CAJ | 학술논문

通过构建以专家质控为核心的病历内涵质量管理体系,对病历的内涵质量进行点评,并通过病历公示和绩效考核的方式,提高医务人员病历质控的积极性,同时开展有针对性的病历书写培训,进一步促进病历内涵质量的稳步提升.
통과구건이전가질공위핵심적병력내함질량관리체계,대병력적내함질량진행점평,병통과병력공시화적효고핵적방식,제고의무인원병력질공적적겁성,동시개전유침대성적병역서사배훈,진일보촉진병력내함질량적은보제승.
Building of the connotation quality control framework for medical records relying on specialists' quality control,functions to comment on the connotation quality of medical records.In addition,it encourages medical staff's incentives in medical records quality control by means of medical records exhibition and performance appraisal.Targeted training of medical records writing ensures steady improvement of the connotation quality of such records.