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目的对于如何提高我院外科病案质量进行系统的分析。方法我院病案室于2011年1月至12月对外科400份病历进行病案质量的系统分析。结果通过分析,对照病案管理条例,对于影响病历质量的三方面进行讨论。结论通过对于影响病案质量的三方面进行讨论,并采取了有效的解决方法,使我院外科病案质量得到很大的提高,值得进一步推广。
Objective To systematically analyze how to improve the quality of medical records in our hospital. Methods The medical records of our hospital from January 2011 to December surgical records of 400 cases of medical records quality system analysis. Results Through the analysis and control of medical records management regulations, the three aspects affecting the quality of medical records were discussed. Conclusion Through discussing the three aspects that affect the quality of medical records and adopting effective solutions, the quality of surgical medical records in our hospital has been greatly improved and worthy of further promotion.