Exploration and practice of data-driven high-quality development in smart hospitals

Abstract

BackgroundIn this study, we explored a data-driven approach to smart hospital construction, addressing challenges such as data silos, fragmented processes, and delayed decision-making within healthcare systems. The proposed framework supports the high-quality development of public hospitals in China and facilitates intelligent integration among healthcare delivery, service provision, and management functions, achieving synergistic advancement of the “trinity” of hospital operations.MethodA phased action research method was employed, comprising three stages: (1) Infrastructure construction period (2016–2018): Achieving system interconnection and data sharing based on enterprise service bus, standardized interface transformation, and the establishment of an information security system. (2) Intelligent empowerment period (2019–2021): Implementing intelligent healthcare processes, patient services, hospital management, and closed-loop management. (3) Ecological expansion period (2022–2024): Constructing a regional pediatric alliance data collaboration network and enabling internet hospital service continuity. The core pathways include global data integration, data governance standardization, closed-loop management enhancement, intelligent decision support development, and internet hospital integration.ResultsThe study demonstrated four outcomes: (1) Improved data quality: Standardization, completeness, and consistency were significantly improved (p < 0.001). (2) Enhanced medical quality: The accuracy rate of AI-assisted diagnosis exceeded 90%, the completion rate of clinical pathways reached 96.03%, and the intensity of antibiotic use (defined daily doses) decreased from 28.27 to 17.14. (3) Optimized service efficiency: The appointment completion rate was 98.15%, the average length of stay in a hospital decreased by 42.06% (interrupted time series analysis showed that the post-intervention level was significantly reduced, β2 = −0.701, p = 0.002), and the number of bed turnover increased by 128.8% (β2 = 14.558, p < 0.001). (4) Significant regional collaboration: Established collaborations with 134 hospitals, with more than 2629 cases of remote consultation and transfer in the year 2024 and 88,900 times of mutual recognition of test results.ConclusionThe construction of a data-driven smart hospital, through systematic integration and intelligent empowerment, demonstrated positive outcomes in improving data quality, clinical performance, operational efficiency, and regional collaboration. This provides a replicable implementation framework for the high-quality development of public hospitals in China. Since this was a single-center exploratory study, subsequent multi-center validation is necessary. Continuous improvement of data governance and comprehensive regulatory systems is required to further advance medical services toward enhanced precision, collaboration, and intelligence.

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