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[1]张静侯冷晨余松轩高微任怡久王宜生.基于数智化的胸痛患者全流程规范化管理体系构建[J].中国卫生质量管理,2026,33(4):10-14.[doi:10.13912/j.cnki.chqm.2026.33.4.03]
　ZHANG Jing,HOU Lengchen,YU Songxuan.Construction of a Standardized, Digitally-Enabled Full-Process Management System for Patients with Chest Pain[J].Chinese Health Quality Management,2026,33(4):10-14.[doi:10.13912/j.cnki.chqm.2026.33.4.03]

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基于数智化的胸痛患者全流程规范化管理体系构建

《中国卫生质量管理》[ISSN:1006-7515/CN:CN 61-1283/R] 卷: 33 期数: 2026年4期页码: 10-14 栏目: 特别关注出版日期: 2026-04-15

Title:: Construction of a Standardized, Digitally-Enabled Full-Process Management System for Patients with Chest Pain

作者:: 张静侯冷晨余松轩高微任怡久王宜生; 上海市胸科医院/上海交通大学医学院附属胸科医院

Author(s):: ZHANG Jing; HOU Lengchen; YU Songxuan; Shanghai Chest Hospital / Chest Hospital, School of Medicine, Shanghai Jiao Tong University

关键词:: 胸痛患者; 数智化; 全流程管理

Keywords:: Chest Pain Patients; Digital Intelligence; Full-Process Management

分类号:: R197.323

DOI:: 10.13912/j.cnki.chqm.2026.33.4.03

文献标志码:: B

摘要:: 目的旨在构建基于数智化的胸痛患者全流程规范化管理体系。方法通过文献查阅、专家论证、数据采集等方法，细化胸痛患者重点病种的医疗质量管理指标及数据标准，制订《上海市级医院胸痛中心建设管理指引》，构建胸痛患者重点病种急诊及住院结构化电子病历，实现胸痛患者院前、急诊、住院全流程医疗质量管理点的数据自动抓取，并在试点医院示范应用。结果试运行从2023年1月1日至2025年9月7日，试点医院整体上传量较稳定，数据积累更丰富，但部分医院数据质量仍需提升；试点医院参与度参差不齐，推广效果和执行力存在明显差异。上传的全部胸痛患者电子病历中，共提取到36 799例较为完整的病历数据，其中发病至首次医疗接触在12 h以内的急性ST段抬高型心肌梗死患者实施再灌注救治的比例为83.14%（212/255），各效率性指标基本达到要求。结论以患者为中心构建的胸痛患者全流程规范化管理体系，通过流程再造提升了救治效率，改善了临床结局。后期需进一步优化结构化电子病历，增强信息同步抓取能力，同时优化质控路径，提高上传数据质量。

Abstract:: ObjectiveTo establish a standardized, digitally-enabled full-process management system for patients with chest pain.MethodsThrough literature review, expert consultation, and data collection, medical quality management indicators and data standards were refined for key chest pain conditions. "The Shanghai Municipal Hospital Chest Pain Center Construction and Management Guidelines" were formulated, and structured electronic medical records (EMR) for emergency and inpatient care of key chest pain conditions were developed. This enabled automated data capture at quality control points across prehospital, emergency, and inpatient stages, with pilot implementation in selected hospitals.ResultsFrom January 1, 2023 to September 7, 2025, pilot hospitals demonstrated stable data upload volumes and richer data accumulation, though data quality required improvement in some institutions. Pilot hospitals engagement varied significantly, with notable disparities in promotion effectiveness and execution. Among all uploaded EMR for chest pain patients, 36 799 cases with relatively complete data were identified. For ST-segment elevation myocardial infarction patients with first medical contact within 12 hours of onset, the reperfusion treatment rate reached 83.14% (212/255), with all efficiency indicators meeting requirements.Conclusion The patient-centered, full-process management system for chest pain improved treatment efficiency and clinical outcomes through process reengineering. Future efforts should focus on optimizing structured EMR, enhancing real-time data synchronization capabilities, and refining quality control pathways to improve data upload quality.

参考文献/References:

［1］国家卫生健康委员会.中国卫生健康统计年鉴［M］.北京：中国协和医科大学出版社，2019：101. ［2］孟浩宇,孔祥清.提升区域内急性ST段抬高型心肌梗死再灌注治疗率的江苏经验［J］.中国卫生质量管理,2023,30(8):12-15.［3］张优,高传玉.急性ST段抬高型心肌梗死质控现状与对策［J］.中国卫生质量管理,2023,30(8):7-11.［4］张建强．胸痛中心对于提升急诊科胸痛病因快速诊断能力的作用研究［J］.中国药物与临床，2021，21(5)：835-837．［5］彭倬，杨丽霞．胸痛中心建设对急性ST段抬高型心肌梗死患者救治效果的分析［J］.国际心血管病杂志，2021，48(3)：141-144．［6］许静,胡昊,蒋晓蕾,等.提升急性ST段抬高型心肌梗死规范化诊疗水平的探索与实践［J］.中国卫生质量管理,2023,30(8):16-19.［7］娄洁琼,侯旭敏,范小红.胸科专科医院胸痛中心建设实践与思考［J］.中国卫生质量管理,2020,27(4):38-40.

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更新日期/Last Update: 2026-04-15