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宁波一医院整治狂草病历 7名医生字迹潦草被罚款

2015-04-09 09:37:34   国际在线

原标题:宁波一医院整治狂草病历7名医生字迹潦草被罚款

“我曾见过一篇杂文说,现今看不懂的字就是所谓狂草,医院更是汇聚四方狂草专家的地方。一个医生可能一辈子称不上医学家,但一进医院就意味着你是书法家。”

这是韩寒作文里的一句话,说出了不少人的心声。“借我借我一双慧眼吧”,面对病历上的陌生线条,多少人连蒙带猜一头雾水。

宁波多家医院要对这种情况下手了。

前两天,李惠利医院发通报,在第一季度门诊病历质量检查中,抽查了20位医生,其中7位因字迹潦草被扣奖金。

这倒是方便了病人,可也有医生表达了无奈:“我们也想一笔一划写病历啊,但门诊太忙了!”

李惠利医院:

字迹太潦草

7名医生被扣奖金

有人研究发现,狂草病历其实大有渊源。

人称“颠张狂素”的唐代草书大师张旭,略通医术。一次肚子痛,他唰唰唰给自己写下一封诊断书,这便是流传后世的国宝级名帖《肚疼帖》。上面写道:忽肚痛不可堪,不知是冷热所致,欲服大黄汤,冷热俱有益。

可是,张旭那是写给自己看的,而医生写病历那是要给别人看的。人家都看不懂,再笔走龙蛇有什么用?

深知病人猜病历的痛苦,宁波多家医院决定出手整治狂草病历。

前两天,李惠利医院公开了第一季度门诊病历质量检查情况,在抽查的20位门诊医生中,有7位医生因字迹潦草被扣奖金。

李惠利医院门诊办主任赵峰告诉记者,去年9月,医院制订《李惠利医院门诊初诊病历质量检查评分表》,将字迹当作病历质量评分的一项标准。考核实行百分制,95分以上为优秀,奖200元;80分以下至60分为不合格,扣100元;不满60分的,为严重不合格,扣200元。考核结果每个季度都要公开通报。

赵峰说,这么做有两个原因:字迹潦草,病人看不懂病历,甚至找其他医生复查时,别的医生也看不懂,就不能全面掌握患者的病史,对诊断及治疗方式的选择都不利。还有一个原因,如病历写得太潦草,一旦发生医疗纠纷,没有办法做鉴定啊。

“我们也不会严苛医生一笔一划写正楷,只要能让其他人看懂,就算合格。”赵峰说。

医生很无奈:

病人太多,有时半天写坏一支笔

难免字迹凌乱

昨天,钱江晚报记者走访了宁波几家大医院,各家医院都表示,正在整治狂草病历现象。

不少医生对此报以无奈的苦笑。

一家三甲综合医院的呼吸科医生大吐苦水:“半天门诊,少则五六十位,多则近百位患者。我们送走最后一位患者,经常已过了午饭时间。即便如此,你算算,一位患者的就诊时间能有几分钟?嘴上要不停说,脑子要飞速运转。为提高效率,手上动作自然也就快了。一支崭新的签字笔,有时一次门诊就写完了。这种情况下,难免出现字迹潦草的情况。”

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