加强和提高医院工作质量和管理质量是提高整个医疗水平的基础,病案质量管理是整个医疗水平的重要组成部分。随着医疗信息使用范围的不断扩大,利用率的不断增加,对病案的质量要求也越来越高。由单纯为医疗系统的临床教学,科研服务,发展到为多个领域的服务,如伤残鉴定、医疗纠纷, Strengthening and improving hospital work quality and management quality is the basis for improving the entire medical level. The quality management of medical records is an important part of the entire medical level. With the continuous expansion of the use of medical information and the continuous increase in the utilization rate, the quality requirements for medical records are also increasing. From the clinical teaching and research services of the medical system to the services in various fields, such as disability identification and medical disputes,