Abstract

AbstractObjective. To investigate the impact of a rotation system of the medical record department on the quality of medical records that were written by the participating clinicians. Methods. The quality of medical records that were written by clinicians before and after they participated in the rotation in the medical record department was contrasted, and statistical analyses were taken to confirm the change in the quality of the medical records before and after the implementation of the system. The specific method is all new clinicians in our hospital participated in the rotation in the medical record review room for at least 3 months after unified organization and arrangement. Their work was to audit discharge medical records of related clinical departments, including the signatures on the quality of discharge medical records, patients’ operations involved in the medical records, invasive operations and so on, as well as the signatures on the informed consent forms and other medical record laws and re...

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