop management process for medical imaging critical values was designed based on the hospital information integration platform,integrating data from the picture archiving and communication system,hospital information system,electronic medical record system,and medical administration management system.A hierarchical review-based critical value thesaurus was established and maintained through multi-department collaboration to realize automatic identification and reminders of critical values as well as multi-channel message push.Requirements for clinical reception,disposal,and feedback were clarified;information technology was used to conduct full-process monitoring of critical value records and integrate data statistics and analysis.The business process covered four modules:medical technology examination,clinical physician,clinical nurse,and medical administration management,forming a full-process closed-loop management.Results The timely reporting rate of critical values increased from 81.10%to 98.14%,the completeness rate of registered information increased from 76.38%to 95.17%,and the qualification rate of processing opinions increased from 86.22%to 97.03%,all with statistically significant differences(P<0.05).The satisfaction of reporting physicians,clinicians,clinical nurses,and medical administrators significantly improved after process reengineering.Conclusion The closed-loop management process for medical imaging critical values standardizes critical value management through informatization,promotes the standardization and continuous improvement of management systems,and improves overall medical efficiency through technical integration and service optimization,providing strong support for medical quality and patient safety.