电子病历书写的问题及改进措施

Problems existed in Writing of Electronic Medical Records and its Countermeasures

随着信息社会的发展,电子病案已逐步取代手工书写病历,通过对电子病案的质量追踪,找出存在的问题并提出改进措施,使病案信息更好的为医、教、研服务。

With the development of information society,electronic medical records has been gradually replacing the hand-written medical records; quality tracking was done on electronic medical records to identify existing problems and propose strategies,which allows medical records information to provide better services for the medical,teaching and research.