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探讨长期以来由于门急诊挂号给病案管理工作带来的难点问题和解决方法。通过实名制挂号、建卡;设立专门建病案窗口;专业人员充实挂号岗位;添置挂号和银医服务的设备;改变患者就诊设施等整改措施,尽量减少由于挂号采集患者信息的不准确给医师病历书写、患者复印报销以及病案管理工作造成的一系列问题发生,提升病案质量和管理水平。
To discuss the difficulties and solutions that have long been brought to the medical record management by the emergency department. Establish a special case record window; professionals fill the registration post; purchase of registered medical services and silver equipment; change patient treatment facilities and other corrective measures to minimize the registration of patients due to inaccurate information collected to the doctor’s medical records , Patient reimbursement and medical record management caused a series of problems, improve the quality and management of medical records.