Construction and Application of Intelligent Management Platform for Hospital Critical Values 
Based on Knowledge Base

夏杰峰，胡宇，张晟，涂玲，张颖，张伟硕，司超增

doi:10.3969/j.issn.1674-1633.20241206

PDF(3353 KB)

China Medical Devices ›› 2025, Vol. 40 ›› Issue (4) : 66-72. DOI: 10.3969/j.issn.1674-1633.20241206

RESEARCHWORK

Construction and Application of Intelligent Management Platform for Hospital Critical Values Based on Knowledge Base

XIA Jiefeng^a, HU Yu^a, ZHANG Sheng^a, TU Ling^a, ZHANG Ying^b, ZHANG Weishuo^c, SI Chaozeng^a

Author information +

History +

Abstract

Objective To escape the traditional passive regulatory model of critical values, to build an intelligent management platform for hospital critical values based on knowledge base, so as to improve the management efficiency of critical values and reduce medical risks. Methods The platform was developed using the C# language, with deployment achieved through C/S architecture and Oracle 11g database. The Web Service interface and message platform were used to for encrypted transmission in the data interaction between systems. The data before the platform was launched (from January to June 2023) and after the platform was launched (from January to June 2024) were selected as the control group and the experimental group, respectively. And the critical values data were compared and analyzed to verify the application effect of the platform. Results The critical values reporting time, false-positive rate, clinical response time and missing rate of critical value in electronic medical records of the experimental group were lower than those of the control group (P<0.05), and the clinical disposal rate and timely reporting rate of the experimental group were significantly higher than those of the control group (P<0.05). Conclusion The intelligent management platform for hospital critical values based on knowledge base achieves unified management of the entire process of critical values, significantly improves the management indicators of critical values, and provides safer and more efficient medical security for patients’ diagnosis and treatment.

Key words

critical values; knowledge base; early warning rule; intelligent monitoring; closed-loop management; intelligent management platform

Cite this article

EndNote

Ris (Procite)

Bibtex

Download Citations

夏杰峰，胡宇，张晟，涂玲，张颖，张伟硕，司超增 Construction and Application of Intelligent Management Platform for Hospital Critical Values Based on Knowledge Base[J]. China Medical Devices, 2025, 40(4): 66-72 https://doi.org/10.3969/j.issn.1674-1633.20241206

References

[1] 张九妹，张驰，李宁. 影像危急值闭环管理系统的研发与应用[J]. 中国医疗设备，2024，39(7): 61-68.
Zhang JM, Zhang C, Li N. Development and application of closed-loop management system for image critical value[J]. China Med Devices, 2024, 39(7): 61-68.
[2] Lundberg GD. When to panic over an abnormal value[J]. Meb Lab Observer, 1972, 4(1): 47-54.
[3] Joint Commission International. Joint commission international accreditation standards for hospitals including standards for academic medical center hospitals[EB/OL]. (2014)[2024-08-06].https://acreditacionfada.org/uploads/documentosJCI/JCIH14_ Sample_Pages.pdf.
[4] 中国医院协会. CHA2007年患者安全目标暨主要措施[J]. 中国医院，2007，11(1): 29-30.
Chinese Hospital Association. Principal measure of patient safety standard of CHA2007[J]. Chin Hosp, 2007, 11(1): 29-30.
[5] 国家卫生健康委员会. 关于印发医疗质量安全核心制度要点的通知[EB/OL]. (2018-04-24)[2024-08-06].https://www.gov .cn/xinwen/2018-04/24/content_5285473.htm.
[6] 国家卫生健康委. 关于印发《三级医院评审标准(2022年版)》及其实施细则的通知[EB/OL]. (2022-12-15)[2024-08-06].http://www.nhc.gov.cn/yzygj/s3585/202212/cf89d8a82a68421c bb9953ec610fb861.shtml.
[7] 国家卫生健康委办公厅. 关于印发电子病历系统应用水平分级评价管理办法(试行)及评价标准(试行)的通知[EB/OL].(2018-12-09)[2024-08-06].http://www.gov.cn/xinwen/2018-12/09/ content_5347261.htm.
[8] 曲林琳，吴俊，吴卫，等. 凝血检验结果自动审核规则建立与验证的多中心研究[J]. 中华检验医学杂志，2020，43(8): 802-811.
Qu LL, Wu J, Wu W, et al. A multi-center study on the establishment and validation of autoverification rules for coagulation tests[J]. Chin J Lab Med, 2020, 43(8): 802-811.
[9] 廖龙波. 信息化平台医院检验科危急值管理制度的建立及应用[J]. 中国卫生标准管理，2024，15(13): 19-22.
Liao LB. Establishment and application of critical value management system in hospital laboratory on information platform[J]. China Health Stand Manag, 2024, 15(13): 19-22.
[10] 张倩倩，寇建秋，朱振国，等. 基于CTP的医院信息需求的全生命周期智慧管理[J]. 中国医疗设备，2024，39(5): 127-132.
Zhang QQ, Kou JQ, Zhu ZG, et al. Whole lifecycle intelligent management of hospital information requirements based on collaboration technology platform[J]. China Med Devices, 2024, 39(5): 127-132.
[11] 杨嘉麟，龚兴荣，姜若，等. 基于数据驱动的临床危急值数据直采与统筹管理实践[J]. 中国卫生质量管理，2024，31(6): 9-11.
Yang JL, Gong XR, Jiang R, et al. Direct data collection and overall management of clinical critical value based on data-driven[J]. Chin Health Qual Manag, 2024, 31(6): 9-11.
[12] 余红星，范新语，赵欣如，等. 公立医院高质量发展面临的问题及对策研究[J]. 中国医院，2024，28(1): 1-6.
Yu HX, Fan XY, Zhao XR, et al. Research on problems and countermeasures faced by high-quality development of public hospitals[J]. Chin Hosp, 2024, 28(1): 1-6.
[13] 许树强，张铁山. 信息化赋能公立医院高质量发展[J]. 中国医院，2023，27(7): 1-3.
Xu SQ, Zhang TS. Empowering high-quality development of public hospitals through informationization[J]. Chin Hosp, 2023, 27(7): 1-3.
[14] 赵俊辉，余璟璐. 基于多学科的临床检验危急值管理平台的设计和应用[J]. 中国医疗设备，2019，34(9): 102-104.
Zhao JH, Yu JL. Design and application of clinical laboratory critical value management system based on multidisciplinary[J]. China Med Devices, 2019, 34(9): 102-104.
[15] 宓林晖，袁骏毅，尚诗. 智慧讯息平台在危急值管理中的应用效果分析[J]. 中国医疗设备，2022，37(12): 100-104.
Mi LH, Yuan JY, Shang S. Analysis of the application effect of intelligent information platform in critical value management[J]. China Med Devices, 2022, 37(12): 100-104.
[16] 姚刚，熊慧，葛帅，等. 互联网医院危急值闭环管理系统建设与应用的实践探讨[J]. 中国医疗管理科学，2024，14(3): 73-76.
Yao G, Xiong H, Ge S, et al. Development and application of critical value closed-loop quality control platform for an Internet hospital[J]. Chin J Med Manag Sci, 2024, 14(3): 73-76.
[17] 程颖，高伟，戴飞，等. 基于医院信息互联互通标准整合危急值管理流程研究与实践[J]. 中国医院，2020，24(5): 74-75.
Cheng Y, Gao W, Dai F, et al. Research and practice of integrating crisis value management process based on hospital information interconnection standards[J]. Chin Hosp, 2020, 24(5): 74-75.
[18] 彭润霖，吴凯，陈超敏，等. 我国医学人工智能软件及其测试技术发展概况[J]. 中国医疗设备，2023，38(4): 155-160.
Peng RL, Wu K, Chen CM, et al. Recent advance of artificial intelligence medical software and its testing technology in China[J]. China Med Devices, 2023, 38(4): 155-160.
[19] 章丽娜. 区域医学检验中心危急值信息化闭环管理的实践与分析[J]. 中国医药科学，2023，13(6): 189-192.
Zhang LN. Practice and analysis of informationalized closed-loop management of critical value in regional medical laboratory center[J]. China Med Pharm, 2023, 13(6): 189-192.
[20] 郑思娴，王唯予，王利. 区域危急值闭环管理平台的设计及应用[J]. 中国卫生信息管理杂志，2020，17(6): 753-757.
Zheng SX, Wang WY, Wang L. Design and application of a regional closed loop critical value management platform[J]. Chin J Health Inform Manag, 2020, 17(6): 753-757.