利用分级质控提高病案管理质量

Improving the Quality of Medical Record Management by Grading Quality Control

目的了解我院病案管理现状,寻求质量管理的方法,提高质量。方法利用分级质控[1]方法对我院的运行病历和出院病案进行质量分析。结果根据医院"等级评审标准"要求查找不足,针对部分病历存在的书写、管理的质量缺陷,制定并实施相应的"奖惩"制度。结论病案质量管理是医院质量管理的一个重要组成部分,它是评价医疗质量、评审医院管理水平的可靠依据。

Objective To understand the medical records management current situation and find ways of improving the quality of medical records.Methods Analysing quality of running medical records and discharge medical records by grading quality control.Results It aroused the attention of hospital administrators in writing and management quality defects,and formulated and implemented relevant rewards and punishment system.Conclusion Medical record quality management is an important part of hospital quality management,and it is the reliable basis of evaluating medical quality and reviewing the level of hospital management.