Standardization of ambulatory surgery medical records
10.3760/cma.j.issn.1000-6672.2017.10.019
- VernacularTitle:规范日间手术病历书写若干问题的思考
- Author:
Shengdong PAN
1
;
Ping XIA
;
Li XU
;
Wei LI
;
Tingbo LIANG
Author Information
1. 浙江大学医学院附属第二医院医务部
- Keywords:
Ambulatory surgery;
Medical record;
Standards
- From:
Chinese Journal of Hospital Administration
2017;33(10):781-783
- CountryChina
- Language:Chinese
-
Abstract:
The process of ambulatory surgery in China is faced with such challenges as the conflict between convention medical record writing requirements and time sensitiveness of ambulatory surgery, difficulty to fully take care of key points of ambulatory surgery and sufficient doctor-patient communication, difficulty to adapt to medical insurance requirements and absence of medical record writing norms for special circumstances. In this consideration, the practices of Zhejiang province were cited for a discussion on related issues, for reference of medical institutions in their standardization of ambulatory surgery.
