环节质控对围手术期电子病历质量的影响  

The Influence on Quality of Electronic Medical Records during Perioperative Period by Step-By-Step Quality Control

作　　者：何伟[1] 王涛[1] 马艳凯[1] 马云娜[1] 

机构地区：[1]河北省人民医院,石家庄050051

出　　处：《医学信息学杂志》2018年第2期52-54,共3页Journal of Medical Informatics

基　　金：河北省卫生计生委项目"围手术期电子病历质量持续性改进方法的研究"(项目编号:20170315)

摘　　要：以河北省人民医院为例,抽样比较环节质控实施前后终末手术病历总体质量,分析围手术期电子病历的缺陷及原因,阐述电子病历环节质控的必要性、具体环节质控点的设定及其优势。Taking Hebei General Hospital as an example, the paper carries out sample comparison on the overall quality of final operation medical records before and after the implementation of step-by-step quality control, analyzes the defects of Electronic Medical Records（EMR） and the causes of them during perioperative period, and expatiates on the necessity of step-by-step quality control of EMR, the setting of specific quality control points and its advantages.

关 键 词：环节质控 电子病历 围手术期 病历质量 

分 类 号：R-056[医药卫生]