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增强广大医务人员的法律意识,提高病案的书写质量,避免医疗纠纷的发生,是目前医疗机构的当务之急。提高医务工作者对病案重要性的认识,按法律要求进行病历书写,依法建档、仍法治档、依法管档、增强法律观念。自觉保护病案的原始性、真实性、可靠性。在法律的监督下,使病案的信息资源得到充分开发和利用,从而确保医疗安全。
To enhance the legal awareness of the medical staff, improve the writing quality of the medical records and avoid the occurrence of medical disputes are the top priorities of medical institutions at present. Improve the medical staff’s awareness of the importance of medical records, record medical records according to the law, establish files according to law, keep files of legal documents, manage files according to law, and enhance legal concepts. Consciously protect the original, authenticity and reliability of medical records. Under the supervision of the law, the information resources of medical records are fully developed and utilized to ensure the medical safety.