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提高病案质量从源头抓起
引用本文:李恬,张龙友.提高病案质量从源头抓起[J].中国病案,2009,10(7):17-18.
作者姓名:李恬  张龙友
作者单位:首都医科大学附属北京天坛医院病案科,北京市,100050
摘    要:目的探索提高病案质量的最佳方法。方法以检查分析为主,促提高病案质量,从源头抓影响病案质量的因素。结果以检查为主的方法难以提高病案质量,病案质量好坏受源头因素的限制。结论提高病案质量应从源头抓起。

关 键 词:病案质量  检查  影响因素  对策

The headstream factors affecting the quality of case history should be emphasized if the quality of case history be improved
Li Tian,Zhang Longyou.The headstream factors affecting the quality of case history should be emphasized if the quality of case history be improved[J].Chinese Medical Record,2009,10(7):17-18.
Authors:Li Tian  Zhang Longyou
Institution:Li Tian, Zhang Longy- ou. (Department of Adminstering Case History, Beijing Tian - Tan Hospital, Capital Medical University, Beijing 100050)
Abstract:Objective To explore the best way of improving the quality of case history. Methods To analyse the insufficiency of the way of check - up used for improving the quality of case history and the headstream factors affecting the quality of case history. Results It is difficult to improve the quality of case history when the way of check - up is used. The quality of case history is limited by the headstream factors. Conclusions The headstream factors affecting the quality of case history should be emphasized if the quality of case history be improved.
Keywords:Quality of case history  Check - up  Affecting factors  Countermeasure
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