| 规范麻醉病历书写 提高麻醉质量 |
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| 引用本文： | 刘思珠,李心宽,王敦亮. 规范麻醉病历书写 提高麻醉质量[J]. 中国卫生质量管理, 2010, 17(5): 37-38 |
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| 作者姓名： | 刘思珠 李心宽 王敦亮 |
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| 作者单位： | 陕西省商南县医院,陕西,商洛,726300 |
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| 摘 要： | 分析了由麻醉医师书写麻醉前访视记录、麻醉实施记录及麻醉术后随访记录，使三者与麻醉记录单、麻醉知情同意书等共同构成麻醉病历的方法。指出了麻醉术前访视记录、实施记录、术后随访记录的具体内容，旨在规范麻醉病历管理，提高麻醉质量，确保患者安全。
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| 关 键 词： | 麻醉病历 麻醉质量 患者安全 |
Standardizing Medical Records to Improve Quality of Anesthesia |
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| LIU Sizhu,LI Xinkuan,WANG Dunliang. Standardizing Medical Records to Improve Quality of Anesthesia[J]. Chinese Health Quality Management, 2010, 17(5): 37-38 |
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| Authors: | LIU Sizhu LI Xinkuan WANG Dunliang |
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| Affiliation: | Hospital of Shangnan County, Shangluo, Shaanxi,726300, China |
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| Abstract: | The paper studied the visiting records before anesthesia written by the anesthesiologist, implementation records of anesthesia and follow - up record after the of anesthesia, the paper also discussed method of anesthesia medical record which is composed of anesthesia record, anesthetic informed consent and the above 3 records, which aimed to regulate medical anesthetic management and improve the quality of anesthesia to ensure patient safety. |
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| Keywords: | Anesthesia Records Quality of Anesthesia Patient Safety |
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