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目的探讨医院电子病案规范化管理的对策。方法分析电子病案中存在的问题,以提出有效的解决对策。结果电子病案质量在完整性和规范性等方面存在缺陷。结论加强质量教育和管理力度以提高电子病案质量。
Objective To explore the standardized management of hospital electronic medical records. Methods Analyze the existing problems in electronic medical record, in order to put forward effective countermeasures. Results The quality of electronic medical records is deficient in its integrity and normativity. Conclusions Strengthen quality education and management to improve the quality of electronic medical record.