病案的质量直接反映了医院的医疗技术水平,是衡量医疗质量的重要标志。但在病案的形成过程中,病案缺陷仍难以杜绝,为了尽可能减少病案缺陷,本文通过对病案缺陷的成因进行剖析,从而作出相应的对策,以达到提高医院管理水平和医疗技术水平。 The quality of medical records directly reflects the level of medical technology in hospitals and is an important indicator of the quality of medical care. However, in the process of the formation of the medical record, the medical record defect is still hard to stop. In order to reduce the medical record defect as much as possible, this paper analyzes the cause of the medical record defect to make corresponding countermeasures so as to improve the hospital management level and medical technology level.