Rumore J J, Al-Bagdadi F K, Titkemeyer C
J Am Vet Med Assoc. 1981 Feb 1;178(3):202-5.
Practitioners involved in the diagnosis and treatment of health-related conditions are vulnerable to litigation. Courts of law frequently award large settlements to plaintiffs who can convince a jury that the quality of service was less than could be reasonably expected. Court judgments are based on evidence supported by hard facts. Practitioners should maintain an accurate accounting of each case, not only as good business practice but also as evidence in case of litigation. The medical record is an excellent source of such evidence.
参与健康相关疾病诊断和治疗的从业者容易面临诉讼。法院经常会判给那些能让陪审团相信服务质量低于合理预期的原告巨额赔偿金。法院判决基于确凿事实所支持的证据。从业者应该对每个病例进行准确记录，这不仅是良好的业务惯例，也是诉讼时的证据。病历就是这类证据的绝佳来源。
