论文部分内容阅读
目的研讨医疗质量管理干预对病案撰写质量的作用。方法随机抽取我院2009年和2011的住院病史各126份,进行前后对照研究。结果干预前2009年病案撰写质量平均得分92.23分、甲级率90.48%,干预后2011年病案撰写质量平均得分94.84分、甲级率97.62%,两组间存在显著性差异。结论通过加强医疗质量管理,综合应用各种管理措施,可明显提高病案撰写质量。
Objective To study the effect of medical quality management intervention on the quality of medical record writing. Methods A total of 126 hospitalized patients were randomly selected from our hospital in 2009 and 2011 respectively and compared before and after the study. Results Before the intervention, the average score of case writing in 2009 was 92.23 points and the grade A rate was 90.48%. After the intervention, the average score of case writing in 2011 was 94.84 points and the grade A rate was 97.62%. There was a significant difference between the two groups. Conclusion By strengthening medical quality management and comprehensively applying various management measures, the quality of medical record writing can be obviously improved.