Author(s): WANG Jue, WU Shuang-jun
Pages: 65-66,48
Year: 2016 Issue:  9
Journal: Hospital Management Forum
Keyword:  Surgical operation; Operation classification; Quality of medical record;
Abstract: The medical record is the objective record and proof of medical behavior and process. Medical record is not only one of the key indexes of medical quality but also the important evidence in medical dispute. Surgical medical record is not only the text evidence of the construction of hospital surgical operation ability but also an important tool to reduce risk of surgery and improve quality of surgical care. Therefore, it is urgent to improve the quality of surgical medical records.