浅谈疗养院电子病案存在的问题及对策  

The Problems and Solutions of Sanatorium Electronic Medical Record

作　　者：吴锡蓉[1] 张艳[1] 罗锡惠[1] 

机构地区：[1]成都军区峨眉疗养院,峨眉山市614200

出　　处：《中国病案》2013年第1期49-50,共2页Chinese Medical Record

摘　　要：对休养员疗养进行记录的电子病案进行网上检查和归档后的随机抽查发现存在过分依赖复制、粘贴和拷贝,书写不及时、时间不准确,打印归档不及时等问题。主要原因是医务人员责任心不强,法律意识淡漠,质控力度不够。采取针对性措施:强化责任意识,完善病案管理制度,加强法律法规意识,完善电子病案监控功能,才能提高电子病案的质量。Some problems such as depend on copy, paste and copy, writing not timely, time is not accurate and print f＇de not timely, etc. were found by online inspection and random inspection. The main reasons were the sense of responsibility is not strong, legal consciousness indifference, and quality control is not strong enough. We should strengthen the responsibility consciousness, perfect medical record management system, and strengthen the consciousness of laws and regulations and perfect electronic medical record monitoring function to improve the quality of the electronic therapy

关 键 词：电子病案 质量问题 对策 

分 类 号：R197.3[医药卫生—卫生事业管理]