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目的：通过检查120院前急救病历，对医护人员院前急救行为进行质量控制与分析，找出原因、加以改进，以保证院前急救医疗质量和医疗安全。方法：分析2009年6月至2012年6月急诊科院前急救病历4609份，采用回顾性分析方法，对存在医疗、护理诊治方法有缺陷病历进行分类统计和综合分析。结果：在4609份病历中发现有医疗、护理诊疗缺陷病例574例，占所查病历的11．86％。包括：（1）病历书写、医疗记录不合格272份（5．9％）。（2）误诊、漏诊124例（2．7％）。（3）现场急救处置不当93例（2．0％）。（4）护理行为不当59例（1．3％）。（5）其它26例（0．56％）。结论：进行120院前急救病历分析，是发现院前急救各环节中医疗、护理人员急救行为缺陷的重要方法、是持续提高急诊急救水平，防范医疗纠纷的重要手段。“,” Objective Through the examination of medical records of pre -hospital first aid cases ,we analyze and control the quality of medical staff’s pre-hospital first aid measures ,meanwhile we find out the problems and improve them to ensure the quality and safety of pre-hospital care .Methods By analyzing 4609 copies of pre-hospital care medical records from 2009 June to 2012 June through the method of retrospective study ,the medical records of cases involved in medical and nursing defects were classified statistically and analyzed comprehen-sively .Results Among the 4609 copies of medical records ,574 cases were involved in medical and nursing defects accounting for 11 .86 per-cent of the total ,which were classified as follows :firstly ,272 copies(5 .9% ) were un -qualified in writing and recording ;secondly ,124 ca-ses(2 .7% ) were involved in misdiagnosis and missed diagnosis ;thirdly ,93 cases(2 .0% ) were involved in improper first aid in spot ;fourth-ly ,59 cases(1 .3% ) were improperly tended ;fifthly ,26 cases(0 .56% ) had other defects .Conclusion Analyzing the medical records of pre -hospital care is an important method to find out the defects in pre -hospital medical treatment and nursing .Moreover ,it’s also an importantway to constantly improve emergency treatment level and prevent medical disputes .