论文部分内容阅读
病案质量是医院关注的重要内容[1 4 ] ,因为病案是医师对病人的诊疗过程的全部记载 ,最能反映医疗过程质量。随着医院信息化建设加快 ,使得传统的终末质量控制转变为住院期间的环节质量控制成为可能。一、病案质量实时控制方法(一 )病案质量实时控制点设计 :主要根据医疗环节质
The quality of the medical record is an important part of the hospital’s attention [14] because the medical record is the doctor’s record of the patient’s diagnosis and treatment process, which best reflects the quality of the medical process. With the acceleration of hospital information construction, it has become possible to transform the traditional terminal quality control into quality control during hospitalization. First, the real-time control of the quality of medical records (a) The design of real-time control points for the quality of medical records: mainly based on medical quality