[1]张彦阳红陈兵林敏曹玲.信息化条件下病历质量监管流程改进[J].中国卫生质量管理,2016,23(06):010-12.[doi:10.13912/j.cnki.chqm.2016.23.6.04]

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信息化条件下病历质量监管流程改进

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《中国卫生质量管理》[ISSN:1006-7515/CN:CN 61-1283/R]

摘要:: 应用病历质量管理软件，结合国家及军队相关规范标准，对病历质量进行自动核查、预警与管理，形成了病历质量自动化管控系统，在全年满负荷运转的情况下，病历合格率达到99.03%。通过信息化实现了病历质量全程管理、全员管理、科学分析、追踪改进以及数据化、精细化、量化、标准化的目标。

Abstract:: Applying the medical records quality management software, with the standards of country and army, the automated quality control system on medical records was established on the automatic verification, early warning and management of the quality of medical records, which achieved the improvement of quality control processes of medical records in clinical departments and hospital. In situations of annual running at full capacity, the passing rate of the medical records reached 99.03%. Through information technology, the goals were achieved, which included the full processes quality management of medical records, staff management, scientific analysis, tracking improvement and digitization, meticulous management, quantification, and standardization goals.

［1］谢小燕,罗胜,杨洪涛,等. 构建病历质控体系提高病历质量［J］.中国卫生质量管理，2013,20(5):2-4.

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　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(06):032.[doi:10.13912/j.cnki.chqm.2021.28.9.09 ]

更新日期/Last Update: 2016-11-28