目的探讨如何依法书写和管理病案,提高病案质量。方法通过对住院病案质量检查,结合文献查阅法,对病案书写质量存在的问题和病案管理质量中存在问题、影响因素和对策进行归纳、分析。结果归纳出病案质量存在的问题和法律法规要求,总结了影响病案质量的因素,提出具体对策。结论通过共同努力,依法管理病案,病案质量一定会得到保证和提高。 Objective To explore how to write and manage medical records according to law and improve medical record quality. Methods Through the examination of the quality of inpatient medical records, combined with the literature review method, the existing problems in the medical record writing quality and the problems in medical record management quality, the influencing factors and countermeasures were summarized and analyzed. The results summed up the problems existing in the quality of medical records and the requirements of laws and regulations, summarized the factors that affect the quality of medical records and put forward specific countermeasures. Conclusion Through joint efforts and management of medical records according to law, the quality of medical records will surely be guaranteed and enhanced.