电子病历应用在病历质量控制中的作用

Effect of Electronic Medical Records in the Quality Control of Medical Records

病历质量能直接体现医院的医疗安全和医疗质量,随着现代医学技术的发展和完善,在临床工作中,电子病历的应用也变得更加广泛,而电子病历的应用会直接影响病历质量。临床研究发现,通过合理设置电子病历系统质控点,能对不合格病历进行有效阻止,并让其明显减少,最终让质量控制能力提高。所以应用电子病历能让病历质量显著提高,让信息化管理的重要性得以充分体现。

The medical records quality can directly reflect in the hospital medical safety and medical quality, with the de-velopment and improvement of modern medical technology, the application of electronic medical records is wider and wider in the clinical work, but the application of electronic medical records can directly affect the quality of medical records, and the clinical research shows that the rational setting of quality control points of electronic medical records can effectively prevent the unqualified medical records and obviously decrease them thus improving the quality control ability, therefore, the application of electronic medical records can obviously improve the medical records quality and fully reflect the impor-tance of information management.