目的提高病案首页信息质量,保证统计数据的准确性。方法通过对病案首页填写中存在的主要问题进行分析,并提出相应的改进措施。结果发现住院登记处和临床医师录入信息时存在许多问题,并提出办理住院时填写信息确认卡、加强对一线医生书写病案的培训等对策。结论经过病案统计室与各临床科室的沟通,重视了病案首页填写的重要性,纠正了错误,确保了统计数据的真实性、准确性。 Objective To improve the quality of medical records on the front page and ensure the accuracy of statistical data. The method analyzes the main problems existing in the first page of the medical record and proposes corresponding improvement measures. As a result, it has been found that there are many problems in the in-patient registration office and the clinician’s input of information, and it proposes countermeasures such as filling in an information confirmation card during hospitalization and strengthening the training of first-line doctors in writing medical records. Conclusion After the communication between the Medical Statistics Office and clinical departments, the importance of filling in the first page of the medical record was emphasized, and the errors were corrected, ensuring the authenticity and accuracy of the statistical data.