An empirical judicial case study on the authenticity disputes of electronic medical records
10.3760/cma.j.cn111325-20200902-01875
- VernacularTitle:电子病历真实性争议的司法实证研究
- Author:
Xuehui ZHANG
1
;
Yueping LI
;
Chenyun ZHANG
Author Information
1. 福建医科大学公共卫生学院，福州 350122
- Keywords:
Electronic medical record;
Authenticity;
Judicial cases;
Empirical research
- From:
Chinese Journal of Hospital Administration
2021;37(2):158-162
- CountryChina
- Language:Chinese
-
Abstract:
Based on a research on judicial cases concerning the authenticity of electronic medical records in the past three years, the authors encountered judicial dilemmas in judicial practice. The challenges arise due to the special manifestations of electronic medical records, unclear and disputable criteria for the authenticity of electronic medical records, low application level of electronic medical records identification, and inconsistent responsibility attribution. In order to effectively apply the electronic medical record system, it is recommend to promote pre-litigation prevention by unifying the construction standards of the computerized patient record system, strengthening hospital electronic medical record management and entrusting third-party storage to ensure the evidential weight. In addition, it is necessary to establish standards for authenticity of medical records, improve the electronic medical record forensic identification system and clarify the attribution of the responsibility for untrue medical records, so as to improve the handling of such medical damage cases during litigation.
