Quality analysis of emergency medical records in our hospital
BAO Weihua The Office of Quality Control, the 253 Hospital of PLA, Inner Mongoli Autonomous Region, Hohhot 010051, China
Objective To guarantee clinical care safety, evaluate and summarize the quality of the emergency medical records in our hospital, and put forward management strategy according to the defects in records. Methods Statistic analysis of these defects was based on spot check of 1872 emergency medical records between June 2011 to December 2012. Results Writing quality of these emergency medical records was not optimistic. 3189 defects were existed in the 1872 emergency medical records. Conclusion Emergency medical record is a comprehensive reflection of our hospital's level of diagnosis, rescue and treatment; also it is an important link of avoiding medical risks. Therefore, every manager in the hospital should attach importance to the quality management of emergency medical record, and enforce law education and train of specialized theory and skills to constantly increase responsibility conscientiousness and writing level of emergency medical record.
【CateGory Index】： R197.3