摘要
目的分析护理病历中存在的缺陷和问题，探讨质量持续改进的对策。方法随机选取本院2008年1～12月的567例护理病历进行分析，查找护理病历中存在的缺陷并分类统计。结果抽查护理病历合格率约93．47％；主要存在10类缺陷，缺陷发生率约21．69％。结论针对护理病历中的缺陷进行分析，采取相应对策极大地促进护理病历质量的持续改进。
Objective To analyze the defects and problems of nursing records,and then to discuss the strategy of continuous improvement of the quality. Methods 567 nursing cases of our hospital in quality control were selected randomly from Jan. to Dec. 2008. and searched the defects from these and made the classification statistically. Results The percentage of the qualified records was 93.47%;there were 10 major kinds of defect, and the incidental rate of defect was about 21.69%. Conclusion Analyzed the defects of nursing records, it is necessary to encourage continual improvement of the quality for nursing records by every means.
出处
《检验医学与临床》
CAS
2009年第14期1140-1140,1142,共2页
Laboratory Medicine and Clinic
关键词
护理病历
缺陷
质量持续改进
对策
nursing records
defects
continuous quality improvement
strategy
