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从质控医师的产生、职责、考核;运行病案的人工质控、软件质控;住院病案的全面普查、重点核查、交叉互查;以及医务科的协调、指导等四个方面对住院病案的质量控制进行了一些新的探索。逐步形成了人工检查、软件督查、全面普查、重点核查、交叉互查(五查);限时整改(一改);医务科汇总(一汇总)的管理体系。
From the quality control physicians, responsibilities, assessment; artificial disease control of medical records, software quality control; in-patient medical records of a comprehensive survey, key verification, cross-checking; and medical department coordination, guidance and other aspects of inpatient medical records Quality control carried out some new exploration. Gradual formation of a manual inspection, software inspection, a comprehensive survey, key verification, cross-checking (five check); limited time rectification (a); Medical Section summary (a summary) management system.