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为提高病案首页数据质量,确保与病案首页相关统计、上报数据的准确性,以通过优化病案首页数据采集流程,实施病案首页数据三级质控,由病案管理系统对临床填写的病案首页数据进行数据过滤、转换、完整性验证、逻辑验证,最后将终末质控结果反馈给临床科室整改。管理与系统同步加强,相互促进,保障了病案首页数据质量,实现了上级管理部门要求的各种数据上报。
In order to improve the data quality of the first page of the medical record and ensure the accuracy of the data on the first page of the medical record and the accuracy of the reported data, the first data of the first page of the medical record is controlled by optimizing the data acquisition process of the first page of the medical record and the front page data of the medical record filled by the medical record management system Data filtering, conversion, integrity verification, logic validation, and finally the final quality control results feedback to the clinical department rectification. Management and system synchronization to strengthen and promote each other to protect the front page of medical record data quality, to achieve the higher management requirements of the various data reported.