After case history write revise patient rights and interests one cannot say for sure?

After case history write, revise, patient rights and interests one cannot say for sure?
After case history write, revise, patient rights and interests one cannot say for sure?
To the revised edition that " the case history writes the basic norm ", the hygiene law scholar thinks that falls back partly, but medical worker thinks fair and sensible Vice Mayor of Guangzhou city Xu ZhiBiao has just complained at the hygiene working conference of the city a word of his of case history which the doctor writes can not be understood either, unless what medicines there is what medicines there is, can't come for good news,after every medical organization of the whole country implements and revises improving from March 1 " whether last norms basic case history ". The revised edition is to doctors and patients' both sides' links easy to misunderstand, dispute, define the norm; But the scholar proposes, some revised content falls back instead, is unfavorable to patient's right to protect. How is the fact? Yangcheng Evening News reporter has specially interviewed some hospitals and doctors of Guangzhou. The case history revises anxiety: The doctors of higher authorities do not sign, the hospital modification does not violate legal provisions Scholar Zhuo XiaoQin expresses the famous hygiene law clearly when being interviewed by media before this, appear on the stage before comparing " norm " that will be implemented soon and 7 years with <>And then, he thinks the new rule is a piece of backslide, are unfavorable to the protection of patient's right. Zhuo XiaoQin says, implemented in 2002 <>China stipulates, the medical workers of higher authorities check that revises the responsibility for the case history that the subordinate medical worker writes, also should mark out, revise date, sign and keep, record clearly, can distinguish originally revise. Have kept in the new rule " The medical workers of higher authorities examine the responsibility which revises the case history that the subordinate medical worker wrote " ,But deleted " should mark out and revise date while revising, revise personnel and sign " . This means needing to mark out and revise date and revise people and sign only when wrongly written character appears, the modification of the case history content without wrongly written character has avoided and marked out and revised time and revised the law that people sign to require. However, once does not mark out and revise time, can't judge the modification situation of the case history. In other words, after the medical dispute appears, the hospital will not violate the regulation while revising the case history; To patient, unable to find out case history, revise time and revise with revising the intersection of case history and influence on making a diagnosis. Solve: The hospital will generally make changes according to specific conditions, possess the operability further As to Zhuo XiaoQin's query, Guangzhou city first the People's Hospital doctor Mo WenJian engaged in a gleam of clinical work for a long time analyzes, the norm may proceed from the reality, have practicality even more to revises so, the reality is, chief physicians are all very busy, have no time to see the words oneself has said, make them very difficult to sign, the case history will be generally filed one week later, the hospital will generally adopt some methods to make changes according to specific conditions. The electronic case history is worried: It is the progress to print, the platform can be distorted after not XiaoQin Zhuo think new regulation print the case history with the legal identity still, and it should be by medical worker's handwritten signature to propose printing the case history, this is a progress. Zhuo XiaoQin says, it is the transition from handwritten case history to electronic case history to print the case history, but still need to be further clear and standardizing in printing the management of the case history. Stipulate, require, print the intersection of case history and editor should go on, revise according to the intersection of authority and requirement in the course, already finishing inputting the case history printed and signed can't be revised. But he say as everyone knows, Word file, WPS file can operate production date to fix the file through backstage supporter too while giving an interview, and can make the case history revised not leave the trace through covering, deleting. Not doing it further if limiting in this respect, once the medical dispute takes place, hospital (not a doctor) Distort the case history more easily, thus make the case history lose as the primitive value of the legal evidence. Solve: The coroner can really distinguish and false, can prove to record to attend to As to worry of XiaoQin Zhuo, Guangzhou the intersection of city and first the People's Hospital medical matters portion director say when being interviewed by Yangcheng Evening News reporter, the electronic case history will have the one that will record when revised, print while coming out even if not reveal, it is very clear once the dispute takes place to transfer the electronic file. Doctor Mo WenJian says too, the coroner can say whether to sign at that time or get the ticket endorsed after the normal time through the handwritten signature, in addition the nursing records of the most hospitals are also handwritten, this is an objective record, it can also be for reference once the dispute takes place. He thinks all in all, the revised edition is more prudent, the norm has practicality even more too even more. (Reporter Chen Hui )


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