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目的了解卫生监督综合干预措施对医院病历环节质量的影响。方法根据《病历书写基本规范(试行)》相关要求,制定《运行病历环节质量评估表》,对卫生监督手段干预前后我区二级医院病历环节质量的检查情况进行统计分析。结果干预后手术科室、非手术科室的病历环节质量均较干预前有明显改善。结论科学的卫生监督综合措施对提高病历环节质量有促进作用。
Objective To understand the impact of comprehensive health interventions on the quality of hospital records. Methods According to the relevant requirements of the “Basic Rules for the Writing of Medical Records (Trial)”, a “Quality Assessment Form for the Operation of Medical Records” was developed to statistically analyze the quality of the medical records of the secondary hospitals in our district before and after the intervention of the means of sanitation supervision. Results After the intervention, the quality of the medical records of the surgical departments and non-operative departments was significantly improved compared with that before the intervention. Conclusion Scientific comprehensive measures for health supervision can promote the quality of medical records.