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从医患纠纷证据的角度规范病案管理
引用本文:周群.从医患纠纷证据的角度规范病案管理[J].中国病案,2010,11(5):34-35.
作者姓名:周群
作者单位:浙江省衢州市中医医院,衢州市,324002
摘    要:医院病案在处理医疗纠纷中是重要的法律证据,病案记录中的缺陷引发医疗纠纷会给医院或患者带来损害。病案真实性的因素存在于病案形成、管理的各个环节,通过对现行制度的严格执行或改进可以避免医疗隐患的出现。保障病案的证据价值的运用需要病案立法,健全病案法规和医务人员良好的病案意识,使规定病案的法律文件具有现实的可行性,病案成为医疗纠纷不可或缺的法律证据之一。

关 键 词:病案质量  医疗纠纷  法律

Standardizing medical records management from a view of the evidences of medical disputes
Zhou Qun,Quzhou Traditional Chinese Hospital in Zhejiang Province,Quzhou ,China.Standardizing medical records management from a view of the evidences of medical disputes[J].Chinese Medical Record,2010,11(5):34-35.
Authors:Zhou Qun  Quzhou Traditional Chinese Hospital in Zhejiang Province  Quzhou  China
Institution:Zhou Qun,Quzhou Traditional Chinese Hospital in Zhejiang Province,Quzhou 324002,China
Abstract:Analysis was done on the importance of medical records in medical disputes,as well as the effects of medical records defects on the medical disputes to clarify the factors influencing the truthfulness of medical records,which lie in every link of formation and management of medical records. We should strictly execute or improve existing system to ensure the evidential value of medical records.
Keywords:Quality of medical records  Medical disputes  Law  
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