Is the new rule of the case history a gag? Violent medicine?

Is the new rule of the case history a gag? Violent medicine?
Is the new rule of the case history a gag? Violent medicine?
After the new rule is issued, the doctor can not write " book from heaven " Case history. " the case history writes the basic norm " issued by Ministry of Public Health recently causes the numerous readers in Foshan to pay close attention to. Can the new rule radically treat the question of the book from heaven of case history? The doctor can be in the emergency the descendant sign, can the hospital of Foshan implement? Standardize the case history to write, it is the gag that standardizes a violent medicine behavioral in medical treatment on earth, the reporter interviewed many medical workers in the first line of job yesterday. Document / reporter Xiao HuanHuan, Gao Min's China Pursue /reporter Chen Feng Ask: Whether the new rule could effect a radical cure " The book from heaven " The case history? For writing the unstandard one " The book from heaven " Case history, the Shuande district five wears commemorating secondly Wu JinDong, Vice President of hospital, expressed yesterday, generally speaking the doctors will all clearly write the patient's case history. But he admits frankly, really there are " case histories of book from heaven " in a lot of hospitals at present ,The patient can not understand at all. He thinks, will further standardize the case history to write in new rule, the patient can understand one's own case history in the future, even if go to another hospital to see the doctor holding one's own case history, doctors will not be " covered with checking " either . Prospect: Spreading out side of chief of Foshan Municipal Health Bureau Qi Yao says in this year in the electronic case history, the information-based system of the regional hygiene service has already spread out construction in the whole city. Mayor Chen YunXian pays much attention to this, it is estimated June of this year, citizens can use " electronic case history " in 8 medical organizations of pilot hospital and south sea area of city See the doctor, make a diagnosis the materials can also be printed from the service platform of the informationization, " case history of book from heaven " Will be eliminated. Two asks: Can the new rule analyse and explain a dilemma of a doctor? " the norm " this one piece most light a bit, give hospital appropriate right of cutting out etc., the hospital can sign in urgent cases. "In order to rescue a patient, in a situation that the legal representative or licensee can't sign in time, can be signed by the person in charge of medical organization or person in charge authorizing it. " As to this, most reputable employees all say, it is the great progress. Wu JinDong is by taking up a job as a doctor for many years and going through telling reporters, it needs rescuing the emergency to often present patients before this by oneself, but the situation which relatives disagree with signing. "The new rule lets the autonomy of the hospital be larger, it is a very great progress. " But he worries, in urgent cases, the medical organization, in order to rescue patient's life at the same time, what a right of signing for the patient, need to be further thinning and clear. Otherwise, medical organization or the doctor, in order to protect patient's life and sign and rescue, after the medical dispute appeared, the hospital still needs to bear responsibility; Or the hospital has cured patients, but the patient family members refuse to pay the fees because relatives had not signed before curing the disease, increase the hospital economic pressure. Current situation: Have hospital do so already the intersection of Foshan and the intersection of city and the intersection of institute of traditional Chinese medicine and the intersection of medical matters and in the East Zhu, vice section chief of department, say, the doctor takes the place of the method to sign first in urgent cases, the institute of traditional Chinese medicine has implemented for a long time, involve, rescue patient, patient sober unable to book agent at field, the total value of institute of the hospital will be in line with the purpose to rescue patient's life signing for the patient's operation usually. Three asks: Will you please urge to diagnose transparent? Requires the transparent whole journey of course of revision of the case history if " norm " has a big light spot. Require " case history write in the course appearing wrongly written charactering, should paint with double-line in the wrongly written character, clearly keep and record originally, can distinguish, and mark out and revises time and revise people and sign. The medical workers of higher authorities examine the responsibility which revises the case history that the subordinate medical worker wrote. Revise, should mark out, revise date, revise personnel, sign, keep, record clearly, can distinguish originally. " Influence: Standardizing Deputy Bureau Director of Foshan Municipal Health Bureau Tan GuangMing even more in evidence of making a diagnosis says, regulation these propose high requirement and restrain to doctor, make a diagnosis while being whole the course has more normal evidences.


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