Abstract:Objective To strengthen the management, improve the quality of medical records, and ensure medical safety. Methods Effectively make use of the electronic medical record quality monitoring system to systematically check all the medical records, hierarchically real-time control every medical step, continuously improve quality and conduct terminal control on the leaving-hospital records. Results The timeliness of medical record is improved, the similarity rate is decreased, and consequently the quality of medical record is significantly improved. Conclusion With electronic medical record quality monitoring system, the integrality and accuracy of medical records are improved significantly, which lays a good foundation for medical care, teaching, research and other medical services.
叶俊,金峰. 电子病历质量监控系统的功能与应用[J]. 中国医疗设备, 2014, 29(10): 79-81.
YE Jun, JIN Feng. Function and Application of Quality Monitoring System for Electronic Medical Records. China Medical Devices, 2014, 29(10): 79-81.