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Updated: Jun 15, 2025

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数据质量驱动的医疗保健改进:系统文献综述

Anthony Lighterness1, Michael Adcock1, Lauren Abigail Scanlon1

  • 1Clinical Outcomes and Data Unit, The Christie NHS Foundation Trust, Manchester, United Kingdom.

Journal of medical Internet research
|August 22, 2024
PubMed
概括

高质量的数据对于现实世界的证据和学习卫生系统至关重要. 本次审查强调了对评估和改善医疗保健研究数据质量 (DQ) 的标准化方法的需求.

关键词:
普里斯玛是什么意思 普里斯玛是什么数据质量数据质量数据质量质量改善 质量改善现实世界的数据.系统的文献审查 系统的文献审查

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The vital purpose of health records is to provide a complete and accurate account of a patient's medical history, including communication, diagnostic and therapeutic orders, care planning, research, and quality review.
Here's a breakdown of how health records serve these purposes:
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The nurse documents nursing diagnoses and enters them into the patient record. The identified patient's nursing diagnosis is either written out with a plan of care or entered into the electronic health record.
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Data Reporting and Recording

Reporting and recording are crucial in data documentation. The timely, thorough, and accurate documentation of facts is essential when recording patient data. Failure to record findings during an assessment or interpretation of a problem will result in loss of information and make the patient document unreliable. The reader is left with general impressions if the information is not specific. A recording is documenting data of the individual's health information in a traceable, secure, and...
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