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从病案管理看规范书写护理病案的重要性
引用本文:李恒爱,徐素梅,吕颍萍.从病案管理看规范书写护理病案的重要性[J].中国病案,2006,7(11):23-24.
作者姓名:李恒爱  徐素梅  吕颍萍
作者单位:519000,珠海市广东省珠海市中山大学附属第五医院病案室
摘    要:护理记录作为病案的一部分,社会应用日益广泛,越来越被人们所重视。因此,护理人员必须适应时代发展的需求规范书写护理记录,增强法律意识,防范医疗纠纷。

关 键 词:病案管理  护理记录

On the Importance of the Standard Documentation of the Nursing Record from the Angle of Medical Record Management
Li Heng-ai,Xu Sumei,Lu Yingping.On the Importance of the Standard Documentation of the Nursing Record from the Angle of Medical Record Management[J].Chinese Medical Record,2006,7(11):23-24.
Authors:Li Heng-ai  Xu Sumei  Lu Yingping
Abstract:As part of the medical record, the nursing record has got more and more attention and has been used widely. Therefore, the nurses should write it formally and increase their intention in the view of law to avoid the medical disputes with the patients, at the same time, to fit the need of social development.
Keywords:management of medical records  nursing records  
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