Data-driven quality improvement in critical-value management:design and practice
10.3969/j.issn.1671-332X.2025.11.028
- VernacularTitle:数据驱动的危急值处理质量改进探索与实践
- Author:
Qijun SHAN
1
;
Jun WANG
1
;
Shaobo WANG
1
;
Xie WANG
1
;
Xutong TAN
1
;
Feng ZHANG
1
;
Xiang ZHOU
1
Author Information
1. 中国医学科学院//北京协和医学院//北京协和医院 北京 100730
- Publication Type:Journal Article
- Keywords:
Data-driven;
Critical values;
Cohort study;
Mobile devices;
Healthcare informatics
- From:
Modern Hospital
2025;25(11):1757-1760
- CountryChina
- Language:Chinese
-
Abstract:
Objective The digital transformation of healthcare has made data-driven approaches critical for improving the quality and efficiency of medical services.This study aims to improve the quality of critical value management by a data-driv-en intervention.Methods This study built an advanced digital platform to precisely record the time-stamp of each step,from de-tection to solution.This platform also delivered real-time notifications of patient critical value information to doctors' mobile de-vices,thereby optimizing the critical value management.Data were collected via this platform.A cohort study was designed:March 2024 data(pre-go-live)served as the control group and May 2024 data(post-go-live)as the intervention group.Comple-tion rate,processing time,and the proportion of in-patient critical values which were entered into the electronic progress were compared.Results The critical-value completion rate rose from 97.1％to 100.0％,and the proportion of values processed within 30 min increased from 80.91％to 83.42％.Among alerts that required ≥30 min,median(IQR)processing time fell from 100.27(230.09)min in March 2024 to 91.07(169.73)min in May 2024.Median processing time shortened for both e-mergency and out-patient alerts,with the out-patient reduction being statistically significant(median-45 min,P=0.042).Conclusion The data-driven platform not only improved the critical-value management,but also enhanced the transparency and traceability,providing clinical decision support and enhancing patient safety.
