International Journal of Clinical Research
International Journal of Clinical Research. 2024; 8: (8) ; 10.12208/j.ijcr.20240315 .
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太原市第三人民医院 山西太原
*通讯作者： 薛丽娟,单位：太原市第三人民医院 山西太原；
目的 分析病案首页信息质量控制在病案信息管理中的作用。方法 选择我院于2022年1月-2022年6月期间的100份病案为研究对象并作为对照组，选择2022年7月-2023年1月期间的100份病案为研究对象并作为观察组，对照组采用常规病案信息管理方案，观察组采用病案首页信息质量控制方案。通过收集两组相关数据，对比分析两组实施方案后的病案首页缺陷情况、管理质量以及病案信息管理人员职业素养的变化。结果 观察组病案首页信息缺陷率低于对照组。同时观察组病案信息的管理质量高于对照组。观察组病案信息管理人员的职业素养高于对照组，差异均有统计学意义（P＜0.05）。结论 在对病案信息管理中实施病案首页信息质量控制可取得明显的效果，可显著提高病案信息的管理质量，提升病案管理人员的职业素养，降低病案首页信息缺陷率。有较高应用价值。
Objective: Analyze the role of quality control of medical record homepage information in medical record information management. Methods: Selecting 100 medical records from our hospital between January 2022 and June 2022 as the research subjects and serving as the control group, and 100 medical records from July 2022 to January 2023 as the observation group. The control group adopts a conventional medical record information management plan, while the observation group adopts a quality control plan for the information on the first page of medical records. By collecting two sets of relevant data, compare and analyze the defects on the medical record homepage, management quality, and changes in the professional competence of medical record information management personnel after the implementation of the two plans. Results: The defect rate of medical record homepage information in the observation group was lower than that in the control group. The management quality of medical record information in the observation group was higher than that in the control group. The professional competence of medical record information management personnel in the observation group was higher than that in the control group, and the differences were statistically significant (P<0.05). Conclusion : Implementing quality control of medical record homepage information in medical record information management can achieve significant results, significantly improve the management quality of medical record information, enhance the professional competence of medical record management personnel, and reduce the defect rate of medical record homepage information. Has high application value.
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