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病案管理是全面医疗质量管理的基础 ,并随着其功能不断拓展和价值的日益体现越来越显出病案工作的重要性。因此健全和逐渐完善病案管理制度 ,是提高病案质量及其应用性和服务性的必要条件。1 实行标准化病案管理制度按照总后卫生部颁发的《医疗护理技术操作常规》有关病案管理?
Medical record management is the basis of comprehensive medical quality management, and with the continuous expansion of its functions and increasingly embodying values, the importance of medical record work has become increasingly evident. Therefore, perfecting and gradually improving the medical record management system is a necessary condition for improving the quality of medical records and their application and serviceability. 1 The implementation of the standardized medical record management system is based on the relevant medical record management of the “Medical Care Technology Operation Practice” issued by the Ministry of Health.