Discussion on the Necessity of Making Quality Presentation of Medical Records

Jing Su, Yanyan Zhu, Yajun Hong, D. Chen
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Abstract

AbstractThe quality presentation of medical records has important implications for the department of medical records in a hospital, and the accurate information could provide a reference both for the decision-making by leaders and for the purposes of treatment, teaching and research; it is a new breakthrough in improving the work efficiency of the medical record staff and also an effective publicity method to promote the overall image of the department. Medical record administrators should pay full attention to this work and give full play to their advantages; through carefully studying the needs of “users”, screening valuable original information, designing reasonable statistical report tables, collecting accurate data and analyzing them, the medical record administrators can assist the hospital leaders to straighten out the workflows in the hospital, improve the work efficiency of each position, ensure the accuracy of medical information data and provide powerful data support.
浅谈病案质量呈现的必要性
摘要病案的质量呈现对医院病案科的工作具有重要意义,准确的病案信息既可以为领导的决策提供参考,也可以为医疗、教学、科研提供参考;是提高病案工作人员工作效率的新突破,也是提升科室整体形象的有效宣传手段。病案管理人员应充分重视这项工作,充分发挥自身优势;病案管理员通过认真研究“用户”的需求,筛选有价值的原始信息,设计合理的统计报表,收集准确的数据并进行分析,可以协助医院领导理顺医院的工作流程,提高各岗位的工作效率,保证医疗信息数据的准确性,提供强大的数据支持。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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