Construction and effectiveness evaluation of surgical complication monitoring mode based on medical record homepage data
10.3760/cma.j.cn111325-20221109-00951
- VernacularTitle:基于病案首页数据的手术并发症监控模式构建及其效果评价
- Author:
Guanrong ZHANG
1
;
Huiying LIANG
;
Dan LI
;
Yunlian XUE
;
Jinqi YE
;
Xiaohong YANG
Author Information
1. 南方医科大学附属广东省人民医院（广东省医学科学院）信息管理处，广州 510080
- Keywords:
Practice management, medical;
Surgical complication;
Preventive and control measures;
Medical record home page;
Incidence rate;
Monitoring framework
- From:
Chinese Journal of Hospital Administration
2023;39(2):113-118
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the establishment of a surgical complication monitoring mode based on data on the medical record homepage, and analyze its impact on the trend of changes in surgical complication incidence.Methods:A monitoring mode of surgical complication was developed based on the " structure-process-results" framework by using surgical complication rates derived from performance appraisal for a tertiary general hospital in Guangzhou. The number of surgical complications and the number of discharged surgical patients was collected from the hospital from January 2019 to June 2022 through the home page collection system for performance appraisal of national tertiary public hospitals. Descriptive analysis was used to analyze the incidence of surgical complications, and Joinpoint regression was used to analyze the trend of changes in the incidence of surgical complications. Monthly percentage change ( MPC) and average monthly percentage change ( AMPC) were calculated. Results:Since the hospital began implementing the surgical complication monitoring mode in May 2021, the incidence of surgical complications had decreased from 2.55% in June 2021 to 0.82% in June 2022, with an MPC of -5.58% ( P=0.024), which was better than the changes from January 2019 to May 2021 ( MPC=0.18%, P=0.755). Conclusions:The surgical complication monitoring mode constructed by the hospital can effectively reduce the incidence of surgical complications, providing reference for optimizing hospital′s medical quality management process and decision-making mode.
