建立病历质量管理平台控制病历书写质量

医疗质量是医院的永恒主题，也是决定医院生存与发展的核心要素，而病历质量管理和控制又是医疗质量管理的一个重要环节，它能明确反应医院的管理水平和医务人员的整体素质，同时也是医患双方医疗行为的重要见证，为控制病历的书写质量，赤峰第二医院成立了院、科、组三级质控管理体系，建立了病历质量管理平台，提高了病历的内涵质量；使甲级病案率达到90％以上，达到了三级医院质控标准。

Set Up the Administration Plane of Medical Record to Control the Quality of Medical Record

Medical treatment quality is a permanent theme of a hospital,also the essential factor that resolve the existence and development of a hospital.The administration and control of medical record is a key link of medical treatment administration,it can reflect the level of the hospital's administration and the whole quality of the people who work in the hospital,it is even a important witness of the medical action between doctors and patients.Our hospital had established the quality administration organization of three grade-group,department,academy,and set up the administration plane of medical record quality.promote medical record quality to assume the medical record to be timely,over 90 percent medical record can achieve A-grade,to the quality administration standard of three-class-hospital.