CRABEL评分——一种审核病历的方法。
The CRABEL score--a method for auditing medical records.
作者信息
Crawford J R, Beresford T P, Lafferty K L
机构信息
Department of Surgery, Basildon Hospital, Essex, UK.
出版信息
Ann R Coll Surg Engl. 2001 Jan;83(1):65-8.
Abstract
Medical record keeping has become increasingly important particularly for research, audit and medico-legal purposes. The authors present a protocol, the CRABEL score, that is quick and easy to use for the assessment of the quality of medical record keeping with the purpose of standardizing the audit of medical records and improving their quality.
摘要
医疗记录保存变得越来越重要，特别是对于研究、审计和法医学目的而言。作者提出了一种方案，即CRABEL评分，它快速且易于使用，用于评估医疗记录保存的质量，目的是规范医疗记录审计并提高其质量。
相似文献
1
The CRABEL score--a method for auditing medical records.
Ann R Coll Surg Engl. 2001 Jan;83(1):65-8.
2
Use of the CRABEL Score for improving surgical case-note quality.
Ann R Coll Surg Engl. 2005 Nov;87(6):454-7. doi: 10.1308/003588405X60687.
3
An audit of medical record-keeping in maxillofacial surgery at the University College Hospital, Ibadan using the CRABEL Scoring system.
Afr J Med Med Sci. 2006 Mar;35(1):93-5.
4
The CRABEL score--setting standards in maxillofacial medical note-keeping.
Br J Oral Maxillofac Surg. 2004 Jun;42(3):200-2. doi: 10.1016/j.bjoms.2004.01.013.
5
Quality of clinical notes for vascular surgery admissions: a CRABEL score review.
ANZ J Surg. 2009 Jul;79(7-8):539-43. doi: 10.1111/j.1445-2197.2009.04986.x.
6
Improving problem oriented medical records through self-audit.
J Fam Pract. 1980 Mar;10(3):487-90.
7
Inadequacies of hospital medical records.
Ann R Coll Surg Engl. 1993 Jan;75(1 Suppl):7-9.
8
Surgical hospital audit of record keeping (SHARK)--a new audit tool for the improvement in surgical record keeping.
J Surg Educ. 2013 May-Jun;70(3):373-6. doi: 10.1016/j.jsurg.2012.12.003.
9
Setting the records straight--a prospective audit of the quality of case notes in a surgical department.
S Afr J Surg. 2007 Aug;45(3):92, 94-5.
引用本文的文献
1
Assessment of the Quality of Medical Record Documentation using the CRABEL Score Method in a Tertiary Care Hospital in Eastern India.
J Pharm Bioallied Sci. 2024 Oct-Dec;16(4):137-142. doi: 10.4103/jpbs.jpbs_857_24. Epub 2025 Mar 26.
2
Assessment of the quality of oral squamous cell carcinoma clinical records in oral surgery with Surgical Tool for Auditing Records (STAR) scoring.
BMC Oral Health. 2024 Sep 11;24(1):1060. doi: 10.1186/s12903-024-04811-8.
3
CRABEL Score Assessment for Oral Surgery Excision Biopsy Case Notes of Oral Squamous Cell Carcinoma.
Cureus. 2024 Apr 1;16(4):e57394. doi: 10.7759/cureus.57394. eCollection 2024 Apr.
4
Assessing the Recordkeeping Quality at the School of Dental Sciences, Universiti Sains Malaysia.
Cureus. 2024 Feb 27;16(2):e55087. doi: 10.7759/cureus.55087. eCollection 2024 Feb.
5
A Hospital Medical Record Quality Scoring Tool (MeReQ): Development, Validation, and Results of a Pilot Study.
Healthcare (Basel). 2024 Jan 27;12(3):331. doi: 10.3390/healthcare12030331.
6
Audit of dental record-keeping at a university dental hospital.
Health SA. 2023 Dec 20;28:2442. doi: 10.4102/hsag.v28i0.2442. eCollection 2023.
7
Medical Note Quality Audit at the Vascular Surgical Unit Compared With the British Medical Journal (BMJ) Guidelines.
Cureus. 2023 Dec 7;15(12):e50110. doi: 10.7759/cureus.50110. eCollection 2023 Dec.
8
Evaluation of Record Keeping in Exodontia Department of Punjab Dental Hospital, Lahore: A Clinical Audit.
Cureus. 2023 Jan 11;15(1):e33645. doi: 10.7759/cureus.33645. eCollection 2023 Jan.
9
Evaluation of Patients Record and its Implications in the Management of Trauma Patients.
J Emerg Trauma Shock. 2020 Oct-Dec;13(4):257-263. doi: 10.4103/JETS.JETS_88_18. Epub 2020 Dec 7.
10
Improved difficult airway documentation using structured notes in Anesthesia Information Management Systems.
Can J Anaesth. 2020 May;67(5):625-627. doi: 10.1007/s12630-019-01544-z. Epub 2019 Nov 26.
本文引用的文献
1
Inadequacies of hospital medical records.
Ann R Coll Surg Engl. 1993 Jan;75(1 Suppl):7-9.
2
Notes: a suitable case for audit.
Postgrad Med J. 1993 Jul;69(813):578-80. doi: 10.1136/pgmj.69.813.578.
3
Improving problem oriented medical records through self-audit.
J Fam Pract. 1980 Mar;10(3):487-90.
4
Retrospective review of hospital patient records.
BMJ. 1990 Apr 14;300(6730):991-3. doi: 10.1136/bmj.300.6730.991.
5
Random review of hospital patient records.
BMJ. 1990 Mar 10;300(6725):651-2. doi: 10.1136/bmj.300.6725.651.
6
Medical audit of case notes on one to one basis.
J R Coll Physicians Lond. 1991 Oct;25(4):358-9.
7
Medical records.
Practitioner. 1992 May;236(1514):533-5.
Zotero 插件