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随着国务院颁发的《医疗事故处理条例》及其配套文件的实施,在处理医疗纠纷和医疗事故中病案作为举证依据之一,使得病案的法律作用日趋重要,因此提高病案质量的管理亦显得日趋重要,而病历的书写是病案质量之根本,它作为一种医疗行为,必须客观、真实、完整、准确地记载病情、医
With the implementation of the “Medical Malpractice Ordinance” issued by the State Council and its supporting documents, the handling of medical disputes and medical malpractice as one of the evidence bases makes the legal role of medical records increasingly important. Therefore, the management of improving the quality of medical records appears increasingly Important, and medical record writing is the basis of the medical record quality, as a medical act, it must be objective, true, complete and accurate record of the disease, medical