论文部分内容阅读
某院以卫计委颁布的5三级综合医院评审标准(2011版)6中的重点手术为抓手,针对临床医师的专业特点开展了按照手术分类原则进行病案首页手术信息的规范化填写培训,包括向临床医师普及对重点手术的知晓、手术分类基础知识、主要手术的选择、专科手术分类要点,并注重沟通及扩充编码工作,普及了ICD-9-CM3知识,促进了评审工作开展,提高疾病分类编码的准确率。
According to the professional characteristics of clinicians, a hospital was established according to the principle of operation classification, and the first page of medical records was formalized and filled in according to the principle of operation classification. Including popularizing the knowledge of key surgery, the basic knowledge of surgical classification, the choice of major surgery and the classification of specialists in clinic, popularizing the knowledge of ICD-9-CM3 and promoting the review work and improving Disease classification coding accuracy.