Pub Date : 2014-03-12DOI: 10.3109/23256176.2014.897503
Yichao Han, Ye Peng, Xiufang Yang, Na Xie
AbstractObjective. To regulate the doctor-patient communication record, reduce defects and errors in doctor-patient communication and reduce the occurrence of medical disputes, so as to guarantee the quality of medical treatment. Method. Randomly selecting 585 terminal medical records of January 2013 in our hospital, performing quality control checks on the doctor-patient communication records in the medical records, recording the effects of quality control in Excel and performing statistical analysis. Results. Of the 585 medical records, 180 medical records have defects in the doctor-patient communication record, the defect rate is 30.77%, there are a total of 199 defects altogether, the commonly occurring defects are as follows: incomplete general information of a patient (10.94%); incomplete or simple communication content (6.15%), absence of corresponding doctor-patient communication record such as the absence of the automatic discharge conversation record or informed consent for blood transfusion and...
{"title":"Common Problems and Countermeasures of Doctor-Patient Communication Record","authors":"Yichao Han, Ye Peng, Xiufang Yang, Na Xie","doi":"10.3109/23256176.2014.897503","DOIUrl":"https://doi.org/10.3109/23256176.2014.897503","url":null,"abstract":"AbstractObjective. To regulate the doctor-patient communication record, reduce defects and errors in doctor-patient communication and reduce the occurrence of medical disputes, so as to guarantee the quality of medical treatment. Method. Randomly selecting 585 terminal medical records of January 2013 in our hospital, performing quality control checks on the doctor-patient communication records in the medical records, recording the effects of quality control in Excel and performing statistical analysis. Results. Of the 585 medical records, 180 medical records have defects in the doctor-patient communication record, the defect rate is 30.77%, there are a total of 199 defects altogether, the commonly occurring defects are as follows: incomplete general information of a patient (10.94%); incomplete or simple communication content (6.15%), absence of corresponding doctor-patient communication record such as the absence of the automatic discharge conversation record or informed consent for blood transfusion and...","PeriodicalId":163748,"journal":{"name":"Chinese Medical Record English Edition","volume":"56 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126556888","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2014-03-12DOI: 10.3109/23256176.2014.896635
Xiao Xiao, Chuantian Zuo, H. He, Jie Zhao, Juzhen Gu, Lili Qin, Fenghai Lu, Jian-feng Liang
AbstractObjective. To standardize the filling of the first page of medical records and improve the information quality of the Hospital Quality Monitoring System (HQMS) network report. Methods. According to the filling requirements and selection principles for the main diagnosis of diseases as specified in the tenth edition of International Classification of Diseases (ICD-10), the quality of the first page is analyzed in accordance with the standards in the Filling Criterion of Medical Records in Guangxi and the data reporting requirements for the first page of medical records in the HQMS. The filling quality of the first page of medical records directly reported via information networks currently is analyzed in the article. Results. Of the 12,367 medical records, a total of 2,819 medical records have defects, accounting for 22.80%. The defect types are as follows: basic information (16.99%), discharge diagnosis (20.01%), surgery and operation (21.67%), the classification of diseases and surgical operation...
{"title":"Quality Analysis of HQMS Direct Network Report of the First Page of 12,367 Medical Records","authors":"Xiao Xiao, Chuantian Zuo, H. He, Jie Zhao, Juzhen Gu, Lili Qin, Fenghai Lu, Jian-feng Liang","doi":"10.3109/23256176.2014.896635","DOIUrl":"https://doi.org/10.3109/23256176.2014.896635","url":null,"abstract":"AbstractObjective. To standardize the filling of the first page of medical records and improve the information quality of the Hospital Quality Monitoring System (HQMS) network report. Methods. According to the filling requirements and selection principles for the main diagnosis of diseases as specified in the tenth edition of International Classification of Diseases (ICD-10), the quality of the first page is analyzed in accordance with the standards in the Filling Criterion of Medical Records in Guangxi and the data reporting requirements for the first page of medical records in the HQMS. The filling quality of the first page of medical records directly reported via information networks currently is analyzed in the article. Results. Of the 12,367 medical records, a total of 2,819 medical records have defects, accounting for 22.80%. The defect types are as follows: basic information (16.99%), discharge diagnosis (20.01%), surgery and operation (21.67%), the classification of diseases and surgical operation...","PeriodicalId":163748,"journal":{"name":"Chinese Medical Record English Edition","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130197460","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2014-03-12DOI: 10.3109/23256176.2014.897487
Xiangyun Wang
AbstractObjective. To improve the archiving rate of discharge medical records. Methods. By applying the plan-do-check-action (PDCA) method to carry out statistical analysis on the archiving status of medical records in seven days from January to September 2013, so as to identify problems, draw up a plan, and then evaluate the rectification results. Results. The archiving rate of medical records in seven days has increased from 66% in January to 99.8% in September; the archiving rate in 3 days has also increased from 21.4% in January to 79.3% in September. Conclusion. By using the PDCA management method to monitor the medical record archiving, the understanding of its importance in hospital departments at all grades in the hospital are improved, the degree of standardization is further strengthened, the archiving rate is significantly improved, and meanwhile, the working efficiency and the service quality are improved.
{"title":"Application of PDCA Method in Medical Record Archiving Management","authors":"Xiangyun Wang","doi":"10.3109/23256176.2014.897487","DOIUrl":"https://doi.org/10.3109/23256176.2014.897487","url":null,"abstract":"AbstractObjective. To improve the archiving rate of discharge medical records. Methods. By applying the plan-do-check-action (PDCA) method to carry out statistical analysis on the archiving status of medical records in seven days from January to September 2013, so as to identify problems, draw up a plan, and then evaluate the rectification results. Results. The archiving rate of medical records in seven days has increased from 66% in January to 99.8% in September; the archiving rate in 3 days has also increased from 21.4% in January to 79.3% in September. Conclusion. By using the PDCA management method to monitor the medical record archiving, the understanding of its importance in hospital departments at all grades in the hospital are improved, the degree of standardization is further strengthened, the archiving rate is significantly improved, and meanwhile, the working efficiency and the service quality are improved.","PeriodicalId":163748,"journal":{"name":"Chinese Medical Record English Edition","volume":"38 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114682537","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2014-02-01DOI: 10.3109/23256176.2014.904556
Jin-tao Zhou, Aimin Liu
AbstractObjective. To understand the current situation of misuse of unspecified codes for surgeries and operations of ICD-9-CM-3, analyze the causes, and find solutions. Methods. All the unspecified codes for surgeries and operations are summarized in line with the ICD-9-CM-3 (2011 version) and compared with the Peking Union Medical College Hospital (PUMCH)'s existing dictionary database of coding. All codes mentioned above are searched one by one in the PUMCH's management information system of medical record home pages in 2012, the number of error codes in the search is counted and the rate of error coding is calculated. Results. Referring to the latest version of the ICD-9-CM-3, a total of 162 unspecified surgical and operational codes are screened out, in which 58 out of 162 codes exist in the dictionary database of our hospital, and 60.3% (35/58) of the codes are in error after individual retrieval. As a whole, the error rate of unspecified coding is 15.5%. The error rates of “NOS” codes and “unspecif...
{"title":"Discussion on Problems of Misuse of Unspecified Codes in ICD-9-CM-3","authors":"Jin-tao Zhou, Aimin Liu","doi":"10.3109/23256176.2014.904556","DOIUrl":"https://doi.org/10.3109/23256176.2014.904556","url":null,"abstract":"AbstractObjective. To understand the current situation of misuse of unspecified codes for surgeries and operations of ICD-9-CM-3, analyze the causes, and find solutions. Methods. All the unspecified codes for surgeries and operations are summarized in line with the ICD-9-CM-3 (2011 version) and compared with the Peking Union Medical College Hospital (PUMCH)'s existing dictionary database of coding. All codes mentioned above are searched one by one in the PUMCH's management information system of medical record home pages in 2012, the number of error codes in the search is counted and the rate of error coding is calculated. Results. Referring to the latest version of the ICD-9-CM-3, a total of 162 unspecified surgical and operational codes are screened out, in which 58 out of 162 codes exist in the dictionary database of our hospital, and 60.3% (35/58) of the codes are in error after individual retrieval. As a whole, the error rate of unspecified coding is 15.5%. The error rates of “NOS” codes and “unspecif...","PeriodicalId":163748,"journal":{"name":"Chinese Medical Record English Edition","volume":"30 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127204709","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2013-12-03DOI: 10.3109/23256176.2013.865888
Yueheng Liang, Zixing Chen, Xiaoliang Huang, L. Zeng
AbstractObjective. To discuss the characteristics of the disease spectrum of hospitalized children. Method. Performing sequence and constituent ratio analyses of the disease spectrum, for items such as the principal diagnosis, sex and age of the hospitalized children, using data from hospitals which are secondary or higher, in Guangdong province in 2010. Results. The top five systemic diseases affecting the health of children were, respectively, respiratory diseases (38.0%), of which some cases (15.0%) originated in the perinatal period; certain infectious diseases and parasitic diseases (11.1%), digestive system diseases (11.1%), injury, poisoning and external factors caused some of the other consequences (6.7%); the top five diseases account for 81.9% of the diseases for which children are hospitalized. The respiratory and digestive system diseases have always ranked among the first three positions in all age groups. In the ranking of the respiratory system diseases, pneumonia (45.08%), acute upper resp...
{"title":"Analysis of the Disease Spectrum of Hospitalized Children in Guangdong Province","authors":"Yueheng Liang, Zixing Chen, Xiaoliang Huang, L. Zeng","doi":"10.3109/23256176.2013.865888","DOIUrl":"https://doi.org/10.3109/23256176.2013.865888","url":null,"abstract":"AbstractObjective. To discuss the characteristics of the disease spectrum of hospitalized children. Method. Performing sequence and constituent ratio analyses of the disease spectrum, for items such as the principal diagnosis, sex and age of the hospitalized children, using data from hospitals which are secondary or higher, in Guangdong province in 2010. Results. The top five systemic diseases affecting the health of children were, respectively, respiratory diseases (38.0%), of which some cases (15.0%) originated in the perinatal period; certain infectious diseases and parasitic diseases (11.1%), digestive system diseases (11.1%), injury, poisoning and external factors caused some of the other consequences (6.7%); the top five diseases account for 81.9% of the diseases for which children are hospitalized. The respiratory and digestive system diseases have always ranked among the first three positions in all age groups. In the ranking of the respiratory system diseases, pneumonia (45.08%), acute upper resp...","PeriodicalId":163748,"journal":{"name":"Chinese Medical Record English Edition","volume":"83 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116024357","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2013-12-03DOI: 10.3109/23256176.2013.865902
Xiaojuan Du, Changju Wang, Ling Zheng
AbstractObjective. To analyze the constitution of systemic diseases and the causes of death in 154 cases of patients who died after operation in a hospital, and provide evidence for decreasing the post-operative death rate of patients. The HIS system was adopted to collect the hospitalization information of 154 cases of patients who died after operation, for retrospective investigation. Result. In the 154 cases of patients who died post-operatively, there were more males than females (P < 0.01); the main systemic diseases of these patients were circulatory system disease, injury, poisoning and other consequences of external causes, malignant tumors and digestive system diseases; the reasons for post-operative death were that complications occurred after operation and the relatives gave up post-operative treatment after. Conclusion. Of the deceased patients, the number of male patients was more than that of female patients; the death rates due to circulatory system disease, injury, poisoning and other cons...
{"title":"Analysis on the Constitution of Systemic Diseases and the Causes of Death in 154 Cases of Post-Operative Death of Patients in a Hospital","authors":"Xiaojuan Du, Changju Wang, Ling Zheng","doi":"10.3109/23256176.2013.865902","DOIUrl":"https://doi.org/10.3109/23256176.2013.865902","url":null,"abstract":"AbstractObjective. To analyze the constitution of systemic diseases and the causes of death in 154 cases of patients who died after operation in a hospital, and provide evidence for decreasing the post-operative death rate of patients. The HIS system was adopted to collect the hospitalization information of 154 cases of patients who died after operation, for retrospective investigation. Result. In the 154 cases of patients who died post-operatively, there were more males than females (P < 0.01); the main systemic diseases of these patients were circulatory system disease, injury, poisoning and other consequences of external causes, malignant tumors and digestive system diseases; the reasons for post-operative death were that complications occurred after operation and the relatives gave up post-operative treatment after. Conclusion. Of the deceased patients, the number of male patients was more than that of female patients; the death rates due to circulatory system disease, injury, poisoning and other cons...","PeriodicalId":163748,"journal":{"name":"Chinese Medical Record English Edition","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125328645","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2013-12-03DOI: 10.3109/23256176.2013.865899
Lin Lin, Daizhen Xing
AbstractAccording to the Evaluation Criteria for the Tertiary General Hospitals (2011 Version) announced by the National Health and Planning Commission of P.R. China, a certain hospital took key surgeries as examples and conducted training on normalized filling of surgical information in the homepages of medical records according to the surgical classification principles, aimed at the professional characteristics of clinicians, including the awareness of key surgeries, the basic knowledge of surgical classification, the selection of main surgery, the key classification points for special surgery, as well as the work of communication and code expansion. In this way, the ICD-9-CM3 knowledge was popularized among the clinicians, the development of evaluation work was promoted, and the accuracy rate of disease classification coding was improved.
{"title":"Probe on the Popularization of Surgical Classification Knowledge among Clinicians","authors":"Lin Lin, Daizhen Xing","doi":"10.3109/23256176.2013.865899","DOIUrl":"https://doi.org/10.3109/23256176.2013.865899","url":null,"abstract":"AbstractAccording to the Evaluation Criteria for the Tertiary General Hospitals (2011 Version) announced by the National Health and Planning Commission of P.R. China, a certain hospital took key surgeries as examples and conducted training on normalized filling of surgical information in the homepages of medical records according to the surgical classification principles, aimed at the professional characteristics of clinicians, including the awareness of key surgeries, the basic knowledge of surgical classification, the selection of main surgery, the key classification points for special surgery, as well as the work of communication and code expansion. In this way, the ICD-9-CM3 knowledge was popularized among the clinicians, the development of evaluation work was promoted, and the accuracy rate of disease classification coding was improved.","PeriodicalId":163748,"journal":{"name":"Chinese Medical Record English Edition","volume":"24 5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115016583","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2013-12-03DOI: 10.3109/23256176.2013.865897
Z. Wen, Yanfeng Jiang, Hongyu Kang, Caihong Hao, Xiaodan Yang
AbstractObjective. To investigate the situation and risk factors of outpatients with stroke at a large general hospital. Method. Outpatients aged 35 years or more between March 2012 and December 2012, are randomly chosen to receive an epidemiology questionnaire survey. Result. Of the total of 511 patients who are investigated this time, 249 patients are male and 262 patients are female, of which there are 35 patients with stroke, accounting for 6.9%; there are 8 TIA patients, accounting for 1.6%; there are 308 patients who lack physical exercise, accounting for 60.3%; 236 patients are overweight, accounting for 46.2%; there are 193 hypertensive patients, accounting for 37.8%; there are 172 high-risk stroke individuals, accounting for 33.7%; and 53 patients are middle-risk persons, accounting for 10.4%. Conclusion. The screening rate and the risk factors for stroke being high, there are important clinically significant and social benefits in the prevention of stroke by actively developing outpatient servic...
{"title":"Investigation and Analysis on Risk Factors of Patients with Stroke at the Outpatient Clinic of a Certain Comprehensive Hospital","authors":"Z. Wen, Yanfeng Jiang, Hongyu Kang, Caihong Hao, Xiaodan Yang","doi":"10.3109/23256176.2013.865897","DOIUrl":"https://doi.org/10.3109/23256176.2013.865897","url":null,"abstract":"AbstractObjective. To investigate the situation and risk factors of outpatients with stroke at a large general hospital. Method. Outpatients aged 35 years or more between March 2012 and December 2012, are randomly chosen to receive an epidemiology questionnaire survey. Result. Of the total of 511 patients who are investigated this time, 249 patients are male and 262 patients are female, of which there are 35 patients with stroke, accounting for 6.9%; there are 8 TIA patients, accounting for 1.6%; there are 308 patients who lack physical exercise, accounting for 60.3%; 236 patients are overweight, accounting for 46.2%; there are 193 hypertensive patients, accounting for 37.8%; there are 172 high-risk stroke individuals, accounting for 33.7%; and 53 patients are middle-risk persons, accounting for 10.4%. Conclusion. The screening rate and the risk factors for stroke being high, there are important clinically significant and social benefits in the prevention of stroke by actively developing outpatient servic...","PeriodicalId":163748,"journal":{"name":"Chinese Medical Record English Edition","volume":"238 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133639658","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2013-12-03DOI: 10.3109/23256176.2013.865890
He Li, S. Xia
AbstractObjective. To investigate factors influencing the medical expenses of patients with rheumatoid arthritis and provide policy reference for the implementation of single disease payment standard for relevant departments. Method. To conduct a study on the medical expense data of 29,431 patients with rheumatoid arthritis, from 2007 to 2011, in the health insurance database of Guangzhou and use the nonparametric test, stepwise regression analysis method, to conduct statistical analysis. Result. The age and gender of the patients, type of medical insurance, and medical institutions have an effect on the medical expenses; and the difference has statistical significance. The drug costs of outpatients accounted for 75.29% of the total cost, and the drug costs of inpatients accounted for 44.99% of the total cost. In multivariate linear regression, the standardized regression coefficient of the variable X5 (hospital grade) is significantly higher than regression coefficients of the other variables for outpati...
{"title":"Study on Factors Influencing Medical Expenses of Patients with Rheumatoid Arthritis","authors":"He Li, S. Xia","doi":"10.3109/23256176.2013.865890","DOIUrl":"https://doi.org/10.3109/23256176.2013.865890","url":null,"abstract":"AbstractObjective. To investigate factors influencing the medical expenses of patients with rheumatoid arthritis and provide policy reference for the implementation of single disease payment standard for relevant departments. Method. To conduct a study on the medical expense data of 29,431 patients with rheumatoid arthritis, from 2007 to 2011, in the health insurance database of Guangzhou and use the nonparametric test, stepwise regression analysis method, to conduct statistical analysis. Result. The age and gender of the patients, type of medical insurance, and medical institutions have an effect on the medical expenses; and the difference has statistical significance. The drug costs of outpatients accounted for 75.29% of the total cost, and the drug costs of inpatients accounted for 44.99% of the total cost. In multivariate linear regression, the standardized regression coefficient of the variable X5 (hospital grade) is significantly higher than regression coefficients of the other variables for outpati...","PeriodicalId":163748,"journal":{"name":"Chinese Medical Record English Edition","volume":"23 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123410156","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2013-12-03DOI: 10.3109/23256176.2013.865907
Zongqiong Zhao, Zhe Chen, Haijun Zhao
AbstractThe homepages of medical records are the core of the entire medical record information. As a new work mode, the application of online ICD coding of the homepages of the medical records can detect the homepage filling errors in advance and notify physicians to modify them, thereby promoting the standardization of medical records, improving the efficiency of medical statistics and reporting work, improving the service quality, and above all, promoting the continuous development of medical record quality management work.
{"title":"Online ICD Coding of Medical Record Homepages","authors":"Zongqiong Zhao, Zhe Chen, Haijun Zhao","doi":"10.3109/23256176.2013.865907","DOIUrl":"https://doi.org/10.3109/23256176.2013.865907","url":null,"abstract":"AbstractThe homepages of medical records are the core of the entire medical record information. As a new work mode, the application of online ICD coding of the homepages of the medical records can detect the homepage filling errors in advance and notify physicians to modify them, thereby promoting the standardization of medical records, improving the efficiency of medical statistics and reporting work, improving the service quality, and above all, promoting the continuous development of medical record quality management work.","PeriodicalId":163748,"journal":{"name":"Chinese Medical Record English Edition","volume":"184 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124671261","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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