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通过引进计算机管理系统编制整体护理病历 ,有效地解决了以下问题 :①护士提出“护理问题”的准确性。②较全面、直观地展示护理病历的主要内容。③规范护理病历书写格式 ,提高书写质量。④大大节省护士书写病历的时间 ,从而减少护士从事的非直接护理时数。
Through the introduction of a computer management system to compile the overall nursing medical records, the following problems were effectively solved: 1The nurse put forward the accuracy of the “nursing problem”. 2 more comprehensive and intuitive display of the main content of nursing records. 3 standard care record writing format to improve the quality of writing. 4 Significantly reduce the time for nurses to write medical records, thereby reducing the number of non-direct nurses engaged in nurses.