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Application effect of data quality control of medical record statistics management information system in hospital medical record management |
SHEN Lihua1 YANG Jing2 |
1. Quality Management Section, Putian Medical District, Joint Logistic Support Force 900th Hospital, Fujian Province,Putian 351100,China;
2.Medical Record Room,Union Hospital Affiliated to Fujian Medical University,Fujian Province,Putian 350000, China |
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Abstract Objective To explore the application effect of data quality control of medical record statistical management information system in hospital medical record management. Methods A total of 5 600 medical records from Putian Medical District, Joint Logistic Support Force 900th Hospital from January 2019 to August 2021 were selected and divided into the observation group and the control group according to the statistical order of medical records, with 2 800 medical records in each group. The observation group (January 2020 to August 2021) received data quality control management, while the control group (January to December 2019) received routine data management. The data entry error rate, medical record writing, progress record, hospitalization record, medical record home page, auxiliary examination and discharge record quality were compared between the two groups. Results The incidence of data entry error of medical record data in the observation group was lower than that in the control group, and the difference was statistically significant (P<0.05). The scores of medical record writing, course record, hospitalization record, medical record home page, auxiliary examination and discharge record quality evaluation in the observation group were higher than those in the control group, and the differences were statistically significant (P<0.05). Conclusion In the application of medical record statistics management information system, the implementation of data quality control management scheme can effectively reduce the incidence of data entry errors of medical record data and improve the management quality of medical record data, which is worthy of clinical application.
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