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以医疗质控为核心的医院数据治理体系建设探索OA

Exploration of a hospital data governance system centered on medical quality control

中文摘要英文摘要

目的 构建科学有效的以医疗质控为核心的医院数据治理体系,有效提高医疗数据质量及资源管理水平,为临床诊疗提供决策支持.方法 通过文献复习法收集医院数据治理的经验,通过头脑风暴法构建医疗质控指标同质化数据治理体系,利用专家咨询法对体系进行完善.结果 明确了医院数据治理"主题解构—指标盘点—指标解析—规范制定—指标建模—指标应用"的推进路径;整合"一致性指标管理平台""智能指标填报平台""数据服务开放平台""医疗矩阵大屏"构建医院医疗质控指标平台体系,形成覆盖指标"标准治理—智能填报—共享服务—分析决策"的闭环治理,实现医院数据的可视、可用、可管.结论 本研究开发的医院数据治理体系,以医疗质控为核心,可为多院区同质化管理、精细化运营决策及等级评审的常态化监测、可溯性核查提供有益参考.

Objective This study aims to establish a scientifically sound and effective hospital data governance system centered on medical quality control,to improve medical data quality and resource management,and to provide decision support for clinical diagnosis and treatment.Methods Existing experiences on hospital data governance were synthesized through a literature review.A homogeneous data governance system for medical quality control indicators was constructed through brainstorming sessions.The system was further refined through expert consultation.Results An implementation pathway for hospital data governance was established:topic decomposition,indicator inventory,indicator analysis,standard formulation,indicator modeling,and indicator application.Four platforms were integrated to build a hospital medical quality control indicator platform system:the Unified Indicator Management Platform,the Intelligent Indicator Reporting Platform,the Open Data Service Platform,and the Medical Matrix Dashboard.This integration established a closed-loop governance framework encompassing standard governance,intelligent reporting,shared services,and analytical decision-making,enabling hospital data to be visualized,accessible,and manageable.Conclusions The hospital data governance system developed in this study,centered on medical quality control,can provide useful references for the homogenized management of multi-campus management,precision operational decision-making,and the routine monitoring and traceability verification required for hospital accreditation.

金瑞;邵炜;张敏敏;毛淋淇;程文秉;万瑾;高卫益;虞佩

上海交通大学医学院附属瑞金医院,上海 200025上海交通大学医学院附属瑞金医院,上海 200025上海交通大学医学院附属瑞金医院,上海 200025上海交通大学医学院附属瑞金医院,上海 200025上海交通大学医学院附属瑞金医院,上海 200025上海交通大学医学院附属瑞金医院,上海 200025上海交通大学医学院附属瑞金医院,上海 200025上海交通大学医学院附属瑞金医院,上海 200025

医药卫生

医院数据治理医院等级评审医疗质控体系建设

hospital data governancehospital accreditationmedical quality controlsystem development

《健康发展与政策研究》 2026 (2)

216-224,9

2025年上海市医院协会政策研究课题(2025HP70)2025年中国医院发展研究院决策咨询课题(CHDI-Z-02)我国公立医院"一院多区"管理现状与发展策略研究项目(NIHA24YYDQ20)

10.12458/HDPR.202509002

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