摘要
分析了由麻醉医师书写麻醉前访视记录、麻醉实施记录及麻醉术后随访记录,使三者与麻醉记录单、麻醉知情同意书等共同构成麻醉病历的方法。指出了麻醉术前访视记录、实施记录、术后随访记录的具体内容,旨在规范麻醉病历管理,提高麻醉质量,确保患者安全。
The paper studied the visiting records before anesthesia written by the anesthesiologist, implementation records of anesthesia and follow - up record after the of anesthesia, the paper also discussed method of anesthesia medical record which is composed of anesthesia record, anesthetic informed consent and the above 3 records, which aimed to regulate medical anesthetic management and improve the quality of anesthesia to ensure patient safety.
出处
《中国卫生质量管理》
2010年第5期37-38,共2页
Chinese Health Quality Management
关键词
麻醉病历
麻醉质量
患者安全
Anesthesia Records
Quality of Anesthesia
Patient Safety