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《China Health Industry》 2011-01
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The Quality Control Of Medical Record

LI Shaoling Huizhou Municipal Central hospital,Guangdong 5160001,China  
Objective To improve the quality of medical records through analyzing on the problems of medical record.Methods All the case history of patients who had hospitalized in the year of 2009 were checked referring to relevant standards.Results The rate of the record Class A is 99.5%, that Class B is 0.5%, and non records was Class C. The total eligible rate of md medical record was 97.2%.Most of the medical record errors were the first page mistakes, the proportion was 66.1%.Conclusion It can effectively improve the quality of medical records by Strengthening Standardized Training on writing of medical record and emphasizing the importance on quality.
【CateGory Index】: R197.3
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【References】
Chinese Journal Full-text Database 1 Hits
1 Mo Xiali;Minzu Hospital of Guangxi Zhuang Autonomous Region;;Statistical analysis and countermeasure study on the defects of 220 unqualified electronic hospitalized medical records[J];中国医疗管理科学;2015-04
【Co-references】
Chinese Journal Full-text Database 3 Hits
1 Sun Li;Chen Lijuan;Wu Jinjun;Liang Cuicui;The Affiliated Hospital of Guangdong Medical College;;Impact Analysis of Total Quality Supervision to the Quality of Terminal Medical Records[J];中国病案;2015-03
2 Li Yudong;Fu Liping;Wang Zheng;Nanyang City Center Hospital;;Investigation and Analysis of the Relationship between the Optimal Number of Beds Responsible by a Clinician and Medical Safety[J];中国医疗管理科学;2014-03
3 LI Shaoling Huizhou Municipal Central hospital,Guangdong 5160001,China;The Quality Control Of Medical Record[J];中国卫生产业;2011-01
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