diff --git a/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/quality/appservice/IEmrQualityAppService.java b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/quality/appservice/IEmrQualityAppService.java
index e17c285eb..dd45c6d9c 100644
--- a/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/quality/appservice/IEmrQualityAppService.java
+++ b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/quality/appservice/IEmrQualityAppService.java
@@ -8,4 +8,6 @@ public interface IEmrQualityAppService {
     List<Map<String, Object>> getDefects(Long encounterId);
     Map<String, Object> getDefectStatistics(String startDate, String endDate);
     Map<String, Object> getCompletionRate(String startDate, String endDate);
+    Map<String, Object> startDefectRectify(Long defectId);
+    Map<String, Object> completeDefectRectify(Long defectId);
 }
diff --git a/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/quality/appservice/impl/EmrQualityAppServiceImpl.java b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/quality/appservice/impl/EmrQualityAppServiceImpl.java
index a4975dfe9..7d537ffc7 100644
--- a/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/quality/appservice/impl/EmrQualityAppServiceImpl.java
+++ b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/quality/appservice/impl/EmrQualityAppServiceImpl.java
@@ -7,6 +7,7 @@ import com.baomidou.mybatisplus.core.conditions.query.LambdaQueryWrapper;
 import org.springframework.beans.factory.annotation.Autowired;
 import org.springframework.stereotype.Service;
 import java.util.*;
+import java.util.Date;
 @Service
 public class EmrQualityAppServiceImpl implements IEmrQualityAppService {
     @Autowired private EmrQualityScoreMapper scoreMapper;
@@ -80,4 +81,37 @@ public class EmrQualityAppServiceImpl implements IEmrQualityAppService {
         result.put("totalEncounters", 0); result.put("completedEmr", 0); result.put("overdueEmr", 0); result.put("completionRate", 100);
         return result;
     }
+
+    @Override
+    public Map<String, Object> startDefectRectify(Long defectId) {
+        Map<String, Object> result = new HashMap<>();
+        EmrDefect defect = defectMapper.selectById(defectId);
+        if (defect != null) {
+            defect.setRectifyStatus("RECTIFYING");
+            defectMapper.updateById(defect);
+            result.put("success", true);
+            result.put("message", "开始整改");
+        } else {
+            result.put("success", false);
+            result.put("message", "缺陷记录不存在");
+        }
+        return result;
+    }
+
+    @Override
+    public Map<String, Object> completeDefectRectify(Long defectId) {
+        Map<String, Object> result = new HashMap<>();
+        EmrDefect defect = defectMapper.selectById(defectId);
+        if (defect != null) {
+            defect.setRectifyStatus("RECTIFIED");
+            defect.setRectifyTime(new Date());
+            defectMapper.updateById(defect);
+            result.put("success", true);
+            result.put("message", "整改完成");
+        } else {
+            result.put("success", false);
+            result.put("message", "缺陷记录不存在");
+        }
+        return result;
+    }
 }
diff --git a/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/quality/controller/EmrQualityController.java b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/quality/controller/EmrQualityController.java
index 6bf9f16f2..37f0aa162 100644
--- a/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/quality/controller/EmrQualityController.java
+++ b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/quality/controller/EmrQualityController.java
@@ -30,4 +30,12 @@ public class EmrQualityController {
     @Operation(summary = "完成率") @GetMapping("/completion-rate")
     public AjaxResult completionRate(@RequestParam(required = false) String startDate, @RequestParam(required = false) String endDate) {
         return AjaxResult.success(emrQualityAppService.getCompletionRate(startDate, endDate)); }
+
+    @Operation(summary = "开始整改缺陷") @PostMapping("/defect/rectify/{defectId}")
+    public AjaxResult startDefectRectify(@PathVariable Long defectId) {
+        return AjaxResult.success(emrQualityAppService.startDefectRectify(defectId)); }
+
+    @Operation(summary = "完成整改缺陷") @PostMapping("/defect/complete/{defectId}")
+    public AjaxResult completeDefectRectify(@PathVariable Long defectId) {
+        return AjaxResult.success(emrQualityAppService.completeDefectRectify(defectId)); }
 }