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1226份缺陷病案分析
引用本文:孙德华.1226份缺陷病案分析[J].井冈山学院学报,2006(8).
作者姓名:孙德华
作者单位:惠州中心医院病案统计室 广东惠州516001
摘    要:目的分析住院病案缺陷的常见原因及解决办法。方法对2004年1月~2004年6月中15334例出院患者作回顾性分析。结果l5334例中,有质量缺陷1226例,占8.0%;1226份病历中,检查27项指标,有质量缺陷42910项。结论加强医师的法制观念,强化基本功训练,坚持三级质控是确保病案质量的关键。

关 键 词:病案  缺陷  质量

Analysis of defects in 1328 medical records
Sun De-hua.Analysis of defects in 1328 medical records[J].Journal of Jinggangshan University,2006(8).
Authors:Sun De-hua
Abstract:Objective:To find out the reason of the defects of medical records and to settle them.Method: Checked 15334 medical records from January to June,2004.Results: 1226 cases of quantity disfigurement were 1226(8.0%) in 15334 cases;check 27 index case in 1226 cases,quantity disfigurement had were 42910 items.Conclusion: To maintain the quality of medical records,the education of law and the training of medical technique are necessary.
Keywords:Medical record  Defect  Quality
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