{"title":"分步质量控制对电子病历质量的影响","authors":"Wei He, Yankai Ma, Yunna Ma, Xian Li","doi":"10.3109/23256176.2014.945264","DOIUrl":null,"url":null,"abstract":"AbstractObjective. To explore the effect of step-by-step quality control on the quality of electronic medical records. Method. To randomly extract 6,200 final medical records generated from July 2012 to December 2012 and 6,200 electronic medical records generated from January 2013 to June 2013, after step-by-step quality control is implemented in the network, to track the quality of the final medical records after step-by-step quality control. The final medical records are checked and evaluated according to the Basic Criterion of Documentation of the Medical Record issued by the Ministry of Health; the quality of medical records, defects in real-time, and writing defects are analyzed statistically. Results. Compared with the medical records generated from July 2012 to December 2012, the rate of grade A medical records generated from January 2013 to June 2013 is increased by 4.46% (P < 0.01), the rate of grade B medical records is decreased by 4.43% (P < 0.01), and the rate of grade C medical records is de...","PeriodicalId":163748,"journal":{"name":"Chinese Medical Record English Edition","volume":"15 1","pages":"0"},"PeriodicalIF":0.0000,"publicationDate":"2014-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Effect of Step-by-step Quality Control on the Quality of Electronic Medical Records\",\"authors\":\"Wei He, Yankai Ma, Yunna Ma, Xian Li\",\"doi\":\"10.3109/23256176.2014.945264\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"AbstractObjective. To explore the effect of step-by-step quality control on the quality of electronic medical records. Method. To randomly extract 6,200 final medical records generated from July 2012 to December 2012 and 6,200 electronic medical records generated from January 2013 to June 2013, after step-by-step quality control is implemented in the network, to track the quality of the final medical records after step-by-step quality control. The final medical records are checked and evaluated according to the Basic Criterion of Documentation of the Medical Record issued by the Ministry of Health; the quality of medical records, defects in real-time, and writing defects are analyzed statistically. Results. Compared with the medical records generated from July 2012 to December 2012, the rate of grade A medical records generated from January 2013 to June 2013 is increased by 4.46% (P < 0.01), the rate of grade B medical records is decreased by 4.43% (P < 0.01), and the rate of grade C medical records is de...\",\"PeriodicalId\":163748,\"journal\":{\"name\":\"Chinese Medical Record English Edition\",\"volume\":\"15 1\",\"pages\":\"0\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2014-07-31\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Chinese Medical Record English Edition\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.3109/23256176.2014.945264\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Chinese Medical Record English Edition","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.3109/23256176.2014.945264","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
Effect of Step-by-step Quality Control on the Quality of Electronic Medical Records
AbstractObjective. To explore the effect of step-by-step quality control on the quality of electronic medical records. Method. To randomly extract 6,200 final medical records generated from July 2012 to December 2012 and 6,200 electronic medical records generated from January 2013 to June 2013, after step-by-step quality control is implemented in the network, to track the quality of the final medical records after step-by-step quality control. The final medical records are checked and evaluated according to the Basic Criterion of Documentation of the Medical Record issued by the Ministry of Health; the quality of medical records, defects in real-time, and writing defects are analyzed statistically. Results. Compared with the medical records generated from July 2012 to December 2012, the rate of grade A medical records generated from January 2013 to June 2013 is increased by 4.46% (P < 0.01), the rate of grade B medical records is decreased by 4.43% (P < 0.01), and the rate of grade C medical records is de...
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