摘要
为探讨目前病历书写主要存在的问题，对我院2002年1月-2007年1月份出院病案156，225份、在院病历50，035份的检查情况进行总结，将存在的问题进行归类和分析，探讨问题的对策，针对问题进行管理，旨在不断改进病历的内涵质量，减少不必要的医疗纠纷。
Objective To explore the problems in medical records, The author summed up 2007,156225 discharged medical records from January 2002 to January 2007 and 50035 of inpatients＇ and explored, categorized and analyzed the problems existed. Then we advanced the countermeasures to the problems in order to improve quality of the medical records continuously and reduce unnecessary medical disputes.
出处
《中国病案》
2007年第9期19-20,共2页
Chinese Medical Record
关键词
病历
检查
对策
medical record
countermeasures
check
