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某院的病案管理在医院评审中暴露出诸多问题,如科室管理薄弱,人员知识结构以及工作职能等方面存在不足,影响了科室建设,对医院的电子病历及信息化建设带来不利影响。在医院评审前,自查医院实际工作中存在的问题,进行相应的整改。通过加强科室组织建设,调整科室领导结构,注重员工专业素质培养等措施,全面促进病案科建设,使医院病案管理质量和服务能力得以提升。
Hospital medical records management revealed many problems in the hospital review, such as weak department management, personnel knowledge structure and job functions and other deficiencies, affecting the department building, the hospital’s electronic medical records and information technology to bring adverse effects. Prior to the hospital review, self-examination of the actual problems in the hospital for the corresponding rectification. By strengthening department organization, adjusting department leadership structure and focusing on staff professional quality training, it is necessary to comprehensively promote the construction of medical records and improve the quality of medical records management and service capabilities in hospitals.