摘要
目的改进病案复印审批程序,提升患者对病案复印的满意度。方法设计病历复印申请书(分上下两联),由临床科室填写,上联随病历回病案科,下联交患者用于取病历复印件,实现临床科室和病案管理人员双重审批,减少复印中间环节。结果改进后的审批流程提高了临床医护人员对病历书写的重视度,病历归档及时,减少了医患纠纷。结论病案复印审批程序的改进得到临床医师和患者的认可,更加有利于病案管理。
Objectives improving examination and approval procedure for medical records duplication in order to increase satisfaction degree from patients.Methods To design an application form of medical records duplication（with 2 same pages）,filling by clinical departments,one page go with the medical record to medical records office,the other one are given to patients for their getting duplication of medical records,which can achieve double examination and approval between clinical departments and manager from medical records and intermediate link of duplicate.Results The examination and approval procedure after improving not only enhance value degree of clinical medical staffs to medical records writing and timely filing of medical records,but also reduce doctor-patient tangle.Conclusions The improvement of examination and approval procedure of medical records is approved by clinical doctors and patients that are more beneficial to medical records management.
出处
《中国病案》
2011年第7期14-15,12,共3页
Chinese Medical Record
关键词
病案复印
病案管理
审批程序
Duplication of medical records
Management of medical records
Examination and approval procedure
