电子病历系统的质量控制探究 |
修订日期:2009-05-12 点此下载全文 |
引用本文:宋守军 许红梅 张合明.电子病历系统的质量控制探究[J].医学信息学杂志,2009,30(11):15~17 |
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中文摘要:就电子病历系统中的病历质量控制进行分析,包括质量控制的作用和常出现的问题,提出相应的控制措施,如提供诊疗规范的在线阅读,病案质量自动审查及评分、诊疗流程控制、医嘱用药审核等。 |
中文关键词:电子病历 质量控制 自动审查 |
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Discussion and Research on Quality Control of Electronic Medical Records System |
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Abstract:The paper analyzes the quality control of electronic medical records system, including the function of quality control and the frequently met problems, provides specific measures for controlling, namely: online reading for diagnostic criterion, automatically self-examining and self-evaluating of records quality, process-controlling in diagnostic and therapeutic procedure, examining and verifying of doctors’ advice,etc. |
keywords:Electronic medical records Quality control Automatic review |
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