As an integrated part of the medical records and the most important medical resources,nursing document serves as the original record and the essential legal document provided by and for the medical staff. In consideration of effectively minimizing the medical disputes induced by the nursing document, vital importance should be attached to the latter,with the quality management of it enforced,the legal consciousness,responsibility and self-protection awareness sufficiently improved and communication skils upgraded among the nurses.%护理文书是病案的一部分，是医院最重要的医学资料，也是医务人员临床中的原始记录文件和重要的法律文件。只有提高对护理文书的重视，加强对护理文书质量的管理，有效提高护理人员的法律意识、责任心和自我保护意识，加强护理人员的沟通能力，才能有效减少因护理文书导致的医疗纠纷。
展开▼
