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作者围绕该院责任制护理病历存在的缺陷，对其引起的原因进行了讨论，认为主要原因是人的因素，即与从事责任制护理有关的护理人员。同时提出了相应措施：①加强在职教育及时更新知识。②加强责任心，培养敬业精神。③充分发挥护士长对责任护士的领导和指导作用。④健全制约机制，逐级进行全面质量考核。
The authors discuss the causes of the medical history of the hospital’s responsibility system and discuss the causes. The author believes that the main cause is the human factor, that is, the nursing staff involved in the responsibility system. At the same time, it puts forward corresponding measures: 1 Strengthen on-the-job education and update knowledge in a timely manner. 2 Strengthen the sense of responsibility and cultivate professionalism. 3 Give full play to the role of head nurse in leading and guiding responsible nurses. 4 Improve the control mechanism and carry out a comprehensive quality assessment step by step.