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《Chinese Medical Record》 2012-01
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The Defects and Countermeasures of Informed Consent Agreement

She Lijun,Chen Qiuyan,Li Liqing,the Third Hospital Affiliated to Zhongshan University,Guangzhou 510630,Guangdong Province,China  
Objectives to improve the writing quality of informed consent agreement.Methods 880 copies of hospitalization medical records are randomly selected from July to June 2011 in our hospital,had carefully examined,for finding out the existing problems and defects and analyzing the reasons of it,searching for related effect countermeasures.Results The existing problems of it are as followings: family of person with full capacity of civil conduct sign for them without authorizing;non-legal guardian sign for person with no full capacity of civil conduct;incomplete item filling;without signature of physician or with mending or altered and etc.The main reasons are that faint consciousness of legal and medical records quality of medical staffs,non-careful work attitude,non-strict guarantee of superior physicians and little reward and punishment.Aiming at these problems,we adopt related countermeasures including improvement of legal consciousness of medical staff,strengthening of the knowledge about medical records quality and supervision and reward and punishment of quality.Conclusions The writing of informed consent agreement should be standardized for reducing hinder trouble of medical tangle.
【CateGory Index】: R-051
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