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病案是医疗工作的全面记录,记载着有关疾病的发生、发展及变化过程,诊疗经过和效果诸方面的重要资料。病历书写质量不但真实地反映一所医院的管理水平、医疗质量、技术水平,也从一个侧面反映了医护人员的技术水平、工作态度、责任心。加强病历书写管理,提高医疗质量已经成为广
A medical record is a comprehensive record of medical work and records important information about the occurrence, development and changes of the disease, the diagnosis and treatment, and the effects. The quality of medical record writing not only truly reflects the management level, medical quality and technical level of a hospital, but also reflects the technical level, work attitude and responsibility of medical staff from one aspect. Strengthen medical records management, improve the quality of medical care has become wide