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法律规定医疗诉讼实施举证责任倒置的原则,病案就成为非常重要的一种书面证据。而不少医务人员对病案的证据作用不重视,缺乏自我保护意识,甚至认为即使病历有问题也不会对病人带来直接的损害,为此造成法律鉴定不能举证,医院败诉、赔偿事件屡见不鲜。医师规范的书写病历对自身和患者都是负责的表现,全面、准确、真实的病历才能真正体现证据的作用,医务人员才能在举证责任倒置中立于不败之地,维护合法权益。
The law stipulates the principle of inversion of the burden of proof in medical litigation. The medical record has become a very important documentary evidence. Many medical personnel do not attach importance to the evidence of the medical record, lack self-protection awareness, and even believe that even if the medical records have problems, it will not bring direct damage to the patients. This has caused the legal appraisal that no evidence can be given, and that hospitals lose the case and compensation events are not uncommon. The doctor’s standardized written medical records are responsible for both the patient and the patient. A comprehensive, accurate, and real medical record can truly reflect the role of evidence. Only after the burden of proof is reversed can the medical staff maintain an invincible position and safeguard the legitimate rights and interests.