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实施病案首页数据质量控制新策略。解决病案首页数据存在的问题,从增加病案首页附页、运用计算机程序进行干预和控制、建立多向的内部沟通、运用整改通知书追踪改进和提供完善的首页附页书写服务五个方面科学的数据管理模式,推进病案首页数据管理改革。病案首页数据质量持续提高,病案信息数据更加准确、完整,为绩效和领导决策提供依据。病案首页数据管理更加完整化、有序化、标准化、科学化,形成了“管理前置、工作细化、监管到位”的特色。
Implementation of a new strategy for data quality control of medical record homepage. To solve the problems existing in the first page of medical records, we should start with the addition of the first page of medical records, the intervention and control by using computer programs, the establishment of multi-directional internal communication, the improvement of follow-up notice by corrective action and the provision of complete home page supplementary writing services. Data Management Mode, Advance Medical Records Home Data Management Reform. The data quality of the first page of the medical records continued to improve, the data of the medical record information was more accurate and complete, and provided the basis for performance and leadership decision-making. The first page of medical record data management is more complete, orderly, standardized and scientific, which has formed the characteristic of “pre-management, work refinement and supervision in place”.