危重症监护信息系统使用中护理记录的质量控制

Critical Care Information System used in Nursing Records Quality Control

通过分析危重症监护信息系统使用中护理记录存在的问题,总结出护理记录质量控制需要做好计算机方面的基本操作技能的培训、危重症监护信息系统功能的培训、护理文书书写规范的学习、做好记录模板的及时更新和关键记录环节的临控。

Through the analysis of critical care information systems using the problems existed in nursing records, summed up the quality control of nursing records need to be computed in terms of the basic operation training, critical care information system function training, nursing documents writing specification of learning, record template update and key record link monitoring.