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本文分析经济转型期医院病案质量管理工作中存在的难点,提出了应对措施,指出在经济转型期应该加强临床科室特别是科主任对病案质量管理工作的重视,调动科主任管理的积极性与主动性。同时根据新的规范,加强病案质量评价的标准化,建立病案质量终末评审制度,改变病案质量返修的做法。对病案质量的管理应该紧扣医疗质量管理,通过对医疗环节质量的管理来真正提高病案质量。
This article analyzes the difficulties in hospital medical records quality management in the period of economic transition and puts forward the countermeasures. It points out that in the period of economic transformation, the clinical departments should pay more attention to the quality management of medical records, especially the department directors, and mobilize the enthusiasm and initiative . At the same time, according to the new norms, the standardization of medical record quality evaluation should be strengthened, the final assessment system of medical record quality should be established and the quality of medical record should be reworked. The quality of medical records management should be closely linked to the medical quality management, through the quality of medical aspects of the management to truly improve the quality of medical records.