DEFECT ANALYSIS AND COUNTERMEASURES IN THE FRONT PAGE OF OBSTETRIC E-LECTRONIC MEDICAL RECORD
10.3969/j.issn.1671-332X.2015.03.053
- VernacularTitle:产科电子病案首页缺陷分析与干预对策
- Author:
Chunhua LIU
- Publication Type:Journal Article
- Keywords:
The Front Page of Electronic Medical Records;
Defects;
Countermeasures
- From:
Modern Hospital
2015;(3):142-143
- CountryChina
- Language:Chinese
-
Abstract:
Objective To look into defects of electronic medical records of obstetrics department and to work out countermeasures .Methods 300 electronic medical records in obstetrics departments were assigned as control group from 1 July to 31 December in 2013,and another 300 ones from 1 January to 30 June in 2014.The defects were checked out according to Basic Norms of Electronic Medical Records ( Trial) and Guangdong Province Medical Records Management Specification , and the causes were analyzed so as to figure out interventions measures to them .Results The rate of defect was 28.33% inthe control group, and 6.67% in the intervention group, with significantdiffer-ence between the groups(p<0.01).Conclusion is effective to strengthenthe writing training of clinicians medical record and establishthree -level quality control system and real -time monitoring of the operationso as to reduce the defect and improve the quality of home page of medical record .
