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对因症就诊病例及时确定诊断,减少过诊、漏诊和漏登,是基层门诊的一项主要内容。然而对此项工作如何进行质量控制,各地做法不同,本区在这方面采取的一些措施,取得一定的效果。一、具体措施 1.实行病案讨论定诊①对初诊病例限1周内完成各项检查。包括3次痰涂片、1次痰培养及血尿、常规,肝功和X线片等。②确定诊断,须经病案讨论会决定。③每周召开病案讨论会,将一周内的全部新病例,提交讨论会定诊。
It is a major component of primary clinics to timely diagnose and reduce the number of cases of diagnosis and treatment, misdiagnosis and omission on the case of illness and consultation. However, how to carry out quality control over this work and different practices in different places have taken some measures in this area and achieved some results. First, the specific measures 1. Implementation of the medical record consultation ① the newly diagnosed cases within 1 week to complete the inspection. Including three sputum smear, sputum culture and hematuria, routine, liver function and X-ray and so on. ② determine the diagnosis, subject to the medical record discussion will be decided. ③ weekly medical record seminar, all new cases within a week, submitted to the consultation clinic.