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目的对病案调阅利用情况进行分析,进一步掌握病案利用的结构特点,做好病案的借阅管理工作。方法利用Excel电子表格对借阅、调阅病案数据进行分类汇总统计。结果 4年某院共借阅、调阅病案28113份,病案利用率为46.07%,其中院内借阅、调阅病案21972份,占78.16%;院外调阅病案6141份,占21.84%。结论病案管理人员应提高自身素质,把被动服务转变为主动服。主动了解使用病案者的目的和需求,快速找到所需资料和数据,在严格照章办事的同时,尽量简化手续和优化流程,提高工作和服务效率。
Objective To analyze the utilization of medical records and to further understand the structural features of the medical records utilization and do a good job in borrowing management of medical records. Methods Excel spreadsheet was used to classify and summarize the loan and read medical record data. Results In 4 years, a total of 28,113 medical records were accessed by a hospital, and the medical record utilization rate was 46.07%. Among them, 21972 medical records were borrowed and retrieved, accounting for 78.16% of the total; 6141 were hospitalized, accounting for 21.84% of all cases. Conclusion The medical record management staff should improve their own quality and change the passive service into the active service. Take the initiative to understand the purpose and needs of the medical record holder, quickly find the required information and data, work strictly in accordance with the rules at the same time, to minimize formalities and process optimization, improve work and service efficiency.