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《Chinese Medical Record》 2012-06
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Thinking about Medical Records Save Problem Which Is Caused by Medical Dispute Case

Gai Xiaorong,Peng Hua,The Chinese Academy of Medical Sciences Peking Union Medical College Hospital,Beijing 100730,China  
The medical societies think hospital don't submit original medical records is belong to 'Do not provide relevant materials do not cooperate with medical accident appraisal' according to 'The health ministry about the responsibility of medical institutions do not cooperate with technical appraisal for medical accidents'.The result is medical institutions shall be liable for medical accident liability.There are three reasons which lead to loss of medical records.Firstly,patients or their families take away part of records intentionally.Secondly,in order to prevent disputes,some health care workers take away important documents from the medical records,or the medical records were lost because of staff alternation or being hided subjectively.Thirdly,part of the medical records content can not find because of binding error during sorting.Preventive measures include strengthening management,improving medical handover system,and enhancing monitoring.
【CateGory Index】: R-051
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