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近年来,随着人们维权意识地不断增强,在医疗诉讼中,当事人对病历真实性的关注度也在逐年提高;其一旦发现病历中存在瑕疵或涂改的情况,将会对整个病历提出质疑,从而导致鉴定工作不能正常进行,不仅会激化医患矛盾,而且会延长案件审理周期,严重阻碍了医疗纠纷的解决。鉴此,加强医院病历管理,提高医务人员病历书写质量,对减少或杜绝此类医疗纠纷显得十分必要。
In recent years, with the increasing awareness of rights protection, in the medical litigation, the parties concerned about the authenticity of the medical records are also increasing year by year; once found any defects in the medical records or altered circumstances, the entire medical records will be questioned, As a result, the identification work can not be carried out normally. It not only intensifies the contradiction between doctors and patients, but also prolongs the trial period of the case, which seriously hinders the solution of medical disputes. In view of this, to strengthen the medical records management of hospitals and improve the quality of medical records writing, it is necessary to reduce or eliminate such medical disputes.