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档案是由文件材料有条件转化而来的,按照档案种类的层级划分,病案归属于医疗档案,与文书档案、科技档案共同作为专门档案的一部分。病案与档案具有基本相同的管理环节,纸质档案和光盘档案等具有相同的存储方式。病案这种特殊形式的医疗档案的内容、利用频率和途径、质量管理方式又具有自身的特点。在纵向比较了档案与病案的共同点及特征后,横向比较病案与文书、科技档案具体的管理方式。从档案管理角度,通过借鉴文书档案及科技档案的管理优势,加强病案的过程管理、职责的划分、分层次的培训及考核,病案室内部的分层把关,达到提高病案质量管理的目的。
Archives are conditionally converted from documents and materials, according to the type of file hierarchy, medical records attributed to the medical files, and file files, technology files together as part of a special file. Medical records and files have the same management links, paper files and CD-ROM files have the same storage. Medical records of this special form of medical content, the use of frequency and approach, quality management methods also have their own characteristics. After comparing the commonalities and characteristics of archives and medical records in the vertical direction, we compare the specific management methods of medical records and instruments and scientific and technological archives. From the perspective of file management, through reference to the advantages of the management of file and technology files, the management of medical records, the division of responsibilities, the training and evaluation at different levels, and the stratification of medical records will be strengthened so as to improve the quality of medical records management.