| 量化质评指标在主任查房质量监控中的应用 |
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| 引用本文： | 吴沃栋.量化质评指标在主任查房质量监控中的应用[J].中国医院管理,2000,20(10):39-41. |
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| 作者姓名： | 吴沃栋 |
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| 作者单位： | 广州市第二人民医院,广州,510150 |
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| 摘 要： | 目的：探讨如何确保主任查房及主任查房记录的质量。方法：拟定《临床科主任查房及查房记录量化评估指标》，根据指标抽查大内科８３份危重疑难病例、住院病历、主任查房记录并作出评估。结果：按《评估指标》抽查结果提示，按量化指标对临床科主任查房及记录质量的评估具有一定的实用性质及可行性。结论：只要能严格按照《评估指标》的要求，做到制度落实，诊治及学术水平高新化，注意教学，做好医护监督及病历质控，记录规范化，就
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| 关 键 词： | 主任查房 质量监控 量化质评指标 |
| 修稿时间： | 2000年8月20日 |
Quantified Indexes of Quality for chief Physician's Round and Staff's Taking Notes |
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| Wu Wodong.Quantified Indexes of Quality for chief Physician's Round and Staff's Taking Notes[J].Chinese Hospital Management,2000,20(10):39-41. |
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| Authors: | Wu Wodong |
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| Abstract: | Quantified indexes of quality for chief physician' s round and staff's taking notes were drawn up, used in quality evaluation of medical records of 83 randomly selected critical, difficult, or complicated cases, and were considered to have significant value for: checking on staff performance and ensuring that staff conform to regulations and procedures in their work; renewing and raising staff s levels in academic competence, diagnosis and treatment capability; improving teaching achievements; standardizing quality control of medical records. |
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| Keywords: | ward round medical record chief physician quality |
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