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目的加强对动态病案质量的数字化审核和过程质量控制。方法1.增加动态监控功能,提高电子病案质量;2.完善电子病案的三级医师检审监控设置;3.完善电子病案模板的管理监控;4.完善电子病案质控管理模块;5.加强电子病案归档监控。结果对运转中病案规范操作流程、监控环节质量提出了计算机信息化的实现方案。结论电子病案系统的完善和改进,有效提高了动态病历质量和病案管理质量。
Objective To strengthen the digital review and process quality control of dynamic medical record quality. Methods 1. To increase the dynamic monitoring function to improve the quality of electronic medical records; 2. To improve the electronic medical records of the three-level physician review and control settings; 3. To improve the electronic medical record template management and monitoring; 4. Improve the electronic record quality control management module; Electronic medical record filing monitoring. Results of the operational procedures for the operation of standardized medical procedures, monitoring the quality of the proposed computer information of the program. Conclusion The improvement and improvement of the electronic medical records system has effectively improved the quality of dynamic medical records and the quality of medical records management.