论文部分内容阅读
本文阐述了病案缺陷信息公布的必要性以及信息公布的方法。通过对病案整理过程以及录入病案首页信息的逻辑检验程序中发现的缺陷内容进行分类编码登记,并按月进行统计汇总,将汇总信息用适当的方式公布,为整顿病历的缺陷提供了可靠依据,并以病案缺陷信息公布后取得的实际效果证实了病案缺陷信息公布可以促进病案质量的提高。
This article elaborates the necessity of information disclosure of medical record defects and the method of information publication. By classifying and registering the medical records and the defects found in the logic test program of inputting the first page of the medical record, and carrying out statistical compilation on a monthly basis, the summary information is published in an appropriate manner, which provides a reliable basis for reorganizing the defects of the medical records, The actual results obtained after the publication of the medical defect information confirmed that the publication of the medical record defect information can promote the improvement of medical record quality.