关于门诊病案若干问题的探讨

A Discussion about the Medical Records of Outpatient Department

门诊病案是医疗文书的重要组成部分,门诊病案的功能有其特殊性,在门诊病案管理中存在与书写规范、保管方式、质量控制、法律纠纷有关的诸多问题,探讨这些问题将为进一步完善门诊病案管理的各项法规提供参考意见。

The medical records of the outpatient department are important part of the medical documents. The medical records of the outpatient department are of particularity. There are many problems in the medical records of the outpatient department, including the standard of the documentation, storage, quality insurance, and lawsuits etc. We hope to improve the management of the medical record by the discussion about the problems.