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电子病历的应用极大地提高了医院的工作效率和医疗质量,但其在复制、粘贴、书写、打印、ID号管理及法律效力上存在弊端,易引发纠纷或使医院在医患矛盾的解决过程中处于被动的地位。加强对医务人员的教育、健全病案质量监管体系、开展培训、提高电子病历的技术管理水平可有效进行医疗风险防范,提高医疗质量,保证医疗安全。
The application of electronic medical records has greatly improved the work efficiency and quality of medical care in hospitals. However, there are drawbacks in copying, pasting, writing, printing, ID number management and legal validity, which can easily lead to disputes or make hospitals contradictory to doctors and patients In a passive position. Strengthen the education of medical staff, improve the medical record quality supervision system, carry out training and improve the technical management level of electronic medical records to effectively prevent medical risks, improve medical quality and ensure medical safety.