摘要
通过调查门诊病历书写中存在的缺陷,深入分析门诊病历缺陷产生的社会、医院、医师等各方面的原因,探讨在门诊病历格式上的合理改进,三级质控机制的落实、加大监管力度等方法,努力提高门诊病历质量。
To investigate the defects existing in out-patients＇ medical records, and analyze its reason from aspects such as hospital, society and doctors. Then discuss the appropriate improvement measures in the style of out-patients＇ medical records, put three-level quality control mechanism in- to practice, strengthen supervision, and finally improve the quality of out-patient records.
出处
《中国病案》
2012年第9期6-8,共3页
Chinese Medical Record
关键词
门诊病历
缺陷
对策
Out-patient records
Defects
Countermeasures
