门诊病历质量控制是提高门诊医疗水平、服务质量的重要环节。详细全面的病历记录 ,反映了诊断和治疗工作的全部过程 ,显示了诊疗水平、工作态度、医护人员的业务素质。门诊病历不仅对病人疾病的发生、发展、预后有着重要的作用 ,并在特殊情况下成为司法的主要依据。为了进一步? Outpatient medical record quality control is an important part of improving outpatient medical care and service quality. Detailed and comprehensive medical record records reflect the entire process of diagnosis and treatment work, and show the level of diagnosis and treatment, work attitude, and the professional quality of medical staff. Outpatient medical records not only play an important role in the occurrence, development, and prognosis of the patient’s disease, but also become the main basis of justice in special circumstances. For further?