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《Chinese Medical Record》 2012-05
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Quality Analysis on Whole-course-monitor of Nursing Document

Nie Cuihua,Tian Yulian,Urumqi Welfare Institution of Mental Disease,Urumqi 830023,Xinjiang Hui Minorities Autonomous Region,China  
Objectives This paper constructs management mode of whole-course-monitor in nursing document and protects writing quality of nursing document for providing well quality nursing service for patients.Methods 487 hospitalization medical records are divided into comparison group(CG) and whole-course-monitor group(WCMG) from 2009 to 2010 had analyzed the existing defects.Results Compared to CG,after whole-course-monitor,defects frequency in nursing records decrease 54 items in WCMG.The defects frequencies of common problems in two groups decrease 57 items.Nurses should strengthen their legal evidence consciousness and caution when individual work and improve professional ability and quality,improving their initiative and enthusiasm and nursing record level.Conclusions The whole-course-monitor can effectively improve writing quality of nursing document and urging their development of standard medical behavior,playing role of effectively preventive medical tangle.
【CateGory Index】: R47
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【Co-citations】
Chinese Journal Full-text Database 3 Hits
1 ;持续终末质量控制对提高护理记录书写质量的体会[J];Journal of Nurses Training;2010-16
2 YANG Jian-ru,HUANG Quan,XU Zhang-ying,et al.Department of nurse,People's Hospital of Xiangzhou District,Zhuhai 519070,Guangdong,CHINA;Analysis in standardized management of nursing documentation records[J];Hainan Medical Journal;2010-07
3 HAN Shuang,JIN Aishan,CHANG Hong(Information Center of Liaoning Cancer Hospital,Shenyang 110042,Liaoning,China);Management of Medical Records and Doctor-patient Relationship[J];Journal of Liaoning University of Traditional Chinese Medicine;2013-05
【Co-references】
Chinese Journal Full-text Database 2 Hits
1 Chen Yanfei;Practice and effect of primary nursing team responsibility system mode in surgery department[J];Journal of Nurses Training;2012-09
2 QIAN Rui-lian,ZHANG Yan-hong,TU Li-jun,et al.Nursing Department,Brain Hospital of Nanjing Medical University,210029 China;Practice of Optimizing Nursing Care Service in Neurology Department[J];Chinese Nursing Management;2011-08
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