中图分类号：R197.323文章编号：1006-1959(2025)14-0051-06

    文献标识码：B DOI：10.3969/j.issn.1006-1959.2025.14.008

    Abstract：Taifaldalitiflitelle(Aefal quaitycontrotiuousliprovethualityfdicalcoddatandlpeftaageofospialicalcodatas papertakesthtrouctioofeicalcodualtotroltasedAIcholointertiygenralospialforectrodical recorduaitdbaagleledld controlndexatafospialldfrJul2tefotioatistdulsoat afteryearoftiusalitotolagentofedicaldaagtotolidatoeateoffistassedicalst coincidenceateiactealgdsdteittousodallipdTdeble casereplication decreased from 87.06% to 32.38% ，and the incidence of surgical complicationsdecreased from2.78% to 0.43% .Themedical record qualitycontrltfleltdompsalot canquicklybtaiataofedicaldaagtotrolidcatofoatealysismproealificaloddok efficiency，and the effect of continuous improvement of medical record management indicators is obvious.

    Keywords：AI technology;Medical record quality control;Medical records management

    病历书写质量是医疗质量管理工作中的重点和难点，加强病历管理、提高病历质量是医院管理中的一项重要内容。随着我国进入公立医院高质量发展新阶段，各医疗机构对病历数据的质量要求越来越高，信息化、智能化融入公立医院高质量发展[。传统的病历质控技术弊端越来越明显，取而代之的将是信息化程度极高的人工智能(artificialintelli-gence ......