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随着医院电了计算机网络建设的发展,电子病案已在一些医院形成。但如何确保电子病案信息安全,保持其病案的原始性、真实性是要引起人们高度重视的课题。笔者认为,除了采取安全技术措施外,从管理角度看应注意以下几点: 一、明确责任权限 从电子病案的形成开始就要责任分明。病人的经管医师应该对该病案负有全责,一个病人有多人参与诊治,有科主任,高级、中级、初级人员,还有进修、实习人员等。因此,要注意划清参与人员的责任
With the development of computer network construction in hospitals, electronic medical records have been formed in some hospitals. However, how to ensure information security in electronic medical records and maintain the originality and authenticity of its medical records are issues that people are paying high attention to. The author believes that in addition to taking safety measures, from the management point of view should pay attention to the following points: First, clarify the responsibility of responsibility From the formation of electronic medical records, the responsibility must be clear. The patient’s management physician should take full responsibility for the case. There are many patients involved in the diagnosis and treatment of a patient, a director of the department, senior, intermediate, junior, as well as further education and interns. Therefore, it is necessary to pay attention to the responsibility of the participants.