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目的 :探究医院病案管理质量中存在的问题及对策,以促使医院病案管理水平得到提升。方法 :采集我院150份存在问题的病案,并针对该病案进行回顾性分析与检查,找出其中存在的管理问题,从而提出解决的措施。结果 :该150份病案中,存在内容质量问题的有87份,占据比例56.67%;而存在管理质量问题的有65份,占据比例43.33%。结论 :医院病案管理中,医院管理者应树立较强的病案管理意识,建立健全的病案管理制度,促使病案管理达到专业化、规范化标准,提高医院病案管理效率。
Objective: To explore the problems and countermeasures in the quality of medical records management in hospitals so as to promote the medical records management in hospitals. Methods: We collected 150 cases of medical problems in our hospital, and retrospectively analyzed and checked the medical records to find out the management problems and put forward the solutions. Results: Among the 150 cases, there were 87 content quality problems, accounting for 56.67% of the total. Among 65 cases, 65 were quality management issues, accounting for 43.33% of the total. Conclusion: Hospital medical record management, hospital managers should establish a strong awareness of medical record management, establish a sound medical record management system, and promote medical record management to achieve professional and standardized standards and improve the efficiency of medical record management.