医疗数据全生命周期质量控制——基于人工智能的自动监测与反馈机制。

IF 1.4 4区 医学 Q4 ENGINEERING, BIOMEDICAL
Haixia Liu, Zhanju Li, Zijian Song
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引用次数: 0

摘要

数字医疗保健的进步凸显了对可靠的医疗记录质量控制的迫切需求,这对数据完整性至关重要,超越了手工方法的不足。目的开发一套全面管理病案质量控制的人工智能系统,利用强化学习和自然语言处理等先进人工智能技术,提高管理的精度和效率。方法该人工智能系统采用闭环框架,采用自然语言处理技术和强化学习,与医院信息系统同步进行实时病历审核。它有一个用于监控的数据层、一个用于人工智能分析的服务层和一个用于用户参与的表示层。通过比较部署前和部署后的质量指标来评估其影响。有了人工智能系统,质量控制变得全面运作,每个记录的审查时间从4200秒下降到2秒。A级档案比例从89.43%上升到99.21%,系统显著减少了形式和实质性档案错误,提高了完整性和准确性。基于人工智能的病案质量控制系统的实施,优化了质量控制流程,动态规范了医务人员的诊断行为,促进了临床病案编写的规范化和规范化。结论人工智能驱动的系统在效率和准确性方面显著提升了病案管理的水平。它为医院提供了一种可扩展的方法来完善质量控制,推动医疗保健向高度智能化和自动化发展,并预示着人工智能在未来医疗保健质量管理中的关键作用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Comprehensive lifecycle quality control of medical data - automated monitoring and feedback mechanisms based on artificial intelligence.

BackgroundDigital healthcare's advance has underscored an urgent requirement for solid medical record quality control, critical for data integrity, surpassing manual methods' inadequacies.ObjectiveThe goal was to develop an AI system to manage medical record quality control comprehensively, using advanced AI like reinforcement learning and NLP to boost management's precision and efficiency.MethodsThis AI system uses a closed-loop framework for real-time record review using natural language processing techniques and reinforcement learning, synchronized with the hospital information system. It features a data layer for monitoring, a service layer for AI analysis, and a presentation layer for user engagement. Its impact was evaluated by comparing quality metrics pre- and post-deployment.ResultsWith the AI system, quality control became fully operational, with review times per record plummeting from 4200 s to 2 s. The share of Grade A records rose from 89.43% to 99.21%, and the system markedly minimized formal and substantive record errors, enhancing completeness and accuracy. The implementation of the artificial intelligence-based medical record quality control system optimizes the quality control process, dynamically regulates the diagnostic behavior of medical staff, and promotes the standardization and normalization of clinical medical record writing.ConclusionsThe AI-driven system significantly upgraded the management of medical records in terms of efficiency and accuracy. It provides a scalable approach for hospitals to refine quality control, propelling healthcare towards heightened intelligence and automation, and foreshadowing AI's pivotal role in future healthcare quality management.

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来源期刊
Technology and Health Care
Technology and Health Care HEALTH CARE SCIENCES & SERVICES-ENGINEERING, BIOMEDICAL
CiteScore
2.10
自引率
6.20%
发文量
282
审稿时长
>12 weeks
期刊介绍: Technology and Health Care is intended to serve as a forum for the presentation of original articles and technical notes, observing rigorous scientific standards. Furthermore, upon invitation, reviews, tutorials, discussion papers and minisymposia are featured. The main focus of THC is related to the overlapping areas of engineering and medicine. The following types of contributions are considered: 1.Original articles: New concepts, procedures and devices associated with the use of technology in medical research and clinical practice are presented to a readership with a widespread background in engineering and/or medicine. In particular, the clinical benefit deriving from the application of engineering methods and devices in clinical medicine should be demonstrated. Typically, full length original contributions have a length of 4000 words, thereby taking duly into account figures and tables. 2.Technical Notes and Short Communications: Technical Notes relate to novel technical developments with relevance for clinical medicine. In Short Communications, clinical applications are shortly described. 3.Both Technical Notes and Short Communications typically have a length of 1500 words. Reviews and Tutorials (upon invitation only): Tutorial and educational articles for persons with a primarily medical background on principles of engineering with particular significance for biomedical applications and vice versa are presented. The Editorial Board is responsible for the selection of topics. 4.Minisymposia (upon invitation only): Under the leadership of a Special Editor, controversial or important issues relating to health care are highlighted and discussed by various authors. 5.Letters to the Editors: Discussions or short statements (not indexed).
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