Analysis and Countermeasures for the Quality Defects of Medical Records Based on Hospital Evaluation

According to the medical record quality criteria,2 035 medical records with defects were analyzed. The quality defect rate of medical records was 13. 78%. The low quality consciousness,not timely writing,replication and lack of serious leakage were major causes of medical record quality defects. The paper pointed out that measures need to be carried out including attitude correction,consciousness improvement; classified training,strengthening the connotation of the medical record quality requirements; strengthening supervision and improvement of the layered management linkage mechanism; regular appraisal with bonus and forfeit.