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提高医院临床医师在医疗过程中收集有效法律证据的意识,防范医疗纠纷。提高证据意识,从术前告知、患者对诊疗方法的自主决定、认定患者具有行使知情同意能力、以及患者家属是否同意尸检、死亡诊断的证据等;对可导致医疗纠纷的常见原因强调对法律证据的收集。强化病案记录的内在质量,提高病案的内涵质量,使病案成为举证责任倒置重要的举证依据。强化在医疗过程中对有效法律证据的收集并依法记录病案的意识,有利于防范医疗纠纷,维护病人、医院、医务人员的合法权益。
Improve the awareness of hospital clinicians in collecting effective legal evidence in the course of medical treatment to prevent medical disputes. Increase the awareness of evidence, tell from the preoperative, the patient’s independent decision on the diagnosis and treatment methods, that the patients have the ability to exercise the informed consent, and whether the patient’s family members agree with the autopsy, evidence of death diagnosis, etc .; common causes of medical disputes can be emphasized on legal evidence Collection. Strengthen the inherent quality of medical record and improve the connotation and quality of the medical record so that the medical record becomes the important evidence basis for the inversion of the burden of proof. Strengthening the collection of valid legal evidence in the course of medical treatment and recording medical records according to law is conducive to preventing medical disputes and safeguarding the legitimate rights and interests of patients, hospitals and medical personnel.