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[骨科大学医院非医务人员的基本记录(作者译)]

[Basic documentation by nonmedical personnel in an Orthopedic University Hospital (author's transl)].

作者信息

Suermann B, Köhler C O, Rompe G

出版信息

Z Orthop Ihre Grenzgeb. 1976 Apr;114(2):216-9.

PMID:1274396
Abstract

A report was presented concerning the experience with the basic documentation of stationary and ambulatory patients in an orthopedic hospital for which the diagnostic code and the orthopedic-surgical code from the Commission for "Orthopedic Documentation" of the DGOT proved successful. It was particularly interesting to note that the same results were obtained by nonmedical personnel on the basic documentation as by interns and residents.

摘要

提交了一份关于一家骨科医院住院和门诊患者基本文档记录经验的报告,结果表明,德国骨科与创伤外科学会(DGOT)“骨科文档委员会”的诊断编码和骨科手术编码非常成功。特别有趣的是,非医务人员在基本文档记录方面取得的结果与实习生和住院医生相同。

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