Cov txheej txheem:
Video: Dab tsi yog daim ntawv qhia ua haujlwm hauv kev kho mob?
2024 Tus sau: Michael Samuels | [email protected]. Kawg hloov kho: 2023-12-16 01:44
Ib Daim ntawv qhia ua haujlwm yog a qhia sau rau hauv tus neeg mob kho mob sau tseg kom sau cov ntsiab lus ntawm kev phais. Cov daim ntawv qhia ua haujlwm yog dictated txoj cai tom qab ib tug txheej txheem phais thiab tom qab transcribed rau hauv tus neeg mob cov ntaub ntawv.
Kuj paub, dab tsi yuav tsum suav nrog hauv daim ntawv tshaj tawm ua haujlwm?
RE: Cov ntaub ntawv ua haujlwm a) Kev ua haujlwm cov ntaub ntawv yuav tsum suav nrog cov lus hais qhia rau kev phais, cov ncauj lus ntxaws ntawm kev tshawb pom ntawm kev phais, txheej txheem txheej txheem siv ntawm kev phais, kwv yees ntshav poob, cov hnoos qeev raug tshem tawm, kuaj mob tom qab phais, thiab lub npe ntawm tus kws phais thawj thiab tus pab (npe).
Ib sab saum toj no, daim ntawv txheej txheem yog dab tsi? Qhov loj tshaj plaws ntawm OP tsab ntawv ceeb toom yog qhov txheej txheem sau tseg . Qhov no yog qhov uas tus kws kho mob sau qhov tshwj xeeb ntawm qhov nws tau ua. Tus kws kho mob yuav tsum tau piav qhia meej txhua qhov txheej txheem tau ua thiab muab cov ntsiab lus, suav nrog: Tus neeg mob txoj haujlwm. Mus kom ze.
Hauv qhov no, kuv yuav tau txais daim ntawv qhia ua haujlwm li cas?
Hu rau lub tsev kho mob cov ntaub ntawv kho mob ntawm lub tsev kho mob qhov chaw uas koj cov tubal ligation tau ua. Koj yuav tau ua daim ntawv tso tawm cov ntaub ntawv kho mob. Cov daim ntawv qhia ua haujlwm tuaj yeem xa ntawv lossis fax mus rau koj thiab rau peb lub chaw haujlwm.
Cov ntsiab lus twg hauv qab no suav nrog hauv daim ntawv sau ua haujlwm?
Txhua daim ntawv ua haujlwm yuav tsum muaj xws li:
- Tus neeg mob lub npe.
- Hnub tim.
- Kev kuaj mob ua ntej.
- Postoperative Diagnosis.
- Tus Kws phais lub npe.
- Assistant Surgeon/Tus Kws phais mob.
- Txheej txheem.
- Indications rau phais.
Pom zoo:
Thaum twg tus neeg mob ntawm daim ntawv xaj kev kho mob hauv zej zog yuav rov qab mus rau tsev kho mob?
Yog tus neeg mob xav tau kev kho mob PATIENT ntau dua, Kev Kho Mob Hauv Zej Zog tuaj yeem thim tau thiab PATIENT raug kaw hauv tsev kho mob dua. Yog tias Zej Zos Kev Zam Txim Zej Zos Rov Qab Zuj Zus yog tsawg dua 72 teev, qhov rov hais dua yuav tsis txiav qhov Kev Txiav Txim Hauv Zej Zos
Koj yuav hloov daim ntawv kho mob ntawv mus rau cov ntaub ntawv kho mob hauv xov tooj cua li cas?
Hloov daim ntawv kab ntawv mus rau cov ntaub ntawv kho mob hluav taws xob Txhua tus kab mob ntawm tus neeg mob tau luam tawm rau hauv cov ntaub ntawv kho mob hluav taws xob (EMR). Ib nrab ntawm kev tshuaj xyuas kab mob ntawm tus neeg mob rau hauv EMR system. Luam theej duab txhua tus neeg mob nplooj ntawv sau rau hauv EMR system. Ntiav ib lub tuam txhab sab nraud los tshuaj xyuas tag nrho koj cov kab kos rau hauv EMR system. Tsis txhob luam cov ntaub ntawv qub rau hauv EMR system
Cov lus cim dab tsi uas tshwm ntawm daim ntawv ntim cov tshuaj thiab daim ntawv txheeb xyuas kev nyab xeeb yog dab tsi?
Tsuas muaj ob lo lus siv los ua cov lus teeb liab, "Danger" thiab "Warning." Hauv cov chav muaj kev phom sij tshwj xeeb, "Kev phom sij" yog siv rau qhov phom sij loj dua thiab "Ceeb Toom" yog siv rau qhov phom sij tsis zoo. Yuav tsuas muaj ib lo lus teeb liab ntawm daim ntawv lo txawm tias muaj pes tsawg tus tshuaj lom neeg yuav muaj
Daim ntawv ceeb toom kev kho mob hauv tsev kho mob yog dab tsi?
Pre · hos · pi · tal care re · port Ib daim ntawv qhia hluav taws xob lossis sau ua tiav los ntawm tus kws kho mob hauv tsev kho mob uas muaj cov ntaub ntawv qhia txog pej xeem thiab kev kho mob nrog rau cov ntaub ntawv teev tseg ntawm kev kho thiab thauj tus neeg mob
Dab tsi yog daim ntawv ntxiv rau daim ntawv xeem cov ntawv kho mob?
Cov ntsiab lus hauv txheej no (26) ntxiv. qhov kev hloov pauv tseem ceeb lossis ntxiv rau cov ntaub ntawv pov hwm kev noj qab haus huv hauv xov tooj cua (EHR) Tsis pub lwm tus paub txog Alchohol thiab Kev Tsim Tshuaj Yeeb Tshuaj, Cov Neeg Mob Cov Ntaub Ntawv. tsoom fwv txoj cai lij choj uas tiv thaiv cov neeg mob uas muaj keeb kwm ntawm kev quav yeeb tshuaj txog kev tso tawm cov ntaub ntawv hais txog kev kho mob