| 病案首页与单病种管理 |
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| 引用本文： | 赵正慧,汪虹,任作雷.病案首页与单病种管理[J].中国病案,2010,11(9):49-50. |
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| 作者姓名： | 赵正慧 汪虹 任作雷 |
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| 作者单位： | 湖北华中科技大学同济医学院附属荆州医院,荆州市,434020 |
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| 摘 要： | 目的病案首页是病案的窗口,是病案的精髓;是信息交流的枢纽。方法查找病案首页信息中存在漏填、错填和填写不规范的问题影响了单病种标准化管理。结果通过对单病种的质量控制,对病案首页存在的缺陷进行核查,提出改进建议,提高了病案首页的书写的质量,保证单病种的标准管理。
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| 关 键 词： | 病案首页 质量管理 单病种 |
The Front Sheet of Medical Record and Mono disease Management |
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| Zhao Zhenghui,Wang Hong,Ren Zuolei.The Front Sheet of Medical Record and Mono disease Management[J].Chinese Medical Record,2010,11(9):49-50. |
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| Authors: | Zhao Zhenghui Wang Hong Ren Zuolei |
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| Institution: | , The Affiliated Jingzhou Hospital of Tongji Medical College,Huazhong University of Science and Technology,Jingzhou 434020,Hubei Province,China |
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| Abstract: | Objective The front sheet of medical record is the window and essence,which also plays a key role in information communication. Methods The missed,mistake and irregular information in front sheet of medical record which affected the standardized management of mono-disease was found. Results Through improving the quality control of mono-disease and checking defects in front sheet of medical record,improvement suggestions were proposed to enhance the writing quality and achieve standardized management of mono-disease. |
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| Keywords: | front sheet of medical record quality management mono-disease |
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