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病案管理工作是医院管理的重要组成部分,是搞好医院各项工作的重要前提和保证。病案信息是医院信息系统的核心,是医院工作效率的主要依据,是医学科研的重要资料。 一、病案是无价宝 病案是一个医院医疗、教学、科研和医院管理工作信息的重要载体,是病人病情及其演变和转归过程的记录,又是临床教学、科学研究的宝贵资料。病案是经过几代人的努力积累起来的,凝结着全院人员的智慧和辛勤劳动。拥有高质量病案组成的病案库和检索系统,是医院最宝贵的财富,是无价之宝。
The management of medical records is an important part of hospital management and an important prerequisite and guarantee for doing a good job in hospitals. The medical record information is the core of the hospital information system, is the main basis for the hospital’s work efficiency, and is an important material for medical research. First, the medical record is priceless. The medical record is an important carrier for hospital medical, teaching, scientific research and hospital management work. It is a record of the patient’s condition and its evolution and outcome process. It is also valuable information for clinical teaching and scientific research. The medical record was accumulated through the efforts of several generations, condensing the wisdom and hard work of the entire staff. Having a medical record database and retrieval system composed of high-quality medical records is the most valuable asset of the hospital and it is invaluable.