摘要
目的规范终末病案质量管理,提高工作质量和效率;方法用先进的电子档案为载体,对终末病案质量评价后的内容、评分、结果等进行规范化、系统化管理;结果完整地保存了终末病案质量评价后的内容、结果、数据,提升有关医务人员在医疗纠纷、医疗差错的处理上的主导地位;结论终末病案质量评价管理更加规范化、先进化、信息化。
Objective To standardize the management of the quality of terminal medical record so as to increase of the quality and efficiency of medical record management. Method Using the advanced electronic management system to standardize and systematize the contents, grade and result of the evaluated terminal medical record. Results The systems preserve perfectly the content, grade and result of the evaluated terminal medical record, and promote the dominant medical professionals when they handle medical mistakes, Conclusion The evaluation of the quality management of terminal medical record quality conservancy has become more normalized, advanced and normalization.
出处
《中国病案》
2008年第6期10-11,共2页
Chinese Medical Record
关键词
终末病案
质量
评价
电子
档案
terminal case history
quality
evaluate
electronic management
