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《Chinese Medical Record》 2012-05
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Final Quality Control of 1144 Copies of Hospitalization Medical Records

Xu Hongmei,Liu Zhuo,Tan Yanfang,The General Hospital of Huabei Oilfield,Renqiu 062552,Hebei Province,China;Chu Hengqun,Second Hospital of Hebei Medical University,Shijiazhuang 050050,Hebei Province,China;Xu Ziting,Foreign Languages College of Sichuan University,Chengdu 61000,Sichuan Province,China  
Objective This paper discusses the important role of final quality methods in quality control of medical records.Methods As the standard of writing norms of medical records 1144 medical records are had examination and defects analysis.Results There are 214 defects medical records with 365 defect items,which defects rate is 18.7%.According to big items,small items and professional defects,it makes up a series of countermeasures.Conclusion The importance of final quality control of medical records is not to re-amend but to find out the basic reasons of medical records defects and to continually improve the medical records quality.
【CateGory Index】: R197.3
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【Citations】
Chinese Journal Full-text Database 1 Hits
1 XU Hong-mei,CHANG Chun-lin,FENG Zeng-li,CHU Heng-qun(North China Oil General Hospital,Renqiu 062552;Second Hospital,Hebei Medical University,Shijiazhuang 050000);Keys of Quality Control for Medical Records[J];Hospital Administration Journal of Chinese People's Liberation Army;2008-04
【Co-citations】
Chinese Journal Full-text Database 5 Hits
1 CAI Ya-ming1,ZHANG Jian-chun2(1.Department of Infection Control,No.1 Hospital of PLA,Lanzhou 730030;2.Pharmacy Department,No.1 Hospital of PLA,Lanzhou 730030);Refined Management on Medical Quality:Measures and Performance[J];Hospital Administration Journal of Chinese People's Liberation Army;2010-10
2 JIANG Ping1,YANG Guo-shi2(1.Department of Information,Changhai Hospital,Secand Military Medical University,Shanghai 200433;2.Department of Medical Affairs,Changhai Hospital,Secand Military Medical University,Shanghai 200433);Application of Medical Records Quality Monitoring Based on IT[J];Hospital Administration Journal of Chinese People's Liberation Army;2012-04
3 ZENG Yue-fei,ZOU Wei(Medical Quality Control Department,the Affiliated Nanhua Hospital,Nanhua University,Hengyang,421002,China);Significance of resident physicians training in medical quality control department to medical record quality[J];Jilin Medical Journal;2012-02
4 Xie Jun Qiang Chen Min(The Third Affiliated Hospital of Sun Yat-sen University,Guangzhou 510630,China);Analyze and take steps to the defective medical records of infection department[J];Nei Mongol Journal of Traditional Chinese Medicine;2012-12
5 Chen Min,Xie Jun Qiang(The Third Affiliated Hospital of Sun Yat-sen University,Guangzhou 510630,China);Prevention Countermeasures for the rescue records written problems[J];Nei Mongol Journal of Traditional Chinese Medicine;2012-20
China Proceedings of conference Full-text Database 1 Hits
1 Yang Jan-Nan Lei Yue-Chang Li Qin Li Shi-Yun Li Ling Fang Jin-Ren Chengdu Railway Center Hospital of Sichuan Province,Chengdu,610081;Evaluation of the Pre-post Training and Examination Result about Specification for Writing of Medical Records of Clinicians before Practice[A];[C];2008
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