| 电子病案首页常见缺陷分析 |
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| 引用本文： | 陈寰.电子病案首页常见缺陷分析[J].安徽卫生职业技术学院学报,2012(5):4-5. |
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| 作者姓名： | 陈寰 |
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| 作者单位： | 安徽医科大学第一附属医院,合肥230001 |
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| 摘 要： | 探讨电子病案首页的填写和管理问题。结合临床实践对采用了ICD-10疾病编码及手术操作编码的电子病案首页录入质量进行分析,归纳总结出常见缺陷,并提出针对性的改进措施,有效提高病案首页质量。
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| 关 键 词： | 病案首页 病案质量 电子病案 |
Common Defects Analysis of First Page of Electronic Medical Record |
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| CHEN Huan.Common Defects Analysis of First Page of Electronic Medical Record[J].Journal of Anhui Heaith Vocational & Technical College,2012(5):4-5. |
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| Authors: | CHEN Huan |
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| Institution: | CHEN Huan No.1 Affiliated Hospital of Anhui Medical University,Hefei 230001,Anhui |
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| Abstract: | This paper analyzed first page quality of electronic medical records which adopted ICD-10 disease coding and surgery operation coding,summarized and classified the common defects,and put forward various measures accordingly,thereby effectively improving the quality of first page of medical records. |
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| Keywords: | first page of medical record electronic medical record medical record quality |
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