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规范病案表格的管理体会
引用本文:任年玲,仇豫江,生刚,王永清. 规范病案表格的管理体会[J]. 中国病案, 2011, 12(12): 10-10,14
作者姓名:任年玲  仇豫江  生刚  王永清
作者单位:黑龙江省农垦牡丹江管理局中心医院,密山市,158300
摘    要:规范病案表格是提高病案质量和病案法律效力的有力保障。病案表格内容、格式和纸张规格直接影响病案法律效力和病案美观。《黑龙江省病历书写规范》对全省病案表格的内容、格式与纸张大小作出明确要求。规范和统一病案表格,使住院病案外表更加美观,格式更加规范。方便患者、司法机关和保险机构对病案的利用。同时为推动医院信息化实施电子病案打下基础。

关 键 词:病案表格  规范  管理

The Experiences of Standardizing the Management of Medical Records Forms
Ren Nianling,Qiu Yujiang,Sheng Gang,Wang Yongqing. The Experiences of Standardizing the Management of Medical Records Forms[J]. Chinese Medical Record, 2011, 12(12): 10-10,14
Authors:Ren Nianling  Qiu Yujiang  Sheng Gang  Wang Yongqing
Affiliation:Ren Nianling,Qiu Yujiang,Sheng Gang,Wang Yongqing,Central Hospital of State-owned Mudanjiang Management Bureau,Mishan 158300,Heilongjiang Province,China
Abstract:The standard medical record forms are the strong guarantee of improving medical records quality and legal effect of medical records.The contents,format and paper size of medical records directly affect the law effect and beauty of medical records.Writing Norms of Medical Records of Heilongjiang Province makes clear requirements of the contents,format and paper size of medical records in the whole province.A standard and unified medical records form makes that the outward appearance is more beautiful and the...
Keywords:Form of medical record  Norm  Management  
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