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为了加强病历书写工作,提高医疗质量,163医院于去年8月举办了1次全院各临床科住院军医的病历书写评比展览,评比结果全院90%的同志成绩优良。这次病历评比展览的方法是,每个军医自选1份去年上半年出院病人的住院病历,不准修改和重抄。首先由科室领导根据病历书写要求进行初评,并对每份病历的优缺点写出评语,然后将病历送医务处。医务处组织有关科主任、主治军医或高年资
In order to strengthen the writing of medical records and improve the quality of medical care, 163 hospitals held a medical records writing competition exhibition of all clinical inpatient military doctors in the hospital in August last year. The results of the assessment showed that 90% of the hospital members performed well. The way the medical records show the exhibition is that each military doctor will choose one inpatient medical record of discharged patients in the first half of last year and shall not be allowed to amend or duplicate it. First of all by the leadership of the department under the medical record writing requirements for the initial evaluation, and each medical record the advantages and disadvantages write reviews, and then the medical record to the Medical Service. The medical department organizes relevant section chiefs, attending military doctors or senior citizens