论文部分内容阅读
目的探讨打印病案存在的问题,以便制定相应的制度,加强质量管理。方法总结实施计算机打印病案以来质检过程中发现的问题。结果病案拷贝缺陷及打印不规范是目前的主要问题。结论强化医务人员的责任意识及法律意识,强化职能部门对病案环节质量管理,杜绝病案拷贝现象。
Objective To explore the existing problems of printing medical records in order to formulate the corresponding system and strengthen the quality management. Methods To summarize the problems found in the quality inspection during the implementation of computerized medical records. Results of the medical record copy defects and non-standard printing is the main problem. Conclusion The medical staff should reinforce their sense of responsibility and legal awareness, strengthen functional departments’ quality management of medical records and prevent the copying of medical records.