| 由侵权责任法看医院病案管理的风险 |
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| 引用本文： | 王锋生,周道平,冯墅华,邢桂枚,王华,韩大伟,吴晓芳,孙良.由侵权责任法看医院病案管理的风险[J].中国病案,2011,12(5):30-31. |
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| 作者姓名： | 王锋生 周道平 冯墅华 邢桂枚 王华 韩大伟 吴晓芳 孙良 |
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| 作者单位： | 1. 安徽省立新安医院,合肥市,230022
2. 安徽阜阳市疾病预防控制中心急性传染病科,阜阳市,236030 |
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| 摘 要： | 目的基于医院病案管理现状,探讨规范病案的制作和管理,进一步减少医疗纠纷。方法解读《侵权责任法》与病案相关的法律条文,对案例进行分析。结果手写病历和电子病案均存在管理缺陷,易出现书写不规范、记录不及时、项目不完整、内容失真等问题。结论医疗机构能够在纠纷发生时提供真实完整的病案资料,有利于对医疗损害责任的成立与否作出认定,降低败诉风险。
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| 关 键 词： | 侵权责任法 病案管理 举证责任 |
A Discussion on Risk of Medical Record Management of a Hospital by Tort Liability Law |
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| Wang Fengsheng,Zhou Daoping,Feng Shuhua,Xing Guimei,Wang Hua,Han Dawei,Wu Xiaofang,Sun Liang.A Discussion on Risk of Medical Record Management of a Hospital by Tort Liability Law[J].Chinese Medical Record,2011,12(5):30-31. |
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| Authors: | Wang Fengsheng Zhou Daoping Feng Shuhua Xing Guimei Wang Hua Han Dawei Wu Xiaofang Sun Liang |
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| Institution: | Wang Fengsheng,Zhou Daoping,Feng Shuhua,Xing Guimei,Wang Hua,Han Dawei,Wu Xiaofang,Xinan Hospital of Anhui Province,Hefei 230022,Anhui Province,China,Sun Liang,Department of Acute Infectious Disease,Fuyang Disease Prevention Center,Fuyang 236030 |
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| Abstract: | Objective Based on the situation of hospital medical record management,this paper investigate the methods of standardizing the production and management of medical record for further reducing medical tangle.Methods It analyses cases through interpretating law articles related to medical record in Tort Liability Law.Results There are management defects both in handwriting and electronic medical record,easily appearing non-standard writing,non-timely record,incomplete program and distortion content.Conclusion... |
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| Keywords: | Tort Liability Law Management of medical record Responsibility of quote |
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