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建立病历质量管理平台 控制病历书写质量 被引量:3

Set Up the Administration Plane of Medical Record to Control the Quality of Medical Record
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摘要 医疗质量是医院的永恒主题,也是决定医院生存与发展的核心要素.而病历质量管理和控制又是医疗质量管理的一个重要环节,它能明确反应医院的管理水平和医务人员的整体素质,同时也是医患双方医疗行为的重要见证.为控制病历的书写质量,赤峰第二医院成立了院、科、组三级质控管理体系,建立了病历质量管理平台,提高了病历的内涵质量;使甲级病案率达到90%以上,达到了三级医院质控标准. Medical treatment quality is a permanent theme of a hospital,also the essential factor that resolve the existence and development of a hospital.The administration and control of medical record is a key link of medical treatment administration,it can reflect the level of the hospital's administration and the whole quality of the people who work in the hospital,it is even a important witness of the medical action between doctors and patients.Our hospital had established the quality administration organization of three grade-group,department,academy,and set up the administration plane of medical record quality.promote medical record quality to assume the medical record to be timely,over 90 percent medical record can achieve A-grade,to the quality administration standard of three-class-hospital.
出处 《内蒙古民族大学学报(自然科学版)》 2004年第6期691-692,共2页 Journal of Inner Mongolia Minzu University:Natural Sciences
关键词 医疗质量 病历质量管理平台 三级质控 Medical treatment quality The administration plane of medical quality Three class quality control
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  • 1王国平 朱新力.卫生法学[M].北京:人民出版社,2000.1-3.

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