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医院病案信息在临床科研中的作用 被引量:5

The Role of Hospital Medical Record Information in Clinical Research
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摘要 病案信息在医院各个领域发挥着越来越重要的作用。通过分析病案信息在医院临床科研中的作用及应用情况,提示病案信息是临床医疗和科研的重要资料来源。病案信息的收集、整理、归纳和分析对医疗和科学研究起到了数据支撑作用,随着时代的发展病案记载了不同阶段不同时期医疗水平的进展,不仅是宝贵的历史教材,也是珍贵的科研资料。随着医院信息化水平的提高,病案信息管理也走入信息时代,利用先进的信息化手段更快捷准确的为临床科研提供服务是当前病案管理工作的重要任务。 Through the clinical application analysis of the hospital case management, to enhance the awareness of the hospital case management information management work, to clarify the importance of the case management information management work, to innovate the concept of management, to create a systematic comprehensive file management platform, and to improve modernization.Through the analysis of the clinical application of hospital records management, the problems in hospital records management were found, the corrective measures and optimization plan of hospital records management were put forward, and the future development direction of hospital records management was clarified. The supervision and management platform of hospital records management is relatively backward, and there are a lot of loopholes in management. Although file management has important reference value for clinical research, there are many places that need to be rectified and improved. Management does not pay enough attention to file management. The training of medical personnel's record management ability, forming the management means of the formal system, establishing the management platform, innovating the management model, to improve the comprehensive management ability of hospital medical personnel and the comprehensive quality of management personnel to improve the application ability and management level of medical records management in clinical research.
作者 卞琳琳 郭秀海 梁阔 金剑 杨静芳 孙冬悦 Bian Linlin;Guo Xiuhai;Liang Kuo;Jin Jian;Yang Jingfang;Sun Dongyue(Xuanwu Hospita of Capital Medical University,Beijing 100053,China)
出处 《中国病案》 2018年第10期3-5,共3页 Chinese Medical Record
关键词 病案信息 管理 临床科研 应用 Medical record information Management Clinical research Application
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