| 基于电子病历的病案质控思索 |
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| 引用本文： | 哈丽阳,;陈中伟,;迟名伟,;李振叶,;马利亚.基于电子病历的病案质控思索[J].中国数字医学,2014(6):113-115. |
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| 作者姓名： | 哈丽阳 ;陈中伟 ;迟名伟 ;李振叶 ;马利亚 |
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| 作者单位： | [1]宁夏医科大学总医院病案统计室,宁夏银川市胜利南街804号750004; [2]宁夏医科大学总医院医务处,宁夏银川市胜利南街804号750004; [3]宁夏医科大学总医院信息中心,宁夏银川市胜利南街804号750004 |
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| 摘 要： | 提出在电子病历系统中将病历书写和质控管理进行衔接和融合,使质控管理参与到病历产生的全生命周期,保证电子病历的准确性、及时性、规范化,提高病案书写的基础和环节质量.
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| 关 键 词： | 电子病历 病历书写 质控管理 在线质控 全程监控 |
Thinking about Medical Record Quality Control Based on Electronic Medical Records |
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| Institution: | HA Li-yang CHEN Zhong-wei,CHI Ming-wei(Medical Department, General Hospital of Ningxia Medical University, Yinchuan 750004, Ningxia Hui Autonomous Region, P.R.C.) |
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| Abstract: | It is proposed to connect and mix the writing of medical records and quality control in the electronic medical record system,so that the quality management participates in the whole life cycle of production of medical records.The accuracy,timeliness and standardization of electronic medical records is ensured.The basis and link quality of medical record writing is improved. |
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| Keywords: | electronic medical records writing of medical records quality control management on-line quality control whole-process monitoring |
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