论病案信息管理的重要职能

病案管理是医院现代化管理的重要组成部分,病案信息的使用已从单纯的查询、医学教研延伸、扩展到社会经济生活的各个领域,其特有的原始创造性、唯一性更加显示出其重要作用。因此,强化医院病案管理工作,狠抓病案质量,认真书写病案,确保病案内容的准确和完整,做好疾病编码、录入、检索工作,充实和完善病案信息库,严格遵守病案管理制度,保管好病案,保证病案信息的安全有效使用,全方位地服务于社会,适应时代的需求,是新形势下对病案信息管理者的基本要求。

On the Function of Information Management in the Medical Record

Managing the information in the medical record is an important part of the modern hospital management.With the development of the society,its model of management has been formed from simply finding out medical records,medical teaching and researching to every domain of the social economic lives.It has shown its importance for its special primitive creativity and uniqueness.Therefore,it's the basic requirement of the man- aging of the information in the new situation of strengthening the function of the management of the information,paying attention to the medical record management,paying close attention to the quality of the documentation of the medical record,making sure the accuracy and completeness of the con- tent of the medical record,coding the diseases well,record and search enriching and perfecting the storehouse,observing the system of the safety and effectiveness of uses of the medical record,serving the society overall,and adapting the requirement of the times. This essay discusses it from four aspects as follows:(1) The important role of the medical record in the management of the hospital (2) To elaborate the function of the medical record.It's the important guarantee to improve the qualities of the managers.(3) How toelaborate its initiative and activity of the de- partment of the information.(4) Opening up the resources of the medical record,extending the function of the cases,serving the society better.