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病案是医教研工作中不可缺少的重要信息资料。在随着计算机信息技术快速发展并利用到病案管理工作中,医疗机构逐步完善及建立信息化病案资源库,更加体现出病案信息的规范化及科学性利用范围。目前主要任务,总结经验,不断完善病案管理制度,组织病案管理人员系统性学习培训提高业务水平,改善病案信息管理质量直接提高医院的评价、形象和发展。
Medical record is an indispensable medical information in the work of important information. With the rapid development of computer information technology and the utilization of medical record management, medical institutions have been gradually improving and establishing an informationized medical record repository, which further reflects the standardization and scientific utilization of medical record information. At present, the main tasks, summing up experience, and constantly improve the medical record management system, organize the systematic study and training of medical record managers to improve their business level, and improve the quality of medical record information to directly improve the hospital’s evaluation, image and development.