摘要
目的:探索基于影像归档和通信系统(PACS)/放射信息管理系统(RIS)构建的影像科医疗质量信息化管理模式在影像科医疗质量控制与管理中的效果。方法:选取暨南大学附属顺德医院2022年1月—12月收治的1800例患者作为实施前的对照组,2023年1月—12月收治的1800例患者作为实施后的观察组。而后根据检查类型将两组患者均匀划分为数字化放射成像(DR)组、CT组和MRI组。同时,患者根据就诊的紧急程度及方式进一步分为急诊、门诊和住院3类(DR检查急诊400例、门诊400例、住院400例,CT检查急诊400例、门诊400例、住院400例,MRI检查急诊400例、门诊400例、住院400例)。对照组使用传统质量控制模式,观察组实施基于PACS/RIS系统的信息化质量控制管理模式。观察患者从登记到检查的时间、检查到报告审核的时间、图像检查质量及报告诊断质量。结果:实施PACS/RIS系统信息化质量控制管理模式的观察组患者从前台登记到影像检查时间、检查完成到报告审核的时间均短于实施传统质量控制评价模式的对照组,差异有统计学意义(P<0.05);但两组MRI住院患者检查到报告审核时间比较,差异无统计学意义(P>0.05)。实施PACS/RIS系统信息化质量评价体系的观察组的图像质量、报告质量均优于实施传统质量控制评价模式的对照组,差异有统计学意义(P<0.05)。结论:应用基于PACS/RIS系统的影像科医疗质量信息化管理模式进行质量控制,能够有效缩短影像科检查时间和报告时间,提高图像和报告的质量,有助于构建结构合理、高效的影像医疗质量管理体系,为患者提供更加优质高效的医疗服务。
Objective To explore the effect of medical quality information management model based on picture archiving and communication system/radiology information system(PACS/RIS)in medical quality control and management of imaging department.Methods A total of 1800 patients admitted to The Affiliated Shunde Hospital of Jinan University from January to December 2022 were selected as the control group before implementation,and 1800 patients admitted from January to December 2023 were selected as the observation group after implementation.Then according to the type of examination,the two groups of patients were evenly divided into digital radiography(DR)group,CT group and MRI group.At the same time,the patients were further divided into three categories:emergency,outpatient and inpatient according to the emergency degree and mode of treatment(400 cases of emergency,a total of 400 cases of outpatient and 400 cases of inpatient in DR;400 cases of emergency,400 cases of outpatient and 400 cases of inpatient in CT;400 cases of emergency,a total of 400 cases of outpatient and 400 cases of inpatient in MRI).The control group used the traditional quality control mode,and the observation group implemented the information quality control management mode based on PACS/RIS.The time from registration to examination,the time from examination to report review,the quality of image examination and the quality of report diagnosis were observed.Results The patients in the observation group who implemented the PACS/RIS quality control management model from the front desk registration to the imaging examination time,the time from the completion of the examination to the report review were shorter than those in the control group who implemented the traditional quality control evaluation model,and the difference was statistically significant(P<0.05).However,there was no statistically significant difference in the time from examination to report review between the two groups of MRI inpatients(P>0.05).The image quality and report quality of the observation group implementing the PACS/RIS quality evaluation system were better than those of the control group implementing the traditional quality control evaluation model,and the difference was statistically significant(P<0.05).Conclusion The application of PACS/RIS based medical quality information management mode in department of imaging for quality control can effectively shorten the inspection time and report time,improve the quality of images and reports,contribute to the construction of a reasonable and efficient imaging medical quality management system,and provide patients with more high-quality and efficient medical services.
作者
李秋冬
LI Qiudong(Department of Imaging,The Affiliated Shunde Hospital of Jinan University(Shunde District Second People's Hospital of Foshan City)(Foshan Shunde District Feng Yaojing Memorial Hospital),Foshan,Guangdong 528305,China)
出处
《影像研究与医学应用》
2024年第24期35-39,共5页
Journal of Imaging Research and Medical Applications
基金
广东省佛山市卫生健康局医学科研课题(20230035)。
关键词
影像归档和通信系统
放射信息管理系统
信息化
影像科
医疗质量管理
Picture archiving and communication system
Radiology information system
Information
Department of imaging
Medical quality management
