In order to standardise the writing of medical records and effectively improve the quality of the connotation of medical records of all medical institutions in the city, a training meeting on medical record writing and connotation quality enhancement hosted by Liaocheng Municipal Commission of Health Care was held in Liaocheng Second People's Hospital recently.Jiang Baoyin, member of the party group and deputy director of Liaocheng Municipal Health Commission, Jiang Shiguo, head of the medical administration department of Liaocheng Municipal Health Commission, Bai Shengnan, fourth-level director of the medical administration department of Liaocheng Municipal Health Commission, Xia Zhangyong, president of the hospital, and Zhang Tiezheng, vice president of the hospital, attended the meeting, and the conference invited Professor Huang Feng, deputy director of the National Centre for Medical Quality Control of Medical Record Management and professor of the People's Hospital of Peking University to give lectures.A total of more than 300 people attended the meeting, including case managers from all levels and types of medical institutions in the city and physician representatives of clinical specialties in the two hospital districts.The meeting was chaired by Vice President Zhang Tie Zheng.

President Xia Zhangyong gave a welcome speech, President Xia, on behalf of all the staff of Liaocheng City Second People's Hospital, welcomed all the experts and colleagues, he said: medical records are an indispensable part of our medical service process, which is not only an important basis for the doctor's diagnosis and treatment, but also a key element to measure the quality of medical care and ensure medical safety.The improvement of medical record writing and quality is a systematic project, which requires every medical staff to attach great importance to it in thought and practice it actively in action.It is hoped that through this training conference, a good atmosphere of paying attention to the quality of medical records can be formed in the medical system of Liaocheng City, which will improve the quality of medical care in Liaocheng City and safeguard the health rights and interests of patients.

Jiang Shiguo, head of the medical administration department of Liaocheng City Health Commission, informed the provincial and municipal key cases quality control situation in 2024 and put forward specific requirements for the next step of the work to be carried out: each unit should strengthen the awareness of standardised diagnosis and treatment, play the role of the quality control grid system, and establish a closed-loop management mechanism of medical quality in three areas of sustained efforts to comprehensively improve the quality of medical care, and to better protect the health of the residents.

Liaocheng City Health Commission party group members, deputy director Jiang Bao-yin pointed out in his speech, medical records as the core elements of medical behaviour, is not only a record and reflection of the medical process, but also an important support for medical staff to carry out clinical research, but also to protect the safety of patients and optimize the allocation of health care resources is the key.Medical record writing is not only the basic responsibility of medical staff, but also the cornerstone of medical quality and safety.It is hoped that all medical institutions, through this training conference, will attach great importance to the work of medical record writing and connotation quality improvement, continuously improve the quality of medical record writing and medical service level, strengthen communication and cooperation, learn from each other, and achieve good results in the next selection of the city's excellent medical records.

In the academic exchange session, Peking University People's Hospital Professor Huang Feng, Liaocheng City Second People's Hospital Chang Yifang, Chen Meipu, Jiang Qianqian, Qin Xiantao, Li Xiu'e respectively to "inpatient case home page standardisation", "admission record writing norms","Difficult and critical, death medical records related to the writing of documents", "medical records writing norms", "surgery-related documents writing norms", "nursing careNursing paper writing in the continuous improvement of quality" as the topic, around the "Shandong Province, the basic norms of medical record writing and management (2020 version)", and participants to share the experience of writing medical records, through a large number of cases analysed the importance of standardised writing of medical records, the lectures are wonderful and rich, the experts explain in-depth, vivid and profound and close to the actual work.Finally, Fan Xiaotang, director of the case department of Liaocheng Second People's Hospital, made a concluding speech.First of all, she expressed her gratitude to Professor Huang Feng of People's Hospital of Peking University and all the speakers.She said that this lecture will play a guiding role in the next step of standardised case management, case data reporting and standardised writing, and hoped that medical institutions at all levels and clinicians will take this training as a new starting point, strictly follow the principles of objectivity, truthfulness, accuracy, timeliness, completeness and standardisation in the work of medical record writing, and implement the actions of comprehensively improving the quality of medical care, improving the connotation quality of medical records and improving the quality of the first page of the medical case.The training will be implemented to improve the quality of medical care, the quality of medical records and the quality of the first page of medical records.It is believed that through this training, we can promote the quality of our city's medical records to a new level, and provide a strong guarantee for the high-quality development of Liaocheng City's medical and healthcare undertakings!