结果在护理记录中加强书写和管理工作的规范，加强护理人员的责任意识。
The result strengthens to write in the nursing the record with management work of norm, strengthen the nursing personnel's responsibility consciousness.
结果护理记录合格率从91.2%提高到95.8%，护理人员的书写能力及专科知识水平均得到提高。
Results as a result, the qualified rate of nursing records increased from 91.2% to 95.8%, and the nurses' ability of writing and specialty knowledge had been improved obviously.
方法电子护理记录组50份，手写护理记录组50份，比较两组记录书写时间、书写质量及存在的问题。
Methods A total of 50 copies of electronic nursing records and 50 copies of hand-written nursing records were compared in terms of writing time, writing quality and shortcomings.
前言：目的：分析护理记录单书写存在的问题，提高护理记录质量。
Objective: To analyze the questions of writing nursing records, for improving quality of nursing records.
方法从临床护士对病人进行直接护理的质量、护理文件书写记录的质量、个人专业成长、职业道德等四方面，共21条内容对我院785名临床护土进行年度绩效考核。
Methods: we assessed 785 nurses from direct nursing quality, quality of nursing document, individual specialty development, and vocation morality. There were 21 items in the assessment scale.
方法：建立“记录”制度，运用护理程序实施护患沟通，规范书写内容。
Method: Establish record system, and communicate with patients, then write down the contents.
注重提高护士的综合素质，增强法律意识及对护理记录书写重要性的认识，保证护理记录书写质量，进一步提高护理安全管理系数。
Nursing staff should think highly of the importance of nursing records and guarantee the quality of records, so as to improve the coefficient of safe management in nursing.
结论电子护理记录书写时间短，操作简单快捷，病历整洁，提高了工作效率及护理文书质量。
Conclusion Electronic nursing records, being simple to use and less time needed, neater and clearer, will improve...
结论实施电子病历环节质量管理可减少护理病历记录缺陷和提高护理病历书写质量。
Conclusion Process quality control of the ECHs can reduce recording defects and promote nursing records quality.
结论实施电子病历环节质量管理可减少护理病历记录缺陷和提高护理病历书写质量。
Conclusion Process quality control of the ECHs can reduce recording defects and promote nursing records quality.
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