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| Analysis on the common indexes of the homepage data of medical records in a province under the background of performance appraisal of tertiary public hospitals |
| Wang Dan. |
| Qiqihar Hospital of Traditional Chinese Medicine, Qiqihar 161000, China |
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Abstract Objective To evaluate the data status of the front page of inpatient medical records, analyze the reasons, and put forward improvement measures, according to the performance evaluation standard of tertiary public hospitals. Methods The front page data of medical records of all tertiary public hospitals in 2019 were extracted from provincial health management service evaluation center, and statistical analysis was conducted from coding errors and non coding errors. Results Totally 2246799 medical records of 80 tertiary public hospitals in our province in 2019 were selected. The number of medical records with wrong quality control code was 395 139, accounting for 17.59% of the total medical records, and the number of non coding wrong medical records in the front pages of medical records was 881 590, accounting for 39.24% of the total medical records. Conclusion The data quality of the front page of the medical records plays an important role in reflecting the comprehensive level of the hospital. We should strengthen the data quality control, ensure the standardization and normalization of the reported data, and ensure the objectivity and authenticity of the data.
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Received: 18 August 2020
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