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題 名 | 新制醫院評鑑之病歷記錄與病歷管理相關基準=The Criteria of Medical Record Writing and Its Management in the Novel Hospital Accreditation |
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作 者 | 范碧玉; | 書刊名 | 病歷管理期刊 |
卷 期 | 6:1 民95.11 |
頁 次 | 頁1-26 |
分類號 | 419.26 |
關鍵詞 | 病歷記錄; 病歷管理; 醫院評鑑; Medical record writing; Medical record management; Hospital accreditation; |
語 文 | 中文(Chinese) |
中文摘要 | 病歷是病人重要診療紀錄文件,對病人、對醫師都扮演非常重要的角色;從病歷記錄中,可充分反映出該病人被診療的過程,以及該院所提供的醫療品質;病歷亦可作為教學研究的重要參考;同時也是保險申報及醫療糾紛時的有力佐證文件。有鑑於病歷記錄的重要性,衛生署特別將病歷記錄的正確性、詳實性、完整性、一致性的基本要求,對病人的診療處置計畫須讓病人有知的權利等規定,以及病歷管理的機制呈現在新制醫院評鑑的基本項目中,期望藉著評鑑作業的規範,能提昇全國病歷記錄的品質,同時也提昇民眾就醫的醫療品質。 |
英文摘要 | Medical records are an important diagnostic & therapeutic document for any patient. It plays a very important role both for the patient and his or her physicians. Medical Records are not only an essential reference in the aspect of research and teaching, but also a powerful vertification document both in an insurance reimbursement judgment and possible medical malpractice lawsuits. In understanding the importance of medical records, The Department of Health especially insists that the accuracy, comprehansiveness, completeness, consistency, and the fulfillment of regulations regarding medical records must be fully represented in the basic contents of the hospital accreditation. As might be expected, the quality of medical records within this country will be greatly improved through the implementation of the hospital accreditation. |
本系統中英文摘要資訊取自各篇刊載內容。