对实施临床路径管理病种的病案质量分析

An Analysis on Applying Clinical Path way to Manage Medical Records Quality

目的通过对400份临床路径管理的病案质量分析,探索提高临床路径管理病历书写质量的办法。方法根据临床路径工作内容和病历书写规范要求,提出了医院临床路径管理病历书写质量监控标准,对400例临床路径管理的病案进行质量分析。结论利用医院病案质量管理网络加强临床路径实施过程中病案环节质量和终末质量监控,促进病案质量提高。根据临床路径工作内容、流程,制定统一的临床路径管理病历书写质量考评标准,有利于病案质量的监控。

Objective through analysis on 400 medical records quality managing by clinical path way,to explore the methods of improving medical records writing quality managing by clinical path way.Methods according to clinical path work content and medical records writing standard,to put forward the control standard of medical records writing quality managing by clinical path and quality analysis on 400 medical records managing by clinical path way.Conclusions Applying medical records quality management network to strengthen medical records quality and final quality control during clinical path way implement.According to clinical path way work content and process to draft unified medical records quality examination and evaluation standard managing by clinical path way,which is beneficial to medical records quality control.