循证医学在病案质量管理中的应用

Application of Evidence-based Medicine in Quality Control of Medical Records

本文介绍了循证医学的概念及对临床的实践指导作用,要求按照循证实践的要求书写病案,提出问题,检索证据,列出各证据的结果,评价证据的真实性,结合临床经验与最好证据对患者进行处理,并对效果进行评价,要以循证实践的观点强化病案质量,提高人员素质,坚持动态病案质量管理,完善对临床实践路径的管理。

The concept and guideline action of evidence -based medicine were introduced, and then the measures to improve quality of medical records with it were proposed as following the demand of it to write the medical record, listing the results of evidence, prove the authenticity of the evidence, treating the patients combining clinic practice with best evidence and evaluating the effects. With the idea of evidence - based medicine, the quality of medical records could be enhanced, and the management of clinic practice path could be perfected.