The case history is difficult to write as the pharmacy of book from heaven to distinguish a doctor : Too busy and hasty and careless

The case history is difficult to write as the pharmacy of book from heaven to distinguish a doctor : Too busy and hasty and careless
Hold the case history with hasty and careless writing to buy medicines, has never expected that has entered 5 pharmacies in succession, the shop assistants who sells medicine can not all recognize the medicine name to write what. Yesterday, cannot help but got back to the hospital to register father Wu going to a doctor to the one with hasty and careless writing " The case history of book from heaven " R Very filled with anger.
Father Wu found two months ago in one large hospital of Hankow that suffers from hypertension, coronary heart disease, the doctor has written a prescription, and tell him to insist on taking the subsequent visit after the medicine for one month at least. Because father Wu loses the bag containing medicine carelessly during visiting one's relatives in the other places, after going back to Wuhan, he finds out the case history, plans to buy medicines to then take in the pharmacy. In the first pharmacy, the little girl of selling medicine can not understand the father's case history, father Wu can not remember the medicine name clearly either, the medicine that selling medicine person recommended does not dare to buy at will . Then father Wu run four pharmacy in succession, shop assistant say, admit clearly the intersection of medicine and name that doctor write.
Father Wu have to go to the hospital to write a prescription again, an expert's number has hung, the doctor recognizes the content written on the case history out very easily. Father Wu leafs through the case history that this expert wrote, can not be likewise recognized by a word. " They write the word so hasty and carelessly, afraid the patient goes to the dispensary outside to buy medicines? " L Father Wu guess doctor spend not such " R The password word " L Baffle the dispensary, keep the patient in the hospital to take medicines.
Reporter visit find the intersection of Wuhan and many of large the intersection of doctor and handwritten clinic case history of hospital mostly " Lively and vigorous " ,90% patient show, can't recognize, diagnosis of doctor to write with to see, ask with the mouth.
The market first associate professor of treatment Hu YaJun of gynaecology of hospital in Wuhan has obtained the case history of federation of trade unions of Wuhan and written the first place of match. She introduces, according to>,It is the basic demand, but doctor's handwritten case history that it is clear that the norm uses the medical terminology, writing, patient and pharmacy shop assistant can not understand reasons in many aspects. The main reason is that the clinic is too busy, it is an ordinary affair that the doctor of the large hospital meets and examines forty or fifty patients in a whole morning, the writing is unavoidable and hasty and careless while writing the case history. If write the case history carefully and neatly, can only see 10 patients in a whole morning. Some doctors' writing style is not very good, even as the counterpart, can only infer sometimes that publishes the content on the case history according to the condition.
On the other hand, the shop assistant of the pharmacy most are persons who sell, it is not the specialized pharmacy doctor, only know the goods name of medicines, does not know the chemical name of medicines, the writing the norm of but the doctor requires that must use the medicines chemical name to write.
In addition, the abbreviation letter of having many internatioanlly agreed specialized terms available is replaced, can understand the case history between the doctors, it is mainly judgement and writing style based on professional knowledge, but not " L The password is gentle " .
Ministry of Health and hospital are very strict to the management that the case history writes, but the case history of the clinic is taken away by the patient, not often spotting check and supervising, perhaps the doctor does not pay attention to the case history of the clinic, write very at will. Director Hu thinks, want to change this kind of state and had better pursue electronization and see the disease. At present, the clinic prescriptions of many large hospitals, already electronic printing of case history in hospital, just have no situation which hasty and careless patients of writing can not understand. (Xiao Qing and Zheng Hao )
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