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病案是医院医疗机构承载的信息资源,随着医疗改革的不断深入,医院病案相关管理制度也越来越规范,病案管理工作朝着精细化、高质量方向发展,过去单纯的病案管理工作现在已经成为信息化、规范化、科学化医疗管理系统的一部分,从医院保管的病案中可以提炼出很多具有重要价值的信息。为了向社会、患者、医院提供更好的服务,病案管理部门必须不断提高病案的管理质量,实现病案科学、合理的保存。本文主要探讨了精细化管理提高医院病案管理质量的方法。
Medical records are the information resources carried by hospital medical institutions. With the continuous deepening of medical reform, the management system of hospital medical record is also more and more standardized, and the medical record management work towards refinement and high quality. In the past, simple medical record management has now been implemented As part of the information, standardization and scientific medical management system, many valuable information can be extracted from the medical records kept in the hospital. In order to provide better services to the society, patients and hospitals, the medical records management department must continuously improve the quality of the medical records management and achieve scientific and rational medical records. This article mainly discusses how to finely manage the quality of medical records management in hospitals.