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class="pv_box m_p ov_hi"> <div id="i2i2jyu4k" class="bw_750 fl"> <h1 class="pv_title_2"><span id="i2i2jyu4k" class="site fr"><a href='/'>首页</a>><a href='/xywy/'>寻医·问药</a>><a href='/xywy/yxtqs/'>医讯同期声</a></span><span id="i2i2jyu4k" class="t" id="a1"><a href="/xywy/yxtqs/">医讯同期声</a></span></h1> <div id="i2i2jyu4k" class="pa_0_5_0_10"> <h1 class="Content_title" id="hh"> <span id="a" style="">宁波一医院7名医生字迹潦草被?？?/span> </h1> <script>/*jQuery('#hh').width(jQuery('#a').width());*/</script> <div id="i2i2jyu4k" class="Remark"> <span>2015年04月10日 14:58 | 来源：<a target="_blank">钱江晚报</a></span> <span id="i2i2jyu4k" class="fr"> <div id="i2i2jyu4k" class="bdsharebuttonbox"><a href="#" class="bds_more" data-cmd="more"></a><a href="#" class="bds_qzone" data-cmd="qzone" title="分享到QQ空间"></a><a href="#" class="bds_tsina" data-cmd="tsina" title="分享到新浪微博"></a><a href="#" class="bds_tqq" data-cmd="tqq" title="分享到腾讯微博"></a><a href="#" class="bds_renren" data-cmd="renren" title="分享到人人网"></a><a href="#" class="bds_weixin" data-cmd="weixin" title="分享到微信"></a></div> <script>window._bd_share_config={"common":{"bdSnsKey":{},"bdText":"","bdMini":"2","bdMiniList":false,"bdPic":"","bdStyle":"0","bdSize":"16"},"share":{}};with(document)0[(getElementsByTagName('head')[0]||body).appendChild(createElement('script')).src='http://bdimg.share.baidu.com/static/api/js/share.js?v=89860593.js?cdnversion='+~(-new Date()/36e5)];</script> </span><span id="i2i2jyu4k" class="fr">分享到：<img src="/images/fx.jpg" /> </span> </div> <div id="i2i2jyu4k" class="text_box"> <p align="center"> <p align="center"> <a href="/upload/resources/image/2015/04/10/69973.jpg" target="_blank"><img alt="20150410115928320d9" src="/upload/resources/image/2015/04/10/69973.jpg" title="20150410115928320d9" /></a></p> <p align="center"> <span style="text-align: start;">（资料图，图文无关）</span></p> <p align="center"> </p> <p> 　　“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。”</p> <p> </p> <p> 　　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。</p> <p> </p> <p> 　　宁波多家医院要对这种情况下手了。</p> <p> </p> <p> 　　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。</p> <p> </p> <p> 　　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！”</p> <p> </p> <p> <strong>　　李惠利医院：</strong></p> <p> <strong>　　字迹太潦草</strong></p> <p> <strong>　　7名医生被扣奖金</strong></p> <p> </p> <p> 　　有人研究发现，狂草病历其实大有渊源。</p> <p> </p> <p> 　　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。</p> <p> </p> <p> 　　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？</p> <p> </p> <p> 　　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。</p> <p> </p> <p> 　　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。</p> <p> </p> <p> 　　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?？己耸敌邪俜种?，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?？己私峁扛黾径榷家ūā?/p> <p> </p> <p> 　　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。</p> <p> </p> <p> 　　“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。</p> <p> </p> <p> <strong>　　医生很无奈：</strong></p> <p> <strong>　　病人太多，有时半天写坏一支笔</strong></p> <p> <strong>　　难免字迹凌乱</strong></p> <p> </p> <p> 　　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。</p> <p> </p> <p> 　　不少医生对此报以无奈的苦笑。</p> <p> </p> <p> 　　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。”</p> <p> </p> <p> 　　有患者认为，病历上字迹潦草，是医生故意为之，患者看不清楚药名，就不能到医院外的药店买药。</p> <p> </p> <p> 　　医生们大呼冤枉。</p> <p> </p> <p> 　　一位医生说，早些年，患者看完病，确实需要拿着病历到医院配药窗口按照上面说明配药，但现在大部分正规医院都已使用了电子处方和无纸化办公，诊疗、开药、取药等步骤都是在电脑上完成的?；颊呖梢栽谝皆合喙厣璞覆檠?，还能打印出来，都是一目了然。</p> <p> </p> <p> 　　“手写处方仅是一种辅助手段，主要是为患者以后就诊提示病史，所以，故意潦草的猜测是不成立的。”这位医生说。</p> <p> </p> <p> 　　一位女医生提出，不太理解为何病历字迹要工整。她说，病历不是给患者看的，只要其他医务人员能看懂就行，“即使病人能看清每个字，有多少人懂其中的意思？病历最大的作用是，复查或再次就诊时作为参考、提示，另外就是发生医疗纠纷时作为证明。”</p> <p> </p> <p> 　　这位女医生说，有人认为医生字迹潦草是对患者没有责任心。其实对患者来说，医生最重要的工作是分析确定病情，并制定合理的治疗方案，“人的精力是有限的，患者那么多，如果我们把很大的注意力放在病历上，才是对患者病情的不负责。”</p> <p> </p> <p> <strong>　　患者徐先生：</strong></p> <p> <strong>　　病历上药名看不清</strong></p> <p> <strong>　　跑了4家药店没买成药</strong></p> <p> </p> <p> 　　上面这位女医生说，病历不是写给病人看的，只要其他医务人员能看懂就行，好像也有道理。不过，家住江北区的徐先生不同意这个观点。</p> <p> </p> <p> 　　徐先生有个9岁的女儿，前段时间女儿肚子疼。去医院后，医生开了药，门诊和药品窗口是联网的。从门诊出来，他就直接去取药了?？囊┏粤巳?，女儿症状减轻，但没痊愈。最后一天上班时，徐先生就揣着病历出门了，准备再买点药。</p> <p> </p> <p> 　　“因为病历上都是弯弯曲曲的小细线，我跑了4家药店，只有一家的工作人员猜出其中一种药的名字。实在没办法，下班后我赶回家，只好拿着药盒出来买药。”</p> <p> </p> <p> 　　徐先生得知医院整治狂草病历，连连说做得好。</p> <p> </p> <p> 　　快80岁的余姚人宋伯伯，也不会同意“只要其他医务人员能看懂”的说法。</p> <p> </p> <p> 　　前几天，宋伯伯眼病犯了，儿子带他到宁波一家医院。检查后，医生确认没有大问题。诊断快结束时，儿子出去接电话。医生嘱咐老人吃饭要营养均衡，还特意推荐了橘子、葡萄、香蕉等几种水果，都写在病历上。</p> <p> </p> <p> 　　回到家，宋伯伯只记得要多吃水果，但哪几种却想不起来了。儿子翻开病历，最后一行确实有几个字，似乎是水果名，但却认不出来。</p> <p> </p> <p> 　　宋伯伯的儿子只好赶回医院再去问医生。</p> <p> </p> <p> <strong>　　追问：</strong></p> <p> <strong>　　医生字迹，同行是否能辨认</strong></p> <p> <strong>　　靠专业知识，大部分能猜出来</strong></p> <p> </p> <p> 　　也有不少人好奇，病人看不懂的狂草病历，其他医生就能看懂？对此，钱江晚报记者问了不少医生。</p> <p> </p> <p> 　　一位医生说，他并不能认出所有病历的文字，有些过于潦草的，除非是很了解对方的书写习惯，否则也不认识。</p> <p> </p> <p> 　　“但大多数患者们很难看懂的病例，医生们确实更容易认得出来，这主要是因为病历都有一定的格式，根据格式，只要能看懂一两个字，根据专业知识，自然就能理解了。”这位医生说。</p> <p> </p> <p> 　　而且，病历上出现的一般都是专业术语或者药物的名字。这位医生举例子，比如扁桃体脓肿，只要看清一个“扁”或者“脓肿”中的任何一个字，甚至只看出这个词的轮廓，就知道了?；褂幸恍┮┪铮热缜嗝顾?，看到“青”，在看到后面的剂量和药物单位，自然就明白了。</p> <p> </p> </div> <p class="Editor">编辑：赵彦 </p> <div id="i2i2jyu4k" class="Paging"> </div> <p class="Keyword">关键词：处方字迹潦草医生被扣奖金</p> <h1 class="pv_title_2 mt_15"><a href="/index.shtml" target="_blank" class="more mtb_14">更多</a><span id="i2i2jyu4k" class="t" id="a3"><a href="/index.shtml"><img src="/images/xg_t1.jpg" /></a></span></h1> <div id="i2i2jyu4k" class="pa_0_5_0_10"> <ul class="Related_ul bh_150"> <li><a target="_blank" href="/c/2018-03-26/2006958.shtml">处方药和非处方药有什么不同？</a></li> <li><a target="_blank" href="/c/2017-03-16/1420981.shtml">互联网药店漏洞仍多处方药无处方照卖不误</a></li> <li><a target="_blank" href="/c/2018-09-26/2176981.shtml">一些网店打擦边球销售处方药部分商家称可代开处方</a></li> <li><a target="_blank" href="/c/2018-09-05/2162043.shtml">网售处方药只靠禁止很难解决问题</a></li> <li><a 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