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目的通过探讨病案质检工作的新思路、新方法,以达到提高病案质量,从而提高医疗质量的目的。方法运用现代医院管理的理论知识,结合病案质检的实际将理论知识融于实践之中。结果改进了病案质检的工作模式,由单一质检转变为多元化工作模式。结论环节病历质量、终末病历质量都得到了很大提高,同时强化了临床的质量意识和自我保护意识。
Objective To explore the new ideas and methods for the quality inspection of medical records in order to achieve the goal of improving the quality of medical records and improving the quality of medical care. Methods The theoretical knowledge of modern hospital management was used to integrate theoretical knowledge with practice of medical records. As a result, the work model for the quality of medical records has been improved, from a single quality inspection to a diversified work model. Conclusion The quality of the medical records and the quality of the final medical records have been greatly improved. At the same time, the clinical awareness of quality and self-protection have been strengthened.