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本文介绍了我院病历环节质控的检查方法和评分方法,病历管理的奖惩办法以及实施病历环节质控的效果。病历管理的效果取决于医院的重视程度,科室的管理力度和医生的自觉性。
This article introduced the inspection method and scoring method of quality control in medical records of our hospital, the rewards and penalties of medical records management, and the effect of quality control of medical records. The effect of medical record management depends on the hospital’s emphasis, the management of the department and the doctor’s consciousness.