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《Hospital Administration Journal of Chinese People's Liberation Army》 2011-06
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Quality Analysis on 4758 Emergency Medical Records

WANG Zhi-wei(Emergency Department,No.411 Hospital of PLA,Shanghai 200081)  
Objective To find out the blemish in the emergency cases and improve the treatment level by checking the quality of the emergency medical records.Method 4758 cases of emergency medical history were randomly checked during 2008.6-2010.5.In these medical histories,the content was analyzed,the defects were sought and classified,and the causes of these defects were discussed.Results There are 13 kinds of defects in the emergency cases.Conclusions The medical records of emergency cases are not only medical documents,but also legal documents.Every doctor should protect himself by the law,follow the rules timely,truly,roundly,exactly and perfectly,write the emergency cases seriously.
【CateGory Index】: R197.32
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