以专家质控为核心的病历内涵质量管理体系构建  

Connotation quality control framework for medical records centering on QA by specialists

作　　者：陈政[1] 王怡[1] 韩丁[1] 荣英男[1] 范靖[1] 罗林枝[1] 陈倩[1] 孙学勤[1] 

机构地区：[1]中国医学科学院北京协和医学院北京协和医院,北京100731

出　　处：《中华医院管理杂志》2014年第8期589-591,共3页Chinese Journal of Hospital Administration

摘　　要：通过构建以专家质控为核心的病历内涵质量管理体系,对病历的内涵质量进行点评,并通过病历公示和绩效考核的方式,提高医务人员病历质控的积极性,同时开展有针对性的病历书写培训,进一步促进病历内涵质量的稳步提升.Building of the connotation quality control framework for medical records relying on specialists＇ quality control,functions to comment on the connotation quality of medical records.In addition,it encourages medical staff＇s incentives in medical records quality control by means of medical records exhibition and performance appraisal.Targeted training of medical records writing ensures steady improvement of the connotation quality of such records.

关 键 词：专家 核心 病历 内涵 质量管理 

分 类 号：R197.323[医药卫生—卫生事业管理]