目的探讨改进病案首页填写质量的有效方法。方法随机抽取我院2002年1月至2005年1月住院病案500份,作为甲组,随机抽取2005年2月至2008年2月住院病案500份,作为乙组。将病案首页填写内容分成8项,统计两组病案错填的病案数,结果用SPSS11.5统计软件进行分析。结果治疗结果填错、手术操作填错、出院诊断不明确错误发生率乙组低于甲组,差异有统计学意义(P<0.05)。结论医院加大对病案首页填写质量考核力度可提高病案首页质量。 Objective To explore an effective way to improve the quality of medical records homepage. Methods A total of 500 hospitalized cases were randomly selected from January 2002 to January 2005 in our hospital. As group A, 500 hospitalized cases were randomly selected from February 2005 to February 2008 as group B. The first page of the medical record was divided into 8 items, the number of medical records in the two groups was counted and the results were analyzed by SPSS11.5 statistical software. Results The results of treatment were wrongly filled in, the operation procedure was wrongly filled, and the rate of unclear diagnosis of discharged diagnosis was lower in group B than in group A, with a significant difference (P <0.05). Conclusion The hospital to increase the first page of medical records to fill in the quality assessment can improve the quality of the first page of medical records.