病案首页是整个病案的高度概括,是病案信息的核心部分,也是统计数据的主要来源。病案首页质量的好坏,不但直接影响统计报表的准确性和可靠性,而且不同程度影响医院的管理、教学和科研,由此可见,确保病案首页的真实性及准确性是至关重要的。笔者在实际工作中发现,首页填写马虎,错填或误填的现象是屡见不鲜的。 The medical record home page is a high-level summary of the entire medical record, and it is the core part of the medical record information, and it is also the main source of statistical data. The quality of the medical records at the front page not only directly influences the accuracy and reliability of the statistical statements, but also affects the management, teaching, and scientific research of the hospital in different degrees. It can be seen that ensuring the authenticity and accuracy of the first page of the medical record is crucial. The author found in the actual work that it is not uncommon for the home page to be filled with sloppy, misplaced or misplaced.