摘要：
Objective: To adopt scoring management method that was just like "driving license" of traffic management and combined with the actual working procedure of the hospital to manage drug administration, cost control and medical quality control so as to severely punish the medical malfeasance. Methods: The extensible markup language (XML), message queue, middleware connector, storing process and other techniques were adopted as bridge and bond to butt joint the hospital information system (HIS) and " driving license style" medical service management system. And then the new management system was further designed and optimized. Results: Since the "driving license style"medical service management was referred to implement management from October 2016, the quality awareness of diagnosis and treatment of doctors were obviously strengthened, and the self-control and department-control also were obviously strengthened. And the proportion of drug, proportion of material and health insurance cost were sharply decreased, and the flaws of medical record also were reduced. Conclusion: The successful docking of HIS of " No.1 Military Medical Project" and "driving license style" medical service management system can integrate the information of patient, information of doctor's advice, cost information and drug information in a monitoring platform, and take doctor's advice, drug, hospitalization cost and other data to form a circulation path with more conciseness, higher efficiency and safety. Therefore, it can enhance the automatic level of three-grade management, and can enlarge the extensions of HIS.%目的:结合医院医疗服务流程,将药品监管、费用控制和医疗质量控制借鉴采用交通管理中的"驾照式"记分管理办法,严处医疗违规行为.方法:采用可扩展标记语言(XML)、消息队列、中间件接口及存储过程等技术为桥梁和纽带,使医院信息系统(HIS)与驾照式医疗服务管理系统对接,设计并优化"驾照式"医疗服务管理系统.结果:自2016年10月起,参照"驾照式"的医疗服务管理,医师的诊疗质量意识明显增强,自我管控和科室管控的作用明显加强,药占比、材料比及医保费用大幅度降低,病历缺陷明显减少.结论:"军字一号"HIS与"驾照式"医疗服务管理系统成功对接,可将患者信息、医嘱信息、费用信息和药品信息统一到1个监控平台,使医嘱、药品、医疗费用等数据形成更加简洁、高效及安全的业务循环路径,能够提高三级管理的自动化水平,扩大HIS的外延.
