[1]余松轩 王育 侯冷晨 徐博 沈婷 王宜生 张静.基于智慧医疗平台的卒中重点病种数据分析[J].中国卫生质量管理,2026,33(4):15-19.[doi:10.13912/j.cnki.chqm.2026.33.4.04]
YU Songxuan,WANG Yu,HOU Lengchen.Data Analysis of Key Stroke Conditions Based on Smart Healthcare Platform[J].Chinese Health Quality Management,2026,33(4):15-19.[doi:10.13912/j.cnki.chqm.2026.33.4.04]
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《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:
15-19
栏目:
特别关注
出版日期:
2026-04-15
- Title:
-
Data Analysis of Key Stroke Conditions Based on Smart Healthcare Platform
- 作者:
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余松轩 王育 侯冷晨 徐博 沈婷 王宜生 张静
-
上海申康医院发展中心
- Author(s):
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YU Songxuan; WANG Yu; HOU Lengchen
-
Shanghai Hospital Development Center
-
- 关键词:
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智慧医疗平台; 卒中; 重点病种; 医疗质量; 数据质量; 患者安全
- Keywords:
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Smart Healthcare Platform; Stroke; Key Conditions; Medical Quality; Data Quality; Patient Safety
- 分类号:
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R197.3
- DOI:
-
10.13912/j.cnki.chqm.2026.33.4.04
- 文献标志码:
-
A
- 摘要:
-
目的评估基于智慧医疗平台的卒中重点病种数据,分析存在问题,为优化管理提供依据。方法借助上海市级医院医疗质量评价与促进平台,搭建卒中模块,从医院信息系统中获取卒中重点病种(急性缺血性卒中、脑出血)的院前、急诊、住院全流程数据进行分析。结果14所试点医院的结构化电子病历均上传,但质量参差不齐。平台可实现卒中重点病种指标数据的提取与可视化展示,但数据完整性与可持续性需加强。结论对卒中重点病种数据进行分析,针对智慧医疗平台实际运行中存在的问题提出建议,有助于进一步提升医疗质量,确保患者安全。
- Abstract:
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ObjectiveTo evaluate the data of key stroke conditions based on a smart healthcare platform, analyze existing issues, and provide a basis for optimizing management.MethodsBy leveraging the Shanghai Municipal Hospital Medical Quality Evaluation and Promotion Platform, a stroke module was established to extract and analyze full-process data— including pre-hospital, emergency, and inpatientstages—for patients with key stroke conditions (acute ischemic stroke and intracerebral hemorrhage) directly from hospital information systems.ResultsStructured electronic medical records were uploaded by all 14 pilot hospitals, but the quality varied significantly. The platform enabled the extraction and visual display of key stroke condition indicator data; however, data completeness and continuity required improvement.Conclusion Analyzing data on key stroke conditions to identify issues in the actual operation of the smart healthcare platform and proposing recommendations can help further enhance medical quality and better ensure patient safety.
参考文献/References:
[1]中国老年医学学会急诊医学分会,中华医学会急诊医学分会卒中学组,中国卒中学会急救医学分会.急性缺血性脑卒中急诊急救中国专家共识2018[J].中国卒中杂志,2018,13(9):956-967.[2]国家卫生健康委脑卒中防治专家委员会.中国急性缺血性脑卒中静脉溶栓指导规范(2021)[J].中华内科杂志,2021,60(5):466-478.[3]侯冷晨,沈 婷,何慧敏,等.基于大数据和标杆分析法的市级医院病种质量评价指标构建及应用[J].中国卫生质量管理,2023,30(1):4-7.[4]中华医学会神经病学分会,中华医学会神经病学分会脑血管病学组.中国急性缺血性脑卒中诊治指南2022[J].中华神经科杂志,2023,56(6): 571-618.[5]WARDLAW JM,MURRAY V,BERGE E,et al.Thrombolysis for acute ischaemic stroke[J].Cochrane Database Syst Rev,2014(7):CD000213.[6]王陇德.《中国卒中中心报告2022》概要[J].中国脑血管病杂志,2024,21(8):565-576.[7]FONAROW GC,ZHAO X,SMITH EE,et al.Door-to-needle times for tissue plasminogen activator administration and clinical outcomes in acute ischemic stroke before and after a quality improvement initiative[J]. JAMA,2014,311(16):1632-1640.[8]国家卫生健康委办公厅.医院智慧管理分级评估标准体系(试行)[EB/OL].(2021-03-15)[2025-01-03].https://www.nhc.gov.cn/wjw/c100175/202103/98 1ae0011a0a4c498c0d81acd430c8d5.shtml.[9]国家卫生计生委办公厅. 医院卒中中心建设与管理指导原则(试行):国卫办医函〔2016〕1235号[EB/OL].(2016-10-28)[2025-11-24]. https://www.nhc.gov.cn/wjw/gfxwj/201611/c917760206cd4c 13b06c9cb812cd6a2a.shtml.
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更新日期/Last Update:
2026-04-15