| 环节质控对围手术期电子病历质量的影响 |
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| 引用本文： | 何伟,王涛,马艳凯,马云娜. 环节质控对围手术期电子病历质量的影响[J]. 医学信息学杂志, 2018, 39(2): 52-54 |
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| 作者姓名： | 何伟 王涛 马艳凯 马云娜 |
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| 作者单位： | 河北省人民医院 石家庄 050051,河北省人民医院 石家庄 050051,河北省人民医院 石家庄 050051,河北省人民医院 石家庄 050051 |
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| 基金项目： | 河北省卫生计生委项目"围手术期电子病历质量持续性改进方法的研究"（项目编号：20170315）。 |
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| 摘 要： | 以河北省人民医院为例,抽样比较环节质控实施前后终末手术病历总体质量,分析围手术期电子病历的缺陷及原因,阐述电子病历环节质控的必要性、具体环节质控点的设定及其优势。
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| 关 键 词： | 环节质控 电子病历 围手术期 病历质量 |
| 修稿时间： | 2017-11-14 |
The Influence on Quality of Electronic Medical Records during Perioperative Period by Step-By-Step Quality Control |
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| HE Wei,WANG Tao,MA Yan-kai and MA Yun-na. The Influence on Quality of Electronic Medical Records during Perioperative Period by Step-By-Step Quality Control[J]. Journal of Medical Informatics, 2018, 39(2): 52-54 |
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| Authors: | HE Wei WANG Tao MA Yan-kai MA Yun-na |
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| Affiliation: | Hebei General Hospital, Shijiazhuang 050051, China,Hebei General Hospital, Shijiazhuang 050051, China,Hebei General Hospital, Shijiazhuang 050051, China and Hebei General Hospital, Shijiazhuang 050051, China |
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| Abstract: | Taking Hebei General Hospital as an example, the paper carries out sample comparison on the overall quality of final operation medical records before and after the implementation of step-by-step quality control, analyzes the defects of Electronic Medical Records(EMR) and the causes of them during perioperative period, and expatiates on the necessity of step-by-step quality control of EMR, the setting of specific quality control points and its advantages. |
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| Keywords: | Step-by-step quality control Electronic Medical Records(EMR) Perioperative period Medical records quality |
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