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网络模式在病历归档规范化管理中的应用
引用本文:张德凤. 网络模式在病历归档规范化管理中的应用[J]. 中国医药指南, 2012, 0(27): 10-11
作者姓名:张德凤
作者单位:解放军第254医院五官科,天津 300142
摘    要:
目的通过百泰网络探讨病历归档规范化管理的模式。方法通过网络对归档的病历进行快速、便捷的核查病历、化验单等页数,然后提交病案室,病案室及时记录科室病历归档的时限、病历的页数同时进行优化病历统计工作。结果规范了医院工作中病历归档便捷管理的工作流程,形成了医疗部门对归档病历质量实时的监控、检查、评价的基础依据,充分发挥了网络化管理的优势,加大了质量监管力度,全面提升了医院病案质量,缩短了医护工作量。结论通过网络进行病历归档,保证了病历的完整性、真实性、归档的及时性、规范性,方便了病历管理者的质控性,提升了全院医务人员病历书写的整体素质,提高了归档管理的现代化水平。

关 键 词:网络模式  规范化管理  病历归档

Network Mode in the Medical Record Filing of the Application of the Standardized Management
ZHANG De-feng. Network Mode in the Medical Record Filing of the Application of the Standardized Management[J]. Guide of China Medicine, 2012, 0(27): 10-11
Authors:ZHANG De-feng
Affiliation:ZHANG De-feng (Department of ENT, Liberation Army 254th Hospital, Tianjin 300142, China)
Abstract:
Objective Through the network's medical records of standardized management discussed file pattern. Methods Through a network of filing for the records of fast and convenient check medical records, paper etc pages, and then submit medical record room, medical record room timely recording medical records the time limit, department filing medical records and the number of pages of the optimized case statistical work. Results The hospital records of standard file convenient management work process and has formed the medical department to file the quality of medical records from the real- time, inspection, evaluation according to the foundation, give full play to the advantage of the network management, increasing the quality supervision, comprehensive upgrade of the hospital medical record quality and shorten the medical work. Conclusion Through the network to carry on the medical record filing, to ensure the integrity of the medical records, authenticity, filing timeliness, standardization, convenient the medical records of managers of quality, and enhance the medical staff including case file writing overall quality, improve the management level of modernization of the file.
Keywords:Network mode  The standardization of management  Medical record filing
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