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Influence of Medical Record Quality Control on Terminal Medical Record Quality of the Nephrology Department

Chinese Medical Record English Edition, 2014
AbstractObjective. To study the influence of strengthening the all-round quality control of the department on the quality of terminal medical records of the nephrology department of our hospital. Methods. A total of 2,547 terminal medical records of 2013, from the nephrology department of our hospital, are chosen as an experimental group, and a total ...
Xiaoyan Jia   +3 more
openaire   +1 more source

Qualities of Dental Chart Recording and Coding

2013
Chart recording and coding are the important processes in the healthcare informatics system, but there were only a few reports in the dentistry field. The objectives of this study are to study the qualities of dental chart recording and coding, as well as the achievement of lecture/workshop on this topic. The study was performed by auditing the patient'
Yosananda, Chantravekin   +3 more
openaire   +2 more sources

Improving the Quality of Medical Record Documentation

Journal For Healthcare Quality, 1992
Accurate and complete medical record documentation is essential in any healthcare setting. In addition to communicating vital patient care information, the medical record provides documentation of appropriate evaluation, treatment, and services.
openaire   +2 more sources

Quality of pharmacists’ documentations in patients’ medical records

American Journal of Health-System Pharmacy, 1996
Training pharmacists to appropriately document patient-specific problems and recommendations in patients' medical records and subsequent monitoring of pharmacist-written documentation are described. The medical staff of a tertiary care teaching hospital recommended that pharmacists be allowed to write in the permanent portion of patients' medical ...
C F, Lacy, F G, Saya, R R, Shane
openaire   +2 more sources

Electronic Health Records and Quality of Diabetes Care

New England Journal of Medicine, 2011
Available studies have shown few quality-related advantages of electronic health records (EHRs) over traditional paper records. We compared achievement of and improvement in quality standards for diabetes at practices using EHRs with those at practices using paper records.
Ross, Koppel   +2 more
openaire   +4 more sources

[Quality control of nursing records].

Enfermeria intensiva, 1999
Nursing records are one of the main sources of information about the status of patients admitted to intensive care units. In spite of its importance, this information is not always written down. The objective of this study was to analyze the level of compliance and content of sections related with nursing records, overall and by shifts. A retrospective
T, Herrero García   +4 more
openaire   +1 more source

Assessing Quality of Care from the Medical Record

New England Journal of Medicine, 1972
Abstract Quality of medical care may be assessed on the basis of either the outcome of care or the process by which the care was given. To compare these two criteria, records and outcome were studied of patients with two common conditions, appendicitis and myocardial infarction. In three different hospitals the records of patients with the diagnosis of
W J, Fessel, E E, Van Brunt
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Quality Management of Homepages of Medical Records

Chinese Medical Record English Edition, 2014
AbstractObjectives. To quantitatively assess the quality of homepages of medical records, for further improvement. Methods. Twenty quality control points were set up according to “Some Regulations in Instructions for Filling in Homepages of the Medical Records”, issued by the National Health and Family Planning Commission of the PRC in 2012; and a ...
Wenfeng Li, Muhui Cao
openaire   +1 more source

Requirements Regarding Quality Certification of Electronic Health Records

2009
Quality assurance is a major task with regard to the implementation of Electronic Health Records (EHRs). Currently there are only a few approaches explicitly dealing with the quality of EHR services. The objective of this paper is to present the results of an expert survey that was conducted in 2008 including 29 experts from various European countries ...
Alexander, Hoerbst   +3 more
openaire   +2 more sources

Office Records in the Evaluation of Quality of Care

Medical Care, 1976
Trained reviewers audited 10,500 charts in the offices of 166 pediatricians and family physicians. Criteria for child health supervision and three diseases had been previously validated for relevance to health outcome and suitability for peer review. Overall documentation of criteria was approximately 50 per cent.
H C, Thompson, C E, Osborne
openaire   +2 more sources

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