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病历质量的影响因素与管理对策
引用本文:鲍萍. 病历质量的影响因素与管理对策[J]. 安徽卫生职业技术学院学报, 2006, 5(4): 7-8
作者姓名:鲍萍
作者单位:安徽省立医院质控处,合肥,230001
摘    要:探讨病历质量管理问题.通过分析病历质量的影响因素主要是医生法制观念不强、质量观念淡薄、医务人员对病历书写要求掌握不够、三级查房未到位、病历质控管理措施不到位等.提出管理对策包括健全病历质量管理组织、加强医德和病历质量教育、实行病历质量规范化监控、建立相对合理的奖惩机制等.

关 键 词:病历质量  影响因素  管理  病历质量  影响因素  管理对策  countermeasures  management  quality  case history  奖惩机制  相对合理  监控  质量规范化  质量教育  医德  加强  管理组织  管理措施  质控  三级查房  病历书写  医务人员
文章编号:1671-8054(2006)04-0007-02
修稿时间:2006-04-03

The influential factor of case history quality and its management countermeasures
BAO Ping. The influential factor of case history quality and its management countermeasures[J]. Journal of Anhui Heaith Vocational & Technical College, 2006, 5(4): 7-8
Authors:BAO Ping
Abstract:To explore the quality management of the case history.By analyzing the chief factors,including poor case history quality,the doctor having a poor sense of law and quality,medical staff having no great grasp of demands,incompletely practising the third class ward-check,and something like that.The management countermeasures include perfection organization,strengthening education of medical ethics and case history quality,carrying on supervision of case history quality and setting up rewards and punishment mechanism.
Keywords:case history quality  influential factor  management
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