Medical record writing is one of the most important basic skills in clinic.
病案书写是重要的临床基本功之一。
Objective To improve the quality of the medical record management and that of the documentation medical record writing.
目的提高病案管理质量，提高病历书写质量。
Objective To study the cause and strategy of defects in medical record writing from the Angle of health legal construction.
目的试从卫生法制建设的角度探讨病案书写缺陷的原因与对策。
Medical record writing is a basic skill of medical activities and importance which regulate medical activities and ensure medical safety.
病历书写是临床医生医疗活动的基本技能，是规范医疗活动，保证医疗安全的重要内容之一。
Objective to analyze the problems in medical record writing so as to provide facts for the improvement in medical record writing's quality.
目的分析病历书写中存在的问题，为提高病历书写质量提供依据。
The evaluation contents of the four hospitals are not uniform and normative, with theory check, operation estimation and medical record writing predominating, ability appraisal accounting for little.
四家附属医院本科护生的实习评价内容不统一、不规范，以理论考核、技术操作及病历书写为主，以能力为主的考核内容所占的比例较少。
The writing quality of medical record is the base to provide exact medical record information.
结论病案书写质量是提供准确病案信息的基础。
Objective To explore the efficiency of writing admissions records with the electronic medical record system.
书写入院记录效率明显优于手工方法。
Results the writing quality of hospital medical record has been clearly improved after the interventions were implemented.
结果干预措施实施后，住院病历书写质量有明显改善。
Objectives to investigate effective methods for improving writing quality of front sheet of medical record.
目的探讨改进病案首页填写质量的有效方法。
Writing a medical record of hand surgery challenges rotating physicians a lot due to its special pathogenic process and application of regional anatomy knowledge.
手外科的病历由于其特殊的发病过程和局部解剖知识的运用，一般轮转医师在书写时难度较大。
Writing a medical record of hand surgery challenges rotating physicians a lot due to its special pathogenic process and application of regional anatomy knowledge.
手外科的病历由于其特殊的发病过程和局部解剖知识的运用，一般轮转医师在书写时难度较大。
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