Medical Management
Construction and effectiveness evaluation of surgical complication monitoring mode based on medical record homepage data
Zhang Guanrong, Liang Huiying, Li Dan, Xue Yunlian, Ye Jinqi, Yang Xiaohong
Published 2023-02-02
Cite as Chin J Hosp Admin, 2023, 39(2): 113-118. DOI: 10.3760/cma.j.cn111325-20221109-00951
Abstract
ObjectiveTo 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.
MethodsA 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.
ResultsSince 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).
ConclusionsThe 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.
Key words:
Practice management, medical; Surgical complication; Preventive and control measures; Medical record home page; Incidence rate; Monitoring framework
Contributor Information
Zhang Guanrong
Department of Information Management, Guangdong Provincial People′s Hospital (Guangdong Academy of Medical Sciences) Southern Medical University, Guangzhou 510080, China
Liang Huiying
Department of Information Management, Guangdong Provincial People′s Hospital (Guangdong Academy of Medical Sciences) Southern Medical University, Guangzhou 510080, China
Li Dan
Department of Information Management, Guangdong Provincial People′s Hospital (Guangdong Academy of Medical Sciences) Southern Medical University, Guangzhou 510080, China
Xue Yunlian
Department of Information Management, Guangdong Provincial People′s Hospital (Guangdong Academy of Medical Sciences) Southern Medical University, Guangzhou 510080, China
Ye Jinqi
Department of Information Management, Guangdong Provincial People′s Hospital (Guangdong Academy of Medical Sciences) Southern Medical University, Guangzhou 510080, China
Yang Xiaohong
Department of Information Management, Guangdong Provincial People′s Hospital (Guangdong Academy of Medical Sciences) Southern Medical University, Guangzhou 510080, China
