以患者为中心的医疗记录写作方法
Patients are increasingly accessing their own electronic health record, ushering medical chart notes out of the cloistered purview of clinicians and into the age of transparency. With the recognition that patients are reading what is written about them, there is a need for a comprehensive reference on best practices for writing medical notes in this new era.
患者越来越多地访问自己的电子健康记录,这推动了医疗病历记录从临床人员的封闭视野中走出来,并进入了透明的时代。随着认识到患者在阅读关于他们自己所写的材料,现在需要一本全面参考资料来规范这一新时代下的医学记录撰写最佳实践。
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