网络化管理中病案首页录入的质量控制

Quality control for the first page of case-history making during the net-managing procedure

影响病案首页数据准确性的因素有人为因素、工作模式因素和软件因素三方面。提高病案首页质量的措施在于,加强医务人员使用计算机的技能和填写规范的训练;提高网络应用管理水平;把好病案首页质量关;定期讲评,责任到人;完善软件的校验功能。

There are three ways to influence the correctness which are personal factors,working manner factors and soft mode factors. The improvement of quality control are as follows： to strengthen training of the computer operating and case-history writing down： to improve the managing level of net-work; to emphasize the first page quality of case-history. to judge it friqently; and to improve the function of checkout with soft-ware.