论文部分内容阅读
病案质量是衡量医院管理水平、临床科室基础医疗质量、医护人员素质的重要内容。它不仅记载着病人住院期间的整个病情变化及治疗护理的全过程,而且具有法律依据和凭证的作用,因此搞好病案管理对医院的医疗、教学、科研等都有着重要的意义。故探讨如何强化管理措施、不断提高病案质量,才能促进医疗技术水平的提高。 1.病案管理现状 病案管理人员不足,根据《省地市综合性医院管理基本工作草
The quality of medical records is an important content to measure the level of hospital management, the quality of basic medical services in clinical departments, and the quality of medical personnel. It not only records the patient’s entire illness during hospitalization and the whole process of treatment and care, but also has the role of legal basis and credential. Therefore, improving the management of medical records has important implications for the hospital’s medical treatment, teaching, and scientific research. Therefore, how to strengthen management measures and continuously improve the quality of medical records can promote the improvement of medical technology. 1. Current status of medical record management The number of medical record management personnel is insufficient. According to the Basic Work of Provincial Hospitals for Comprehensive Hospital Management