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一、病案资料的收集:我院是本地区唯一规模较大的医院,床位420张,日均门诊量460人次,年出院病人数1.1444万次。为了提高我院病案资料的收集工作,每大科室有专人负责到各科室回收出院病案及日报,做到工作日誌,病人入院日表、回收销号现场核对,及时催收,确保病案资料的及时性,真实性和完整性。
First, the collection of medical records: Our hospital is the only large-scale hospital in the region, with 420 beds, a daily average of 460 outpatient visits, and an annual discharge of 11,444 patients. In order to improve the collection of medical records in our hospital, special personnel are responsible for the recovery of medical records and daily reports from various departments, and the work log, the patient admission table, and the number of the recovery and sales number are checked on site to promptly collect and ensure the timeliness of medical records. , authenticity and integrity.