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Objective Based on the problems existing in the DRG grouping of non-enrolled medical records in a tertiary hospital,analyze the impact of disease nature on surgical coding,propose solutions,and continuously improve the quality of med-ical record data.Methods From January to June 2022,the medical records reported to the DRG group in the medical records room were found by the data center platform of the DRG inpatient medical service detection and analysis system,and the number of cases in which the medical records were not included in the DRG group due to the disease nature of the surgical operation name was found,and the defects were cited,classified,counted and analyzed.And the statistical analysis of the cost before and after the revision of the surgical code,and discuss the solution.Results After statistical analysis,it was found that the causes of 377 non enrolled medical records were related to the main diagnosis and surgical procedures,accounting for 85.46%.The main diag-nosis and surgical procedures were 55 cases of mismatched surgical procedure codes due to the nature of the disease.Conclusion The issue of not being included in the medical record is essentially a matter of the nature of the disease and surgical procedures in the main diagnosis.Medical record information managers should strengthen the management and training methods of medical record writing,improve their ability to diagnose and write medical records,ensure the accuracy of medical record homepage data and DRG grouping data,and improve enrollment rates.
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The introduction of the word "great obstetrics syndromes (GOS)" emphasizes the exploration of the etiology of obstetric diseases and the investigation of effective obstetric disease prevention and prediction strategies. Subsequently, disease prevention and treatment at an early stage becomes feasible, allowing intervention before the occurrence and progression of the condition. This approach enables the realization of precision medicine in obstetric diseases and enhances the diagnosis and treatment of obstetric complications. This paper summarizes the characteristics of GOS and the challenges it reveals to obstetrics. Its objective is to assist obstetricians in obtaining a comprehensive understanding of GOS, re-examining the nature and distinctiveness of obstetric diseases, and collaborating towards advancement in obstetrical medicine.
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Eulalio Darío Flores (1897-1949) fue uno de los más destacados catedráticos y defensores de la Escuela Libre de Homeopatía de México. En este artículo expone la idea de que los médicos homeópatas, sobre todo los más jóvenes, estudien y analicen a profundidad el contenido del Organon de Hahnemann; de esta manera, sostiene, se encontrarán en condiciones de practicar la terapéutica homeopática con seguridad y confianza. Por otra parte, el autor presenta un análisis detallado del primer parágrafo o párrafo de esta obra; en él se incluyen importantes reflexiones sobre la misión y los deberes del médico homeópata, la naturaleza de la enfermedad, el concepto de fuerza vital y la curación del enfermo...
Dario Eulalio Flores (1897-1949) was one of the foremost teachers and defenders of the Escuela Libre de Homeopatía de México. This paper presents the idea that homeopathic physicians, specially the younger ones, should study and analyze in depth, the contents of Hahnemanns Organon; in this way, he says, they will be in a position to practice homeopathic therapeutics with confidence. Furthermore, the author presents a detailed analysis of the first paragraph of this work; in which are included important reflections on the mission and duties of the homeopathic doctor, the nature of the disease, the concept of vital force and healing the patient...