Objective To explore the important role of transformation of pattern of medical records quality control in the improvement of internal quality of medical records and prevention of medical disputes. Method Through applying comprehensive measures, such as active and effective communication, interactive management, horizontal integration of departments and establishment of secondary vertical frame of quality control organization, to control the quality of medical records. Result The defective ratio of 38416 cases has decreased from 27.7% to 13.14%, which means to the responsibility of quality control was performed quite well. Conclusion The comprehensive model of medical records quality control can form management resultant force, construct crossed quality evaluation system with academic value and improve quality of medical records writing to the greatest extent to enhance management level of quality of medical records.
Chinese Medical Record