Title: Analysis of the reasons and countermeasure of the discordance in medical and nursing records
Abstract: Objective To investigate the manifestation of the discordance in medical and nursing records and the potential problem of law, as well as to explore the feasibility of the synthesis of medical and nursing documents.Method The clinical records were classed into subjective and objective data, and then perform the synthesis of medical and nursing records.Results The synthesis of medical and nursing records reduced the errors of the discordance in medical and nursing records, and the records of illness course became more systematic, integrated and reasonable.Conclusion Synthesis in medical and nursing records is a new attempt in the writing of medical documents and it deserves to be researched further and spread out.
Publication Year: 2004
Publication Date: 2004-01-01
Language: en
Type: article
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