总结了借助医院信息化平台对病案管理流程的优化升级,包括纸质病案打印、终末病案质控、诊断编码模块等,创建一个“以更好的服务为中心”的病案管理流程,还需在理论中发现问题,在实践中进一步改善,推进病案管理向现代化、信息化管理模式大踏步迈进,使病案信息能够更好的为医院管理与国家的卫生决策提供可靠的依据,并提出精细化管理的建议供同仁参考。 Summed up the hospital information platform for the optimization and upgrading of the medical record management process, including paper medical record printing, the final record of quality control, diagnostic coding module, to create a “better service as the center” of the case management process, But also need to find out the problems in theory and further improve in practice so as to push forward the development of medical record management to modernization and informatization management mode so that the medical record information can provide a reliable basis for hospital management and national health decision making and put forward fine Management advice for my colleagues for reference.