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目的探索ISO900l:2000标准在医院病案质量管理中的有效性。方法在实施ISO前对病案质量存在问题进行“诊断”,找出与ISO标准管理的差距,制定了详细病案质量管理的工作流程,按照病案书写的标准和规范,进行目标管理。结果职责明确、定位清晰,病案质量明显提高;病案上架的准确率达100%。结论推行ISO质量管理体系,有利于病案管理的规范和完善,实现目标管理的要求。
Objective To explore the effectiveness of the ISO900l:2000 standard in quality management of hospital medical records. Methods Before the implementation of ISO, we conducted a “diagnosis” of the quality of medical record problems, found out the gap with the management of ISO standards, worked out a detailed workflow for the quality management of medical records, and carried out objective management in accordance with the standards and specifications for medical record writing. As a result, the duties and responsibilities are clear, the position is clear, and the quality of the medical record is significantly improved; the accuracy rate of the medical record is up to 100%. Conclusion The implementation of the ISO quality management system is conducive to the standardization and improvement of medical record management and the realization of the goal management requirements.