病案书写内容具有信息的特征,能为医疗、医院管理和社会提供有价值的信息服务,因此实施对病案书写全过程的质量管理极为重要。首先要认清病案书写质量形成的全过程和关键环节是做好全过程管理的基础。分析我院病案书写质量管理的不足,以便找出改进工作的对策:1、三级病案质量管 The writing contents of medical records have the characteristics of information and can provide valuable information services for medical treatment, hospital management and society. Therefore, it is extremely important to implement quality management in the whole process of medical record writing. First of all, we must recognize that the whole process and key link in the formation of medical record writing quality is the basis for the management of the whole process. Analyze the insufficiency of medical records management in our hospital in order to find out the countermeasures to improve the work: 1. The quality control of the three-stage medical record