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病案书写质量是医疗质量的基础,也是医院分级评审考核的重要内容之一,病案质量从一个侧面反映了医院的医疗质量。所以,各家医院都非常重视病案质量的提高。为了评价病案质量,经常采用的方法是住院医师自查和组织专家检查相结合。但在自查和检查中,普遍出现自查的病案质量甲级率
The writing quality of medical records is the basis of medical quality, and it is also one of the important contents of the assessment and evaluation of hospitals. The quality of medical records reflects the medical quality of the hospital from one side. Therefore, each hospital attaches great importance to the improvement of the quality of medical records. In order to assess the quality of medical records, the method often used is a combination of a self-examination of resident physicians and an organization of expert examinations. However, in the self-examination and inspection, the self-examination of the quality of the medical record A grade