随着医疗信息技术的快速发展和医疗机构的信息化建设,医院在日常工作中积累了大量的临床数据.临床数据是医院信息化系统的核心,其标准化程度直接影响到数据的准确性、完整性和可利用性,因此临床数据的标准化变得越来越重要.三甲医院作为我国医疗行业的领军者和标杆医院,其数据治理实践经验对于推进整个卫生行业的临床数据标准化的进程具有重大意义.本文以三甲医院为例,探讨基于临床数据标准化的实施过程和效果.
With the rapid development of medical information technology and the informatization construction of medical institutions,hospitals have accumulated a large amount of clinical data in their daily work.Clinical data is the core of the hospital information system,and its degree of standardization directly affects the accuracy,completeness and availability of data,so the standardization of clinical data becomes increasingly important.Grade-A tertiary hospitals are the leader and benchmark hospital in China's medical industry,the practical experience of data governance in such hospitals is of great significance to promote the process of clinical data standardization in the entire health industry.This paper takes a Grade-A tertiary hospital as an example to discuss the implementation process and effect of clinical data standardization.