病案复印工作存在的问题及改进措施

PROBLEMS IN COPY WORK OF MEDICAL RECORD AND THE IMPROVING MEASURES

目的改进医院病案复印工作。方法分析我院病案复印工作存在的问题,提出病案服务社会的理念;制定完善的病历复印宣传体系;保证病历的完整性和病案的及时归档和上架;病案管理人员与临床医师共同把关;开展邮寄快递的新型服务的措施。结果通过一系列措施的落实,提高了病案复印工作的效率。结论病案复印工作已成为医院病案管理的重要内容。

Objective To improve the copy work of medical record. Methods Analyze the problems consisted in copy work of medical record of our hospital; constitute perfect propaganda system of medical record copy work ; ensure integrality of medical record and timely callback putting on shelf; hold the pass by cooperation of medical record manager and clinical physicians; develop special mail delivery new service mode. Results Through a series measures put into effect the efficiency of medical record copy work is elevated. Conclusion The copy work of medical record has been an important content of medical record management.