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《Chinese Medical Record》 2012-05
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Analysis and Countermeasures of Sign Defect to Blood Transfusion Therapy of Informed Consent

Bai Zhaoqing,Zhang Yan,Liu Kexin,The Chinese PLA General Hospital,Beijing 100853,China  
Objective The analysis of medical records in transfusion therapy informed consent signed problems,improve the quality of blood transfusion therapy consent,avoid medical disputes.Methods The hospital in 2011one or two quarter on quarter blood transfusion records respectively at the end of the terminal quality control,and the defects of project statistics.Results The terminal quality control of blood transfusion records: a quarter of 1330 copies,transfusion therapy informed consent signed defect355accounted for26.69% of the total,quality control,defect rate was highest in transfusion for the treatment of informed consent without doctor's signature189,accounting for14.21% of the total quality control;the two quarter1584,transfusion therapy informed consent signed defects in 346copies total quality control,total 21.84%,defect rate are still the highest blood transfusion therapy of informed consent without doctor's signature163,accounting for10.29% of the total quality control.Conclusion Medical institution by increasing the medical record quality management and enhance the medical personnel in the" doctor law"," regulation of medical accident" and other laws and regulations study,raise the medical staff's awareness of the law,evidence of consciousness,pay attention to blood transfusion treatment consent quality,so as to safeguard the legitimate rights and interests of both doctors and patients,to avoid medical disputes.
【CateGory Index】: R-051
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【Co-citations】
Chinese Journal Full-text Database 6 Hits
1 LU Hui1,LUO Jing2(1.Quality Control Section of General Hospital of Shenyang Military Area Command,Shenyang 110015.China;2.The 210th Hospital of P.L.A,Dalian 116000,China);Three Analytic Records in Progress Notes[J];Journal of Chengdu Medical College;2010-04
2 ;加强病案归档管理的做法和体会[J];Contemporary Medicine;2011-28
3 Yang Hua,Tan Yue,Huang Shanshan,Long Yuemei,Wu Jing (Redcross Hospital of Yulin,Yulin,Guangxi 537000,China);Analysis on Investigation of Writing Quality of Outpatient Case Records[J];Modern Hospital Management;2012-01
4 XIE Xiao-long,TAN Jing-li,LIANG Zhong-xiao,LIANG Zeng-wen,GONG Zhi-feng,ZHANG Fa-can(Medical Administration Division,the People′s Hospital of Guangxi Zhuang Autonomous Region,Nanning 530021,China);Investigation and Evaluation of the Present Situation of Medical Informed Consent[J];Guangxi Medical Journal;2012-07
5 ZHOU Li-ning (The First People's Hospital of Hechi,Yizhou,Guangxi 546300,China);Present Situation and Prospect of Medical Record Management in Hospitals[J];Modern Hospital Management;2012-04
6 Qiu qiwen 1,Huang likui 2,Zou yianqin 3(1 Information Department,Zhongshan University Sun Yixian Memorial Hospital,Guangdong GuangZhou 510120,China 2 Nursing Department,Zhongshan University Sun Yixian Memorial Hospital 3 Department of Traditional Chinese Medicine,Zhongshan University Sun Yixian Memorial Hospital);The Correct Choice of the First Page of Medical Records and the Importance of Main Diagnosis[J];Continuing Medical Education;2013-05
China Proceedings of conference Full-text Database 2 Hits
1 Zhang Jie,Xiangya Hospital of Zhongnan University,Changsha,410008;Discussion on the vital function of primary diagnosis to the medical cost of single disease[A];[C];2010
2 TIAN Gui-ying.Medical Records Library,Liuzhou Workers' Hospital,The Fourth Affiliated Hospital of Guangxi Medical University, Liuzhou 545005;The importance of referring to the medical records during coding the classiflcation of diseases[A];[C];2011
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