Beijing compares and assesses the quality of the case history

Beijing compares and assesses the quality of the case history
It is reported ' Reporter Yan ) In order to improve the medical service quality, Beijing second, tertiary hospital launch the quality appraisal activity of the case history from August to September, it should have attending physicians, should have the above-mentioned Deputy Director's professional title doctor's record of making the rounds of the wards for the first time in 72 hours that the patient is admitted to hospital for 48 hours.

It is introduced, the quality criteria that this case history compares and assesses includes using the blue-black ink to write, the writing is written clearly, apt to recognize, the content of the case is intact to wait continuously. Course of disease overall to record content for the first time ' Including case characteristic, diagnosing basis, differential diagnosis and plan of making a diagnosis) ,And finish in 8 hours after the patient is admitted to hospital. Chinese medicine case history must have Chinese medicine distinguish the intersection of disease and dialectical basis with kinds of card, distinguish, make a diagnosis plan, should have Chinese medicine cure contents such as law, square medicine,etc.ing. Had and discussed to record before the above medium-sized operation skill, doctors of higher authorities that there are heads of the department or authorize in operation and large-scale operation that is launched newly signed and confirmed.



Beijing compares and assesses the quality of the case history