职业危害指在生产劳动过程及其环境中产生或存在的对职业人群的健康、安全和作业能力可能造成不良影响的一切要素或条件的总称[1]。随着病案的放开,允许患者复印病历,农村合作医疗报消比例的提高,住院人数剧增,病案室工作量剧增。病案室护士在一个特殊的工作环境中,承担着病案的回收、整理、排序、装订、护理病历的终末质控及病历复 Occupational hazards are collectively referred to as all the elements or conditions that may be adversely affected by the health, safety and work ability of the occupational population that arise or exist in the production process and in the environment. With the opening up of medical records, patients are allowed to make copies of medical records, the proportion of canceling rural cooperative medical institutions is increased, the number of inpatient visits is soaring, and the workload of medical records rooms soars. The case nurse in a special working environment, bear the record recovery, sorting, sorting, binding, nursing records of the end of the quality control and medical records