病案管理是一门科学,它受科学技术和社会发展的制约。由于历史的原因,许多单位对病案管理这门现代管理科学不够重视,致使病案管理中存在许多问题。 首先,出门诊病案大于归入的病案,其原因很多,有的是病人拿走,有的是科室留用,有的是病案管理人员在中间环节丢失等等。第二是工作人员责任心不强,在装订和归档中出现错订错归现象,给病人复诊带来 Case management is a science, which is constrained by science and technology and social development. Due to historical reasons, many units have paid less attention to the modern management science of medical record management, resulting in many problems in the management of medical records. First of all, there are many reasons for outpatient visits, which are caused by patients being taken away, some are left in the departments, and some are lost in the intermediate links by the medical record managers. The second is that the staff members are not very responsible. They are mistakenly registered in the binding and filing, and bring back the patient to the referral.