Holt P E, Anderson B
Australian Council on Healthcare Standards, Zetland.
Aust Clin Rev. 1992;12(3):109-14.
This article reports on an analysis of 109 hospitals that received recommendations for improvement within their Medical Record Service when surveyed by the Australian Council on Health Care Standards (ACHS) in 1990. Seventy-five per cent of Medical Record Service recommendations made at an earlier survey had been fully implemented and 17% partially implemented by hospitals at the time of their next survey in 1990. The major area receiving recommendations for improvement was medical record content. Other areas of concern were quality assurance, organization and administration, and space for research and work within the service. Certain aspects of medical record content also appeared to be resistant to change from one survey to the next.
本文报道了对109家医院的分析结果。这些医院在1990年接受澳大利亚医疗保健标准委员会（ACHS）调查时，其病历服务收到了改进建议。在早期调查中提出的病历服务建议，有75%已在1990年下次调查时由医院完全实施，17%部分实施。收到改进建议的主要领域是病历内容。其他受关注的领域包括质量保证、组织与管理以及该服务内的研究和工作空间。病历内容的某些方面似乎在每次调查之间也难以改变。
