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医院病史档案是指医务人员在医疗活动中形成的各种文字、图表、声像等材料的总和,它全面完整地记录了病人历次的检查、治疗等全过程,是医院极为重要的原始档案。但就目前来看,在不少医院的病史档案管理中,仍然存在着不少缺憾与不足之处,既不利于病史档案的完整与安全,也影响到了病史档案作为珍贵医疗资源的价值含量。这些问题都需要我们在今后工作中
Hospital medical records refers to the medical staff in the medical activities in the formation of a variety of text, graphics, audio and video and other materials, which comprehensively and completely recorded the patient's previous examination, treatment and other whole process is the hospital is extremely important original files. However, for the moment, there are still many shortcomings and shortcomings in the management of medical records of many hospitals, which is not conducive to the integrity and safety of medical records, but also affects the value of medical records as precious medical resources. These problems all require us to work in the future