抢救记录的规范书写及抢救成功率的正确统计

来源 :中国病案 | 被引量 : 0次 | 上传用户:tmgt2009
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目的规范书写抢救记录并做好抢救成功率的统计。方法总结和分析抢救记录和抢救成功率统计中存在的问题,提出正确书写和统计方法。结果部分医师对抢救记录书写存在模糊认识,在病程记录中有许多属于抢救范畴的病人没有书写抢救记录,因此也造成抢救成功率下降。结论规范抢救记录的书写是病历质控的重要组成部分,同时有利于抢救成功率的正确计算。 Objective Specification writing rescue records and make a success rate of rescue statistics. Methods To summarize and analyze the problems in the statistics of rescue records and rescue success rates, and to put forward the correct writing and statistical methods. Results Some physicians had ambiguous understanding of the salvage records writing. There were many salvage records in the course of disease records, which resulted in the decrease of success rate of salvage. Conclusion The writing of standardized rescue records is an important part of the quality control of medical records, and is conducive to the correct calculation of the success rate of rescue.
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