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本文阐述了该院在当今病案信息电子化快速发展的年代,如何使电子病案的管理能同步走向规范化,重点从三大方面进行了经验介绍。1、建立规范的电子病案管理组织架构,做到组织保证;2、从制度建立、质量监控、系统保存、归档管理、分级管理、使用管理等方面积极探讨电子病案管理规范化的内涵;3、探索制定基于数字签名认证中心(CA)的电子签名工作规范。通过上述各方面的探讨和实践,取得了较好的电子病案管理成效。
This article expounds how the hospital can synchronize the management of electronic medical records to standardization in the era of rapid electronic information development in today’s medical records, and focuses on the experience from three aspects. 1. Establish a standardized electronic medical records management organization structure and ensure organizational guarantees; 2. Actively discuss the connotation of standardization of electronic medical record management from system establishment, quality control, system preservation, archive management, hierarchical management, and use management; Develop a digital signature authority (CA)-based electronic signature job specification. Through the above discussion and practice in all aspects, we have achieved better results in the management of electronic medical records.