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医药卫生方针政策与法律法规研究
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医疗文件
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  medical documents
     OBSERVATION ON EFFICACY OF MICROWAVE IN DISINFECTION OF MEDICAL DOCUMENTS
     微波对医疗文件消毒效果的观察
短句来源
     Problems in writing nursing medical documents and their countermeasures
     护理医疗文件书写中存在的问题及其对策
短句来源
     The expectation of CHIS was viewed in the article from the following six aspects: medical documents, data exchange, medical knowledge and clinical strategy support, clinical research and report, management of information system, and ICT equipment.
     本文从六个方面去展望2015年中国医院信息系统:医疗文件、数据交换、医疗知识和医疗决策支持、临床研究和报告、信息系统管理、ICT设备。
短句来源
     Conclusion: The regulation of the content and aim in quality control and administration on outpatient, emergency and observance medical history were helpful to improve administration quality of patients' medical documents.
     结论 :规定门诊、急诊及留观病历质量控制的具体内容和目标有助于提高门诊医疗文件的管理质量。
短句来源
     Conclusion The rdgulation of the content and aim in quality control and administration on pathological report were helpful to improve administration quality of pathology's medical documents.
     结论 :规定病理报告单质量控制的具体内容和目标有助于提高病理科医疗文件的管理质量。
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  “医疗文件”译为未确定词的双语例句
     It is necessary to provide training for the nurses in writing the nursing documents and establish national standard in nursing records,so as to improve the quality of critical patients’ nursing records.
     因此 ,为了提高危重病人护理记录质量 ,针对不同护士进行有针对性的护理文件书写培训十分必要 ,同时制定全国统一的护理记录标准是目前提高护理医疗文件质量的当务之急。
短句来源
     The clinical document architecture (CDA) provides a medical document standard which be used for medical information exchange.
     CDA文件提供了标准化医疗文件,并可在医疗院所之间进行病历交换,它使用XML清楚地定义了完整的医疗信息。
短句来源
     The nurses were unaware that the record of special nursing is an important medical file. Only 7. 1% nurses thought it was a kind of law file.
     护士对特护记录是一个重要的医疗文件认识不足,只有7.1%的人提到它是具有法律依据的文件;
短句来源
     Medical records contain the all the services provided by the medical staff and reflect the implementation the patient's right, belonging to the category of archives, are the documents that should be filed.
     病案是完成医疗保健服务的记录以及实现患者权利的反映,属于档案范畴,是应归档保存的医疗文件
短句来源
  相似匹配句对
     OBSERVATION ON EFFICACY OF MICROWAVE IN DISINFECTION OF MEDICAL DOCUMENTS
     微波对医疗文件消毒效果的观察
短句来源
     Medical Message
     医疗快讯
短句来源
     Medicare in America
     美国的医疗
短句来源
     SCR,.
     SCR文件、.
短句来源
     DLL file.
     DLL文件
短句来源
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  medical documents
Assessment of the Quality of Formalized Medical Documents
      
Transcribing medical documents accurately into pre-defined formats and within certain time frames is vital for administrative and medical purposes in any hospital.
      
As a result of this development, it has become possible to exchange MML Version 3.0 medical documents via HL7 messages.
      
Although medical documents, books and guidelines are exhaustive, most of the knowledge is in the heads of medical experts.
      
As a result, navigating from a patient report to online medical documents is much easier for the user.
      
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It was found in investigation that the medical documents in hospitals were grossly contaminated by Escherichia coli or HBsAg. In order to look for good method of disinfection of medical documents, the microwave disinfection experiment was carried out in laboratory. The microwave oven used was type ER- 692(2540 MHz, 650W). Microwave irradiation of a pack of documents which was 500g in weight and 12×17 cm~2 in size and was wrapped by a wet white cloth could kill contaminating E. coli, Staphylococcus albus, Shigella...

It was found in investigation that the medical documents in hospitals were grossly contaminated by Escherichia coli or HBsAg. In order to look for good method of disinfection of medical documents, the microwave disinfection experiment was carried out in laboratory. The microwave oven used was type ER- 692(2540 MHz, 650W). Microwave irradiation of a pack of documents which was 500g in weight and 12×17 cm~2 in size and was wrapped by a wet white cloth could kill contaminating E. coli, Staphylococcus albus, Shigella flexneri and Salmonella paratyphi B in 2 min, destroy HBsAg and kill spores of Bacillus subtilis var. niger in 3 and 7 min respectively. The optimal temperature at the end of irradiation was 85℃. The efficacy decreased at temperature lower than 85℃ and carbonization of paper was liable to occur when the temperature exceeded 85℃. Longer irradiation time was required for disinfection of papers of upper layer than for that of middle layer. It was neccessary to prolong the irradiation time as the weight of paper increased.

调查表明,医院医疗文件有不同程度的细菌与HBsAg污染。实验室试验,用2450 MHz微波,在650W功率条件下,可使医院医疗文件达到消毒要求。消毒效果可受温度和文件量影响。表层的文件较中间层文件消毒为慢。

To enhance the quality of special nursing record, we sampled randomly 360 special nursing records in some wards in the tertiary hospitals of A grade, and we investigated 42 nurses related with these records with questionnaire. The result shows: the scores of life sign, input - output number record and files are the highest; but the record that describes changing of an illness' state and process of curing the ilness is incomplete, and their scores are the lowest. The nurses were unaware that the record of special...

To enhance the quality of special nursing record, we sampled randomly 360 special nursing records in some wards in the tertiary hospitals of A grade, and we investigated 42 nurses related with these records with questionnaire. The result shows: the scores of life sign, input - output number record and files are the highest; but the record that describes changing of an illness' state and process of curing the ilness is incomplete, and their scores are the lowest. The nurses were unaware that the record of special nursing is an important medical file. Only 7. 1% nurses thought it was a kind of law file. The management level of the charge nurse should be improved in the record of special nursing. Nursing procedure has not been applied in the nursing of the patients with serious diseases. Therefcre, it is necessary to enhance the quality of special nursing record at present.

为提高特护记录质量,对某“三甲”医院部分病房采用随机抽样方法,抽样、评审了360个班次的特护记录,并对涉及记录的42名护士进行问卷调查。调查结果显示:生命体征、出入量数字记录和卷面分值最高;病情变化、治疗处理经过的记录不完整,分值最低。护士对特护记录是一个重要的医疗文件认识不足,只有7.1%的人提到它是具有法律依据的文件;护士长在此方面管理水平有待提高;在危重病人的护理上也没有体现对护理程序的应用等。因此,尽快提高特护记录质量势在必行。

The legal status of the patients and caregivers are equal, and the relationship between them is civil one. Medical records contain the all the services provided by the medical staff and reflect the implementation the patient's right, belonging to the category of archives, are the documents that should be filed. The regulation about the medical records did not prescribe the ownership. Therefore, the ownership of medical records should be made clearly. The ownership of medical records includes that of the materials...

The legal status of the patients and caregivers are equal, and the relationship between them is civil one. Medical records contain the all the services provided by the medical staff and reflect the implementation the patient's right, belonging to the category of archives, are the documents that should be filed. The regulation about the medical records did not prescribe the ownership. Therefore, the ownership of medical records should be made clearly. The ownership of medical records includes that of the materials and the copyright. The copyright is the key. The formation of a medical record is the process of the creation by the mind. Thus the ownership should go to the hospital. The medical records, however, contain the information of the patient, which reflects the list of the health care services and the patients rights. So the use of medical records should not harm the rights mentioned above and the duration of preservation should not less than 20 years. The principle of conversion of responsibility of quote should be used in civil actions. The hospital should keep the medical records properly. The use of medical records should follow the principle of civil law.

医患双方的法律地位平等,是民事法律关系。病案是完成医疗保健服务的记录以及实现患者权利的反映,属于档案范畴,是应归档保存的医疗文件。病案归属法规没有规定,必须解决其所有权问题。病案所有权包括物之所有权及其著作权,关键是解决著作权的归属问题。病案的形成有思想创作行为,因此病案归属医院所有。病案有患者的人身记录,反映了医疗服务清单和患者的人身权利,其使用不得损害上述权利,并其保存期应不低于20年。医疗民事纠纷实行“举证责任倒置”原则,医院应当妥善保管病案。使用病案应符合民法原则。

 
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