提升护理记录书写质量的管理措施

目的 提升护理记录书写质量。方法为提升护理记录书写质量采取的管理措施：护理部成立护理记录书写督导网络组织并规定其职责；制订护理记录书写的质量标准；规定护理记录书写的内容；建立规范的培训方案；建全护理记录书写质量监控和考评体系。结果全院护士护理记录书写技能和内涵质量显著提高。结论对护理记录书写必须实施有效的管理措施，才能提高护理记录的合格率。

The administration measures for the improvement of nurse recording and writing quality

Objective To improve the quality of nurse recording and writing. Methods The administrative measures were used to improve the quality of nurse recording and writing. The guided web group was set up. It took responsibility in the department. The norm of quality was .set. The contents were stipulated for the nurse recording and writing. The standard training scheme was made up to optimize the monitoring and assessing system. Results The skill, quality and quantity has been improved significantly in the nurse recording and writing of the whole hospital nurses. Conclusion The effective management measures should be taken to improve the qualified rate of nurse recording and writing.