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Nursing records exist in the legal issues and countermeasures
Nursing records exist in the legal issues and countermeasures
[Abstract] nursing record is a legal significance of the original paper is based is to support hospitals, doctors, nurses, a fair assessment of the fact that the most critical evidence. Nursing records appeared on the legal issues to be analyzed, find out the reason for the reason, to formulate appropriate medical countermeasures, not only to protect the legitimate rights of patients, but also the need for self-protection of nurses and improve the quality of medical care.
[Keywords:] nursing records; legal issues; Countermeasures
With the development of society, constantly improve the legal system, sound, people’s legal consciousness has grown stronger. New ‘medical Penalties’ content increased protection for patients and increased the responsibility of medical institutions and medical personnel. As a high-risk occupations of medical personnel, but also require careful study, it is necessary to understand the law to better serve patients. Nursing record is a legal significance of the original paper is based, in particular with regard to medical malpractice cases, it is to support hospitals, doctors, nurses, a fair assessment of the fact that the most critical evidence of the quality of their writing becomes particularly important.
A problem in nursing records
1.1 The weak legal consciousness the concept of law weak, poor sense of self-protection, virtual fill observations, from the copy nursing records, nursing measures, and the process of incomplete [1].
1.2 Record is not timely, the less accurate, consistent poor condition described in imprecise and ambiguous terms, the use of non-medical terminology or syntax errors. Patients with failure to make timely changes in records, when the condition further aggravated, or nearly over one’s duty to conduct memories of when the record, easily lead to discrepancies between records and the facts, resulting in time to record on the do not match.
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