Ordoño J M, Díez A, Esquisabel R, Medrano M T, Ayesa G, Pereda L, Arroniz M
Centro de salud de San Martín, Vitoria-Gasteiz.
Aten Primaria. 1993 Jul-Aug;12(3):156-9.
To present quality control as an effective and dynamising tool, to analyse the quality of the health consumer's medical records and to detect and set in motion the correction of problems.
Retrospective crossover study.
San Martín Health Centre, Vitoria.
General patients who attended clinics in January, February, March and October. Consumers and the human and material resources of the Centre during 1992.
Measures to correct faults found.
We analysed a systematic sample of 10% of the records used by the General Practitioners during January and of 5% during February, March and October. We saw an overall improvement in all the sections of consumers' records. The index showing variability of recording between different health providers descended in successive assessments. Twenty-six problems were detected. Through the Coordinator, a solution was set in motion in 100% of them. Of those problems external to the team.
The early introduction of quality control means that problems can be detected and measures put in place to improve and homogenise quality and to dynamise the Team. The quality of the consumer's medical records, the detection and setting in motion of the correction of problems and the use of simple, practical and possible methodology are key.
将质量控制作为一种有效且充满活力的工具，分析健康消费者病历的质量，检测并推动问题的纠正。
回顾性交叉研究。
维多利亚圣马丁健康中心。
1月、2月、3月和10月到诊所就诊的普通患者。1992年期间该中心的消费者以及人力和物力资源。
针对发现的问题采取纠正措施。
我们对全科医生在1月使用的10%的病历以及2月、3月和10月使用的5%的病历进行了系统抽样分析。我们发现消费者病历的所有部分都有整体改善。显示不同医疗服务提供者之间记录差异的指标在连续评估中下降。共检测到26个问题。通过协调员，其中100%的问题都启动了解决方案。在团队外部的那些问题中。
尽早引入质量控制意味着可以检测到问题，并采取措施提高质量、使其同质化以及激发团队活力。消费者病历的质量、问题的检测与纠正措施的启动以及使用简单、实用且可行的方法是关键。
