论文部分内容阅读
目的通过网络信息技术的运用,改变传统病案质控模式和方法 ,减少工作环节,降低人为因素干扰,方便总结分析,提高工作效率。方法利用医院HIS系统平台自主开发的病案质量控制软件,用于运行病历、归档病案的质控和缺陷结果的统计分析。结果系统运行后,降低了质控人员工作强度,规范了管理,提高了工作效率。结论充分利用HIS网络资源,以加强环节质控为导向,从质控体系、质控方法、制度建设等多方面入手,提高病案质量。
Objective To change the traditional quality control methods and methods of medical record by using the network information technology, reduce the work links, reduce the interference of human factors, facilitate the summarization and analysis and improve the work efficiency. Methods The medical record quality control software, developed independently by the hospital HIS system platform, was used for the statistical analysis of the quality control and defect results of medical records, archival medical records. Results After the system was put into operation, the work intensity of quality control personnel was reduced, the management was regulated, and the work efficiency was improved. Conclusions Make full use of HIS network resources to enhance quality control as the guideline, and improve the medical record quality from the aspects of quality control system, quality control methods and system construction.