摘要
目的:探讨百泰网络病历质量管理系统V2.5在医院环节病历质控中的应用效果。方法:自2012年1月开始,医院运用百泰网络病历质量管理系统V2.5对住院电子病案进行实时监控,对比系统使用前后1 a终末病历的平均甲级病历率、病历缺陷率、病历返修率。结果:相对于2011—2012年间的终末病历资料,2012—2013年实施环节质控后,病历甲级病案率有显著提高,而病历缺陷率及病历返修率均呈现下降,并具有统计学意义(P<0.05)。结论:借助第三方质控软件,建立三级质控新模式,强化环节质控过程,对提高整体病案质量有促进作用。
Objective To explore the effect of Baitai Medical Records Quality Management System（BMRQMS）V2.5 on Link medical records quality control of the 150th Hospital of the PLA. Metlaods The rates for Grade A medical record, defect and repair were compared before and after the introduction of BMRQMS in January 2012. Results The medical records during 2011 were compared with those during 2012, whose rate for Grade A was significantly higher, and rates for defect and repair were statistically lower, with P〈0.05. Conclusion It＇s important for the quality promotion of the medical records to introduce the thir-party software, establish three-level quality control mode and strengthen the procedure. [Ghinese Medical Equip- ment Journal, 2013,34 （6） ： 75-76,96]
出处
《医疗卫生装备》
CAS
2013年第6期75-76,96,共3页
Chinese Medical Equipment Journal
基金
济南军区"十二五"医学科学技术研究项目(CJN12C028)
关键词
病历质量管理系统
环节病历
质量
medical records quality management system
link medical records
quality
