Il ruolo della cartella clinica ai fini della valutazione della qualità per l'accreditamento istituzionale

2009

The authors carried out research aimed at evaluating the quality of some aspects of a sample of medical records compiled in the operational uniti of a hospital. A subjective evaluation criterion was used, quantified by attibuting a correct numeric value by means of a weightingdeliberation factor. None of the medical record examined were judget qualitatively excellent. The main fact missing was the documentation regarding consensus, even in those medical records judget good or sufficient.