BACKGROUND with the widespread application of computer network systems in the medical field,the plan-do-check-action(PDCA)and the international classification of diseases tenth edition(ICD-10)coding system have also a...BACKGROUND with the widespread application of computer network systems in the medical field,the plan-do-check-action(PDCA)and the international classification of diseases tenth edition(ICD-10)coding system have also achieved favorable results in clinical medical record management.However,research on their combined application is relatively lacking.Objective:it was to explore the impact of network systems and PDCA management mode on ICD-10 encoding.Material and Method:a retrospective collection of 768 discharged medical records from the Medical Record Management Department of Meishan People’s Hospital was conducted.They were divided into a control group(n=232)and an observation group(n=536)based on whether the PDCA management mode was implemented.The two sets of coding accuracy,time spent,case completion rate,satisfaction,and other indicators were compared.AIM To study the adoption of network and PDCA in the ICD-10.METHODS A retrospective collection of 768 discharged medical records from the Medical Record Management Department of Meishan People’s Hospital was conducted.They were divided into a control group(n=232)and an observation group(n=536)based on whether the PDCA management mode was implemented.The two sets of coding accuracy,time spent,case completion rate,satisfaction,and other indicators were compared.RESULTS In the 3,6,12,18,and 24 months of PDCA cycle management mode,the coding accuracy and medical record completion rate were higher,and the coding time was lower in the observation group as against the controls(P<0.05).The satisfaction of coders(80.22%vs 53.45%)and patients(84.89%vs 51.72%)in the observation group was markedly higher as against the controls(P<0.05).CONCLUSION The combination of computer networks and PDCA can improve the accuracy,efficiency,completion rate,and satisfaction of ICD-10 coding.展开更多
在充分研究现有题库系统后,本文提出了基于B/S模式下的网络化题库平台(Item bank online platform,IBOP)的实现方案。IBOP平台是基于ASP.NET的4层结构模式分层设计开发,使平台具有良好的通用性、可扩展性和安全性。随后,结合Web2.0技术...在充分研究现有题库系统后,本文提出了基于B/S模式下的网络化题库平台(Item bank online platform,IBOP)的实现方案。IBOP平台是基于ASP.NET的4层结构模式分层设计开发,使平台具有良好的通用性、可扩展性和安全性。随后,结合Web2.0技术对题库系统中的关键功能模块(组卷策略模块、Word的Web访问模块等),详细阐述采用0/1背包模型的组卷算法、SOAOFFICE中间件等实现模块的思路。文中提出的网络化题库平台和资源建设思想,对其他院校题库建设提供了可借鉴的经验。展开更多
文摘BACKGROUND with the widespread application of computer network systems in the medical field,the plan-do-check-action(PDCA)and the international classification of diseases tenth edition(ICD-10)coding system have also achieved favorable results in clinical medical record management.However,research on their combined application is relatively lacking.Objective:it was to explore the impact of network systems and PDCA management mode on ICD-10 encoding.Material and Method:a retrospective collection of 768 discharged medical records from the Medical Record Management Department of Meishan People’s Hospital was conducted.They were divided into a control group(n=232)and an observation group(n=536)based on whether the PDCA management mode was implemented.The two sets of coding accuracy,time spent,case completion rate,satisfaction,and other indicators were compared.AIM To study the adoption of network and PDCA in the ICD-10.METHODS A retrospective collection of 768 discharged medical records from the Medical Record Management Department of Meishan People’s Hospital was conducted.They were divided into a control group(n=232)and an observation group(n=536)based on whether the PDCA management mode was implemented.The two sets of coding accuracy,time spent,case completion rate,satisfaction,and other indicators were compared.RESULTS In the 3,6,12,18,and 24 months of PDCA cycle management mode,the coding accuracy and medical record completion rate were higher,and the coding time was lower in the observation group as against the controls(P<0.05).The satisfaction of coders(80.22%vs 53.45%)and patients(84.89%vs 51.72%)in the observation group was markedly higher as against the controls(P<0.05).CONCLUSION The combination of computer networks and PDCA can improve the accuracy,efficiency,completion rate,and satisfaction of ICD-10 coding.
文摘在充分研究现有题库系统后,本文提出了基于B/S模式下的网络化题库平台(Item bank online platform,IBOP)的实现方案。IBOP平台是基于ASP.NET的4层结构模式分层设计开发,使平台具有良好的通用性、可扩展性和安全性。随后,结合Web2.0技术对题库系统中的关键功能模块(组卷策略模块、Word的Web访问模块等),详细阐述采用0/1背包模型的组卷算法、SOAOFFICE中间件等实现模块的思路。文中提出的网络化题库平台和资源建设思想,对其他院校题库建设提供了可借鉴的经验。
