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牙科图表记录与编码的质量。

Qualities of dental chart recording and coding.

作者信息

Chantravekin Yosananda, Tasananutree Munchulika, Santaphongse Supitcha, Aittiwarapoj Anchisa

机构信息

Faculty of Dentistry, Thammasat University, Rangsit Campus, Pathumthani, 12121, Thailand.

出版信息

Stud Health Technol Inform. 2013;192:932.

Abstract

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.

摘要

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。

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