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实施病例缺陷管理 提高医疗质量——对吉林省65所医院2180份病例缺陷情况分析
引用本文:郭齐祥,殷观伟,王立威. 实施病例缺陷管理 提高医疗质量——对吉林省65所医院2180份病例缺陷情况分析[J]. 中国医院管理, 1998, 0(9)
作者姓名:郭齐祥  殷观伟  王立威
作者单位:吉林省医疗卫生机构评审办公室,吉林省医疗卫生机构评审办公室,吉林省长春市第二医院 长春市红旗街和光胡同 130021,长春市红旗街和光胡同 130021,长春市翔云街11号 130051
摘    要:对吉林省65所医院的2180份病例进行了分析,结合实际,针对病例缺陷问题提出了加强质控,完善病例缺陷管理的对策:巩固医院分级管理及评审成果,防止评审后医疗质量滑坡;将病例缺陷管理纳入医院评审工作中,常抓不懈;卫生行政部门要加强管理,使医院分级管理及评审工作落到实处;规范标准,切实抓好医疗质量;继续坚持“病人第一,质量第一”的原则。

关 键 词:医院分级管理  医院评审  病例缺陷

Decreasing Defects in Medical Records and Improving Services Quality
Guo Qixiang,Yin Guanwei,et al The Jilin Provincial office on Accreditation of Hospitals and Health Facilities,No. ,Heguang Lane,Hongqi Street,Changchun,,PRC.. Decreasing Defects in Medical Records and Improving Services Quality[J]. Chinese Hospital Management, 1998, 0(9)
Authors:Guo Qixiang  Yin Guanwei  et al The Jilin Provincial office on Accreditation of Hospitals  Health Facilities  No.   Heguang Lane  Hongqi Street  Changchun    PRC.
Affiliation:Guo Qixiang,Yin Guanwei,et al The Jilin Provincial office on Accreditation of Hospitals and Health Facilities,No. 24,Heguang Lane,Hongqi Street,Changchun,130021,PRC.
Abstract:Defects found in medical records of 2, 180 cases from 65 hospitals in Jilin Province were researched from a number of perspectives: theoretical and methodological approaches to appropriate handling of relationship between time and labour saving vs suitability and reliability for no loss and a correct expression of important information contents; incorporation of relevant expertises into professional, vocational, and relating knowledge edeucation; improvement of quality of medical records as concrete examination and work targets in hospital stratified management and hospital accreditation; strengthening of regular guidance, management, experience and achievement summation to achieve what the respective levels of hospital information system could reasonably be expected to provide.
Keywords:Hospital stratified management Hospital accreditation Defects in medical records  
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