Blood transfusion quality supervision in a district of Shanghai / 中国输血杂志

【Objective】 To supervise the clinical blood use of 19 hospitals, covering a district of Shanghai, during two years, and discover the problems in the process of blood transfusion, so as to put forward suggestions for corrective methods in grades and promote continuous improvement of clinical transfusion management. 【Methods】 A total of 19 hospitals were supervised in terms of hardware facilities, management level, professional and technical level, and blood typing test on the site, according to the Administrative Blood Management Measures for Medical Institutions, Technical Specification for Clinical Transfusion and Shanghai Medical Quality Supervision Score Statistical Table.All data were analyzed. 【Results】 These hospitals can properly perform clinical blood transfusion, but there were obvious differences.Tertiary hospitals were relatively better, yet need to strengthen the management of medical documents.Secondary hospitals remained to be improved, mainly in insufficient construction of Blood Transfusion Department (blood bank), the lack of management and maintenance of key equipment and the lack of standardization in medical documents writing.However, flaws in the supervision were general in private hospitals (most of which were affiliated hospitals), so the management of clinical blood use should be further strengthened. 【Conclusion】 For secondary hospitals or above, routinized writing of medical documents and promoted construction of Blood Transfusion Department (blood bank) should be strengthened.For private hospitals, especially affiliated hospitals, the management of clinical blood use should be further improved, including the examination rules corresponding to the blood use process and strict access and exit mechanism, so as to improve the overall management level of clinical blood use and ensure the safety of clinical blood use.

Problems in digitalization of ancient medical documents and measures for their solution / 中华医学图书情报杂志

The problems in digitalization of ancient medical documents were described according to its status quo analysis, with certain measures for their solution proposed in order tospeed up the digitalization of ancient medical documents, improve the use of ancient medical documents, and promote the rapid development of medical and health cause.

Construction of standard system for digitalization of ancient medical documents / 中华医学图书情报杂志

After the connotation of the standard system for digitalization of ancient medical documents was analyzed, its construction principles were elaborated with measures proposed for how to construct it.

Compilation of union catalog of minority nationality medical documents in Yunnan Province / 中华医学图书情报杂志

After the necessity to compile n the union catalog of minority nationality medical documents in Yunnan Province was analyzed according to the scattered collection of minority nationality medical information resources and no available standard minority nationality medical documents catalog, how to compile it was discussed from the aspects of the collection and catalog organization of literature information resources, and quality control of bibliographic data, in order to construct the support system for minority nationality medical information resources.

Classes for Chinese minority medical documents offered in Chinese Library Book Classification,5th edition / 中华医学图书情报杂志

After a description of the development in Chinese minority medicine and medical documents, the class (R29) for Chinese minority medical documents offered in Chinese Library Book Classification,5th edition was analyzed. The limitations for the classification of Chinese minority medical documents offered in Chinese Library Book Classifi-cation,5th editionwere pointed out, including no classes for the modern researches and subjects in Chinese minority medical documents , with strategies put forward for adding classes in R29 for Chinese minority medical documents in Chinese Library Book Classification,5th edition.

Significance and methods of compiling Synopsis for the general list of medical documents in minority nationalities / 中华医学图书情报杂志

Proposed in this paper is to compile The synopsis for the general list of medical documents in minority nationalitiesand to make the scientific classification and systematic organization of medical documents in minority nationalities, thus breaking their time and space limitation and laying the foundation for the establishment of medi-cal literature resources support system, according to their scattered collection, severe damage, abstruse written lan-guages, and the fact that most of them are unorganized or catalogued, which significantly hinder their development and utilization.

Documentos médicos / Medical documents

O artigo ressalta os aspectos jurídicos dos documentos médicos, privilegiando a sua vocação como meios de prova em processos judiciais. Procurase trazer uma abordagem prática da questão dos documentos médicos, com vistas ao exercício profissional cotidiano e sem que se pretenda minimizar a importância da investigação aprofundada da matéria, e muito menos desvalorizar a finalidade principal desses documentos que decorre da sua natureza médica. Os principais instrumentos que retratam os cuidados prestados ao paciente, quais sejam Prontuário Médico, Termo de Consentimento Informado, Atestados e Receituário, são comentados sob o enfoque legal, buscando-se apontar quais características lhe conferem legitimidade jurídica

This article emphasizes the legal aspects of medical documents, giving priority to their potential use as evidence in legal proceedings. It seeks to provide a practical approach to the issue of medical documents, which is addressed to everyday professional practice but has no intention of minimizing the importance of a thorough investigation of the matter, and much less underestimating the main purpose of these documents arising from its medical nature. The main instruments that reflect the care delivered to the patient, namely, Medical Chart, Informed Consent Form, Certificates and Prescriptions, are discussed under the legal point of view, aiming to point out which features grant them legal legitimacy

The researohes on practice of setting up ‘the medical documents writing' course for clinical medicine / 中华医学教育探索杂志

The article introduced the importance of learning the medical documents writing for the clinical medical students and the fundamental condition of setting up medical document writing,including the course setup,course target,course content,teaching method,teaching materials,curriculum implementation,assessment methods and so on. And through the questionnaire survey,the comparison of the internship students'writing quality before and after the course setup,and the statistics analysis,the article also suggested that it was necessary and feasible to establish the curriculum of medical documents writing in clinical specialty.