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病案的质量管理是医院医疗质量管理中的重要内容,做好病案的质量控制,是提高医疗质量的重要途径。本文总结了近三年的病案书写中出现的缺陷及制定的相应措施。
Quality management of medical records is an important part of medical quality management in hospitals. Quality control of medical records is an important way to improve medical quality. This article summarizes the shortcomings in writing the medical record in the past three years and the corresponding measures.