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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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