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一、资料和方法 我院1991年1月至1998年12月期间出院或死亡病人的病案,共81923份。由专人按照“出院病历评审标准”逐份逐项检查质量。把主要缺陷归纳为
I. Information and Methods 81.923 cases of patients who were discharged or died during the period between January 1991 and December 1998 in our hospital. The quality of each item was checked one by one according to the “assessment criteria for discharge medical records.” The main flaws are summarized as