两种不同病案监测模式的比较研究  

A Comparison between the Two Modes of Monitoring the Medical Record

作　　者：赵增虎[1] 范水平[1] 李永申[1] 石德光[1] 张建宇[1] 闫淑英[1] 

机构地区：[1]河北省张家口解放军第251医院医务处,张家口市075000

出　　处：《中国病案》2006年第11期16-17,共2页Chinese Medical Record

摘　　要：目的为了探讨新的病案监测模式的作用及意义。方法采用回顾性对照进行比较研究,过去实行病案终末监测,现实行人机结合、逐级监控、全员参与、主动互监的病案监测的新模式。结果原监测模式甲级病案率多年来一直徘徊在91.0%左右;新的监测模式全病案质量逐月提高,到目前为止在院病案甲级病案率达98.2%,出院病案甲级病案率100%,而且确保了病案内容的真实性、有效性及监测的公正性。结论随着数字化医院的建设,将有越来越多的医院具备信息化管理平台,可以实现新的病案监测模式,我相信该模式的推广应用必将对病案监测改革方面产生重大影响。To explore the effect and significance of the new medical records monitoring mode. Methods We compared the two different modes retrospectively. In the past, the end monitoring mode of medical records was used, and now the new model with man-machine united, monitoring gradually, all-joining has been formed. Resualt With the old monitoring mode, the rate of first class records was around 91.0%. However, the new model improved the quality of the medical records month by month, and up to now, the rate of first class records of inpatient was 98.2%, and the records were authentic, effectual. Conclusion Along with digital hospitals being set up, there will be more and more hospitals possess information management platforms, and they will be in the new medical records monitoring mode. I belieye that extending the new mode will bring about enormous effect to the medical records monitoring reformation.

关 键 词：病案监测模式 信息化管理 比较研究 

分 类 号：R197.3[医药卫生—卫生事业管理]