Chantravekin Yosananda, Tasananutree Munchulika, Santaphongse Supitcha, Aittiwarapoj Anchisa
Faculty of Dentistry, Thammasat University, Rangsit Campus, Pathumthani, 12121, Thailand.
Stud Health Technol Inform. 2013;192:932.
Chart recording and coding are the important processes in the healthcare informatics system, but there were only a few reports in the dentistry field. The objectives of this study are to study the qualities of dental chart recording and coding, as well as the achievement of lecture/workshop on this topic. The study was performed by auditing the patient's charts at the TU Dental Student Clinic from July 2011-August 2012. The chart recording mean scores ranged from 51.0-55.7%, whereas the errors in the coding process were presented in the coder part more than the doctor part. The lecture/workshop could improve the scores only in some topics.
图表记录和编码是医疗信息系统中的重要流程,但牙科领域的相关报告却寥寥无几。本研究的目的是探讨牙科图表记录和编码的质量,以及关于该主题的讲座/研讨会的成效。该研究通过审核2011年7月至2012年8月在泰国国立法政大学牙科学生诊所的患者图表来进行。图表记录的平均分数在51.0%至55.7%之间,而编码过程中的错误出现在编码人员部分的多于医生部分。讲座/研讨会仅在某些主题上提高了分数。