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《Chinese Medical Record》 2012-05
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Cases Analysis on Outpatient and Emergency Medical Records Writing Quality

Zhou Jilan,Bao Qing,Outpatient and Emergency Office of Xinhua Hospital Affiliated to Medical College of Shanghai Transportation University,Shanghai 200092,China  
This article elaborates four medical tangles in outpatient and emergency and analyzes the relationship between them and non-standard medical records writing,further analyzing the object and subject reasons of defects medical records of outpatient and emergency.It discusses practical methods of improving quality of outpatient and emergency medical records that are value of pre-job training,reasonable arrangement of clinical doctor,quality supervision management of outpatient and emergency medical records strengthening,quality control and feedback improvement,value on rectify and reform and continual improvement.Therefore,it prevents medical risk and improving sustainable development of outpatient and emergency work.
【CateGory Index】: R197.3
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