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本文从司法需求角度分析医疗纠纷案件、人身损害赔偿案件及其他需要医疗机构协助的相关案件对病案材料的多种要求,又从工作实践中总结出病案书写字迹潦草、病案记录不及时、病案查览未严格遵守规定等问题,意在强调采用数字化管理系统、制定病案保管和保密规则及扩充医疗机构病案管理范围的重要性,以促使我国医疗机构病案管理工作进一步提高。
This article analyzes the medical dispute cases, personal injury compensation cases and other cases requiring medical institutions to assist the medical records of the various requirements of the medical records from the perspective of judicial requirements, but also concluded from the practice of practice that the written records of medical records are illegible, the medical records are not recorded in time, It is intended to emphasize the importance of adopting a digital management system to formulate medical record keeping and confidentiality rules and to expand the scope of medical record management of medical institutions so as to further enhance the medical record management in medical institutions in our country.