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病案的依法管理是就是依法建档、依法管档,是我国新形势下病案管理法制化、规范化、科学化的要求,它不仅有利于完善病案管理,提高病案质量,而且使医务人员和患者能依法履行对病案的权利和义务,保证病案信息的准确性和可利用性。本文就病案依法管理中的内容、管理模式、管理程序合法化的三个问题及加强病案依法管理的几点措施进行简述,强调为了防范医疗纠纷,必须高度重视病案的依法管理。
The legal management of medical records is to establish archives according to law and to manage according to law. It is a legal, standardized and scientific requirement for the management of medical records under the new situation in China. It not only helps to improve the management of medical records, but also improves the quality of medical records, and enables medical staff and patients to The rights and obligations of the medical record shall be fulfilled according to law, and the accuracy and availability of medical record information shall be guaranteed. This article briefly discusses the three issues of content, management model, and legalization of management procedures in the case-based management of medical records and measures to strengthen the management of medical records according to law. It emphasizes that in order to prevent medical disputes, we must attach great importance to the legal management of medical records.