Writing Specifications and Analysis of Frequently Asked Questions of Electronic Medical Record
- VernacularTitle:电子病程文件书写规范及常见问题分析
- Author:
Yunfu ZHANG
;
Jiancheng XU
;
Qi WANG
;
Qisheng LONG
- Publication Type:Journal Article
- Keywords:
HIS;
quality of medical records;
electronic medical record;
document of electronic medical record
- From:
Chinese Medical Equipment Journal
1989;0(04):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To emphasize the correlation and concordance of electronic medical record through analysis of frequently asked problems on handwritten medical record.Methods The problems of electronic medical record were classified and found the typical cases to analyze.Results In order to improve the quality of medical record,the quality control of electronic medical record must be strengthened and the phenomenon that some doctors pay attention to hand-written med-ical record more than electronic medical record must be overcame.Conclusion The normative management of electronics medical is strengthened that is fundamental guarantee for paper-based medical records.
