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从医疗赔偿看病案管理的重要性
引用本文:许德华,华立,李宗泽.从医疗赔偿看病案管理的重要性[J].中国病案,2011,12(7):5-6.
作者姓名:许德华  华立  李宗泽
作者单位:海军总医院海空勤体检中心,北京市,100048
摘    要:回顾分析我院医疗赔偿中封存的165份病案,针对赔偿病案存在的问题,分析原因,提出对策。其中造成较多医疗赔偿的有15份,主要问题为病案书写不及时、医护病案脱节、电子病案粘贴不当、上级医师把关不严、法律意识淡薄等。医院为此赔偿几百万元。文章提示重视病案的书写与安全管理,可有效地减少医疗纠纷与医疗赔偿。

关 键 词:医疗纠纷  病案  赔偿  管理

The Importance of Medical Records Management from the Aspect of Medical Compensation
Xu Dehua,Hua Li,Li Zongze.The Importance of Medical Records Management from the Aspect of Medical Compensation[J].Chinese Medical Record,2011,12(7):5-6.
Authors:Xu Dehua  Hua Li  Li Zongze
Institution:Xu Dehua,Hua Li,Li Zongze,Health Examination Center,Marine and Air Duty,Navy of the General Hospita,Beijing 100048,China
Abstract:165 blocked medical records in medical compensation are retrospectively analyzed in our hospital.Aiming at the existing problems of compensation medical records,we analyze the reasons and put forward countermeasures.There are 15 of them causing more medical compensation,which the main problems are that,untimely writing of medical records,disconnection between medical nursing and medical records,improper paste of electronic medical records,non-rigorousness control of senior doctors and weak law consciousness...
Keywords:Medical tangle  Medical records  Compensation  Management  
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