论文部分内容阅读
病案首页在一份病案中是信息最集中、最主要、最核心的部分,是整个病案的高度概括。无论统计报表,医院管理,病案检索都离不开病案首页填写的准确性,完整性,存在着不少微辞影响统计报表的准确性和可靠性,而且不同程度地影响医院的管理,由此可见确保病案首页的真实性及准确性至关重要。
The medical record front page is the most centralized, most important, and most central part of a medical record, and it is a high-level summary of the entire medical record. No matter the statistical report, hospital management or medical record retrieval are inseparable from the accuracy and completeness of the first page of the medical record, there are many minor remarks affecting the accuracy and reliability of the statistical statements, and affecting the management of the hospital to varying degrees. It is crucial to ensure the authenticity and accuracy of the first page of the medical record.