| 加强病案规范管理 提高病案内涵质量 |
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| 引用本文： | 陈爱娟,卓安山.加强病案规范管理 提高病案内涵质量[J].中国病案,2010,11(1):22-24. |
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| 作者姓名： | 陈爱娟 卓安山 |
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| 作者单位： | 解放军第411医院质量控制科,上海市,200081 |
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| 摘 要： | 病案是病人住院期间医疗活动的原始记录，是综合评价医院医疗质量、技术和管理水平的依据，也是依法执业、保护医患合法权益的最直接证据。因此，加强规范化管理，不断提高病案内涵质量和医疗质量，是医院赖以生存和发展的生命线。
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| 关 键 词： | 病案 内涵质量 管理 |
Strengthening the Standardized Management to Improve the Content Quality of Medical Records |
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| Chen Aijuan,Zhuo Anshan.Strengthening the Standardized Management to Improve the Content Quality of Medical Records[J].Chinese Medical Record,2010,11(1):22-24. |
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| Authors: | Chen Aijuan Zhuo Anshan |
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| Institution: | Chen Aijuan.Department of Quality Control,411 Hospital of Chinese PLA,Shanghai,200081 Zhuo Anshan.Respiratory Department,200081 |
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| Abstract: | Medical records,the original record of patients' medical care during the hospitalization,is not only the basis for comprehensively evaluating the quality,technology and management of the hospital,but also the direct evidence for practicing medicine according to law and protecting the legal rights and interests of patients and doctors.Therefore,it is the survival and developmental lifeline that hospitals depend on to strengthen the standardized management and improve the quality of medical records' content a... |
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| Keywords: | medical records content quality management |
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