[1]夏海朋吴剑宏何艺王禾.如何做好新冠肺炎疫情防控下的病历质量管理工作[J].中国卫生质量管理,2020,27(06):124-126.[doi:10.13912/j.cnki.chqm.2020.27.6.31 ]
　XIA Haipeng,WU Jianhong,HE Yi,et al.How to Perform the Quality Management of Medical Records under COVID-19 Prevention and Control[J].Chinese Health Quality Management,2020,27(06):124-126.[doi:10.13912/j.cnki.chqm.2020.27.6.31 ]

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如何做好新冠肺炎疫情防控下的病历质量管理工作

《中国卫生质量管理》[ISSN:1006-7515/CN:CN 61-1283/R] 卷: 第27卷期数: 2020年06期页码: 124-126 栏目: 专题研究出版日期: 2020-11-28

Title:: How to Perform the Quality Management of Medical Records under COVID-19 Prevention and Control

作者:: 夏海朋吴剑宏何艺王禾; 华中科技大学同济医学院附属同济医院

Author(s):: XIA Haipeng; WU Jianhong; HE Yi; et al; XIA Haipeng,WU Jianhong,HE Yi,et al

关键词:: 新型冠状病毒肺炎; 疫情防控; 应急机制; 病历管理

Keywords:: COVID-19; Epidemic Prevention and Control; Emergency Response Mechanism; Medical Record Management

分类号:: R197.323;R184

DOI:: 10.13912/j.cnki.chqm.2020.27.6.31

文献标志码:: B

摘要:: 新冠肺炎疫情迅速蔓延，大量患者涌入医院，医务人员忙于一线救治工作，导致病历质量存在较大安全隐患。为保障病历质量，确保病历信息准确、及时、有效，同济医院迅速启动应急机制，包括编制新冠肺炎入院记录，制作电子病历操作流程手册，推进无纸化病历进程，优化环节管控规则，加强督查等。联合管控措施的实施，提高了病历书写效率与准确性，无纸化病历符合疫情防控需求，有效提升了病历书写质量

Abstract:: With the spread of COVID-19, a large number of patients were flooding in, and medical personnel were busy with first-line treatment, leading to safety risk in the quality of medical records. In order to ensure the quality of medical records, and ensure the accurate, timely and effective medical records information, the emergency response mechanism should be promptly started, including the formulation of COVID-19 admission records, the production of electronic medical records operating process manual, the promotion of paperless medical records, the optimization of management rules, and the strengthening of supervision. The implementation of joint management and control measures has improved the efficiency and accuracy of medical record writing. Paperless medical records meet the needs of epidemic prevention and control, and effectively improve the quality of medical record writing.

参考文献/References:

［1］同济医院宣传部.同济医院中法新城院区被指定为新冠肺炎危重病人救治定点医院［EB/OL］.（2020-01-31）.https://www.tjh.com.cn/html/2020/0131/28810.shtml#title.

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