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病历质量管理是医院管理中的一个重要组成部份,也是医院进行分级管理评审考核时检查的主要依据。病历是病人病情发生、发展、诊疗过程和转归的记录,是医疗、教学、科研工作的信息和资料,病历质量的优劣,可直接或间接地反映医疗教学质量的高低。在我校95计划为创“B级”医院的过程中,加强病历质量管理,对促进医院管理科学化起着十分重要的作用。
The quality management of medical records is an important part of hospital management, and it is also the main basis for the inspection of hospitals when conducting graded management assessment. The medical record is the record of the patient’s condition, development, diagnosis and treatment process and outcome. It is the information and data of medical treatment, teaching, scientific research. The quality of the medical record is good or bad, and it can directly or indirectly reflect the quality of medical education. In the course of the 95th Plan of our school for the creation of “B-grade” hospitals, strengthening the quality management of medical records has played a very important role in promoting the scientific management of hospitals.