【摘要】 目的通过网络信息技术的运用,改变传统病案质控模式和方法 ,减少工作环节,降低人为因素干扰,方便总结分析,提高工作效率。方法利用医院HIS系统平台自主开发的病案质量控制软件,用于运行病历、归档病案的质控和缺陷结果的统计分析。结果系统运行后,降低了质控人员工作强度,规范了管理,提高了工作效率。结论充分利用HIS网络资源,以加强环节质控为导向,从质控体系、质控方法、制度建设等多方面入手,提高病案质量。更多还原

【Abstract】 Objective With the application of network information technology,it’s necessary to change traditional patterns and methods of quality control of medical records in order to lessen work links and reduce human disturbance,which is benefit to summarize and analyze for improvement of work efficiency. Methods Statistical analysis was conducted on quality control and deficiencies of running medical records and filed medical records using quality control software of medical records developed independently by hospital HIS system platform. Results After running of system,work intensity of quality control personnel was reduced with management standardized and work efficiency improved. Conclusion With sufficient utilization of HIS network resources,taking strengthening link quality control as the guidance,medical records quality is improved based on quality control system,quality control methods and system construction.更多还原