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目前医疗纠纷已经逐步走入人们的视线,成为更多议论的话题。医疗纠纷是指医患双方对医疗机构的诊疗、护理行为所导致的后果及其原因的认定产生分歧,并通过司法程序解决的事件[1]。医疗纠纷产生的原因很多,有医疗体制的弊端、媒体的不公正宣传、患者自身原因等,其中医方的因素占主要原因。主要表现为:医疗机构管理松懈、医务人员缺乏法律意识、违反医疗卫生法律、法规致使出现医疗差错、医患沟通不当等。而病案与医疗纠纷关系最为密切。
At present, medical disputes have gradually stepped into people’s eyes and become more talked topics. Medical dispute refers to the event that the doctors and the patients both have different opinions on the diagnosis and treatment of the medical institutions, the consequences caused by the nursing behaviors and their causes, and resolved through the judicial procedure [1]. There are many reasons for medical disputes, such as malpractices of the medical system, media unfair propaganda, patients’ own reasons, etc. Among them, the factors of the medical prescriptions are the main reasons. Mainly as follows: the relaxation of medical institutions, lack of legal awareness of medical staff, in violation of health laws and regulations, resulting in medical errors, improper communication between doctors and patients. Medical records and medical disputes most closely.