情景式护理记录模板在提升护理病历质量中的作用OA
Functions of a format of situational nursing record in improving the quality of nursing records
目的 提高护理病历的质量.方法 制定情景式护理记录模板,对护理人员进行培训,实施考核激励机制.结果 2015年1月与2016年1月护理病历中体温单、医嘱单、评估单、护理记录单缺陷数进行对比,发现体温单与护理记录的缺陷数(P<0.01).结论 全院在院病历和出院病历质量都有明显提升.
Objective to improve the quality of nursing records.Method develop a format of situational nursing record,train nursing staff and implement incentive mechanism by assessment.Result by comparing defective values,there exists significant difference between temperature charts and nursing records of January in 2015 and those of 2016(P<0.01).Conclusion the qualities of nursing records both kept by hospital and healers are significantly improved
邢海花;方英英
江苏大学附属医院,江苏 南京 211300南京市高淳人民医院,江苏 南京 211300
医药卫生
护理病历质量情景式护理记录模板
Nursing recordsQualityForm of nursing record
《中国保健营养》 2017 (12)
21-22,2
评论