اهمیت ثبت پرونده بالینی در بررسی قصور پزشکی در رشته اطفال
کد: G-1120
نویسندگان: Foroozan Faress © ℗
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خلاصه مقاله
The importance of clinical records in examining medical malpractice in pediatrics When there is a complaint about the treatment staff regarding the hospitalized patient, the basis of the complaint handling commission is to review the clinical file. It is obvious that due to the busyness of hospitals and the heavy work of doctors and nurses, sometimes they forget to record some orders or events. The medical staff should be trained and know that the timely and correct recording of events related to the patient can be beneficial in the complaint investigation process. In reviewing some cases related to malpractice in pediatrics, the following cases were observed: mistakes in recording or failure to record the exact time and date of the consultation, failure to follow the order of the infirmary doctor, failure to inform about leave and appointment of a substitute person in writing, failure to attend Timely personnel changing shifts and abandoning the shift by the previous person, failure to accurately record the condition of the patient taken from the operating room and transferred to the special and radiology department, mistakes in recording the injured hand in radiography, accidental injury by the treatment staff during the shift Dressing and failure to record follow-ups and.....which in this article are referred to examples related to the above. The treatment staff should realize the importance of recording the events in their report writing because after examining the patient and scanning the file, it will be very difficult to prove any claim about the events that happened that were not written down. It is obvious that the quotation and verbal order or definition based on mental recollection, which is not documented in the clinical file, will not be accepted.
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