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借助医院评审工作,使病案质量得到了很大的提高,建立健全了四级质控体系,一级质控是指经治的主治医师质控,在病人出院前,主治医师要完成病历书写,并全面检查病案的质量及签字。一级质控是医院建院以后的传统;二级指控是指病案出科前由科里的质控医师监控;三级监控是指医务科综合质量管理,四级监控是指病案室的终末质量管理。坚持实行病案四级质量管理监控方法,取得了较好的效果。
With the help of hospital assessment, the quality of medical records has been greatly improved, and a four-level quality control system has been established and improved. Quality control at the first level refers to the quality control of the attending physician. Before the patient leaves the hospital, the attending physician must complete the medical records. And comprehensively check the quality and signature of the medical record. Quality control at the first level is the tradition after hospitals are established; second level accusation refers to quality control doctors at Corry before the medical record is taken; tertiary monitoring refers to comprehensive quality management at the medical department, and four-level monitoring refers to the end of the case room. End quality management. Persisting in the implementation of a four-level medical record monitoring method has achieved good results.