[1]毛淋淇杨静徐婉瑛.基于院科两级质控管理体系的终末病历质量督查模式探讨[J].中国卫生质量管理,2021,28(09):32-34.[doi:10.13912/j.cnki.chqm.2021.28.9.09 ]
　MAO Linqi,YANG Jing,XU Wanying.Quality Supervision Mode of Final Medical Records Based on Hospital and Department Quality Control Management System[J].Chinese Health Quality Management,2021,28(09):32-34.[doi:10.13912/j.cnki.chqm.2021.28.9.09 ]

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基于院科两级质控管理体系的终末病历质量督查模式探讨

《中国卫生质量管理》[ISSN:1006-7515/CN:CN 61-1283/R] 卷: 第28卷期数: 2021年09期页码: 32-34 栏目: 医疗质量出版日期: 2021-09-28

Title:: Quality Supervision Mode of Final Medical Records Based on Hospital and Department Quality Control Management System

作者:: 毛淋淇杨静徐婉瑛; 上海交通大学医学院附属瑞金医院

Author(s):: MAO Linqi; YANG Jing; XU Wanying; Ruijin Hospital Affiliated to School of Medicine of Shanghai Jiaotong University

关键词:: 终末病历; 病历质量; 质量督查; 质控管理体系; 闭环管理; 全流程

Keywords:: Final Medical Records; Quality of Medical Records; Quality Supervision; Quality Control Management System; Closed-Loop Management; Whole Process

分类号:: R197.323

DOI:: 10.13912/j.cnki.chqm.2021.28.9.09

文献标志码:: B

摘要:: 病历质量是医院医疗质量和管理水平的体现。为解决传统病历质控中人员匮乏、工作负担重、临床参与度不高等问题，构建了基于院科两级质控管理体系的终末病历质量督查模式，同时利用信息化手段实现了病历质控工作的闭环管理。实践结果表明，这种模式提高了病历质控工作的精细化管理水平。

Abstract:: The quality of medical records is the embodiment of the medical quality and management level of a hospital. In order to solve the problems of lack of personnel, heavy workload and low clinical participation in the traditional quality control of medical records, the quality supervision mode of the final medical records based on the hospital and department quality control management system was constructed, and the closed loop management of the quality control of medical records was realized by using information means. The practice results showed that this mode improved the fine management level of medical record quality control.

参考文献/References:

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更新日期/Last Update: 2021-09-28