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提高病案管理及病历书写质量的思考和实践 被引量:34

Thinking and Practice of Improving the Medical Record Management and the Quality of Writing
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摘要 实行出院病历收集"对接"制度、病案编码"复核"制度、病案"封闭式"供应制度、病案复印"预约"邮寄模式、提升"人性化"服务理念;坚持学习培训长效机制、落实病案三级质控机制、建立病历书写激励机制,有效提高了病案管理和病历书写质量。 We should implement connect system, medical record coding re-check system, medical record closed supply system, medical record copy appointment mail mode, and promote hommization service concept. We should persist training and learning long-term mechanism, implement mechanism of quality control in three levels record management, establish medical record writing incentive mechanism, finally effectively improve raedi- cal record management and the writing quality of medical record.
作者 车莉
出处 《中国病案》 2013年第1期36-37,共2页 Chinese Medical Record
关键词 病案管理 病历书写 质量管理 Medical record management Medical record writing Quality management
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