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病案管理是医院科学管理的重要组成部分,也是医院现代化管理的重要环节。随着社会的进步和《医疗事故处理条例》的出台,病案管理的模式也随即发生了深刻变化,依法管理病案、依法利用病案,对病案管理提出了更新更高的标准。在新形势下,提高病案管理质量,必须打破传统病案管理方法滞后局面,建立反映病案管理质量的指标体系,实行病案管理全员全过程质量控制,对病案采取封闭式管理和开放型服务的管理模式,要应用新理论、新技术、新方法管理和使用病案,促进病案管理工作的不断发展。
Medical record management is an important part of hospital scientific management and an important part of modern hospital management. With the advancement of society and the promulgation of the Regulations on the Handling of Medical Accidents, the medical record management model has undergone profound changes. The management of medical records according to law and the use of medical records in accordance with the law have raised new and higher standards for the management of medical records. Under the new situation, to improve the quality of medical record management, it is necessary to break the lagging situation of traditional medical record management methods, establish an index system that reflects the quality of medical record management, implement quality control throughout the entire process of medical record management, and adopt closed management and open service management for medical records. The model requires the application of new theories, new technologies, and new methods to manage and use medical records to promote the continuous development of medical record management.