摘要
目的探讨和总结电子病历(Electronic Medical Record, EMR)使用中医生记录的质量控制方法。方法对EMR中医生记录进行质量分析,找出存在的常见主观性和客观性错误。采用软件设计与建立管理制度的方法提高质量。结果通过改进软件设计和建立健全规章制度可以达到EMR质量控制。
To discuss and summarize quality control of recording by doctor in electronic medicalrecord. All the recordings were analyzed on the quality. The objective and subjective errors were foundin them. Improving software and establishing routine of the administration were adopted for promotingthe quality of EMR. The aim of quality control of EMR can be hold by using them.
出处
《国际医药卫生导报》
2004年第18期243-244,共2页
International Medicine and Health Guidance News
关键词
电子病历
质量控制
Electronic Medical Record(EMR), quality control