护理实践与研究
護理實踐與研究
호리실천여연구
ATTEND TO PRACTICE AND RESEARCH
2014年
8期
129-130
,共2页
环节质量反馈%护理电子病历%质量
環節質量反饋%護理電子病歷%質量
배절질량반궤%호리전자병력%질량
Link quality feedback%Nursing electronic medical records%Quality
目的：探讨环节质量反馈在提高护理电子病历质量中的作用。方法：随机抽取我院2012年3~6月出院归档电子病历300份，进行环节质量反馈；选取2012年10~12月持续质量反馈3个月后归档的300份病历，比较两组护理病历的书写质量。结果：环节质量反馈前电子病历的缺陷率是58.33%，环节质量反馈后病历的缺陷率是11.67%，差异有统计学意义(P<0.05)。结论：对护理电子病历进行环节质量反馈能提高护理病历的书写质量，使记录缺陷减少。
目的：探討環節質量反饋在提高護理電子病歷質量中的作用。方法：隨機抽取我院2012年3~6月齣院歸檔電子病歷300份，進行環節質量反饋；選取2012年10~12月持續質量反饋3箇月後歸檔的300份病歷，比較兩組護理病歷的書寫質量。結果：環節質量反饋前電子病歷的缺陷率是58.33%，環節質量反饋後病歷的缺陷率是11.67%，差異有統計學意義(P<0.05)。結論：對護理電子病歷進行環節質量反饋能提高護理病歷的書寫質量，使記錄缺陷減少。
목적：탐토배절질량반궤재제고호리전자병력질량중적작용。방법：수궤추취아원2012년3~6월출원귀당전자병력300빈，진행배절질량반궤；선취2012년10~12월지속질량반궤3개월후귀당적300빈병력，비교량조호리병력적서사질량。결과：배절질량반궤전전자병력적결함솔시58.33%，배절질량반궤후병력적결함솔시11.67%，차이유통계학의의(P<0.05)。결론：대호리전자병력진행배절질량반궤능제고호리병력적서사질량，사기록결함감소。
To study the role of link quality feedback in improving the quality of nursing electronic medical records. Methods:300 copies of medi-cal records from March and June 2012 were archived directly by the department without link quality feedback,while 300 copies of medical records October and December had continuous quality feedback for three months by medical record quality control personnel before archived by the department. Compared the writing quality of the two groups of nursing medical records. Results:The defect rate of electronic medical records without link quality feedback was 58. 33%,while the defect rate of those with link quality feedback was 11. 67%,and the difference was significant (P<0. 05). Conclusion:Nursing elec-tronic medical records with link quality feedback can reduce their defect rate,therefore improve their quality of writing.
