Why do doctors write such 'scribbled' words in medical records? How do doctors understand each other?
There are several unsolved mysteries about the hospital:
First of all, when you go to the hospital to see a doctor, can you understand the doctor's words?
For example, the doctor asked netizens to buy this medicine. I even wondered if the doctor just wanted to see if the ballpoint pen could be used.
Do they need a code book for their characters, and check them against each other? It looks like a word blown by a strong wind, but in the eyes of the pharmacist, it is very clear.
Another example, why do obstetrics and gynecology departments in hospitals have to arrange male doctors? can you understand
1. Why can't I understand the doctor's words?
Every time I take the medical records and see the handwriting written by the doctor, I seem to be worried that the patient will recognize it.
The main reason for the doctor's word count is too sloppy is: too many patients!
Doctors need to diagnose a large number of patients every day. In order to ensure that every patient can get both, the prescriptions for patients should be written as soon as possible.
Although it is a "scripture from heaven", it is just that ordinary people cannot discern one or two things, but pharmacists can understand it.
In fact, there are a lot of abbreviations or Chinese-English mixed characters and professional names in the doctor's prescriptions, which are completely incomprehensible to untrained laymen. However, pharmacists deal with doctors and nurses every day and cooperate with them for a long time. Naturally, they are familiar with it.
In fact, this phenomenon is not unique to China. The Institute of Medicine of the National Academy of Sciences of the United States has conducted a report on "the number of accidental deaths in the United States every year". Among medical errors, medication errors rank fourth in the incidence of all errors , and the main cause of medication errors is prescription errors. Doctors scribble It is one of the important causes of errors.
In order to reduce medical errors, an article in the American Journal of Healthcare Management in 2003 conducted a correlation analysis on the influencing factors of doctors' careless prescriptions. It was found that the patient's age, gender, place of residence, and number of diagnoses were related to doctors' scribbled writing. .
In internal medicine, the requirements for records of medical history and examination are relatively higher, so the handwriting is clearer. In surgery, the requirements for analysis are lower than those in internal medicine, and most of them are operations, so the handwriting is more illegible.
The most direct way to avoid these mistakes is not to write by hand. Nowadays, many domestic hospitals have begun to go electronic, switching to electronic prescriptions and printed prescriptions. So don't worry too much about prescription errors.
2. Why are male doctors arranged in obstetrics and gynecology?
According to relevant statistical surveys, in developed countries in Europe and the United States, the average proportion of male obstetricians and gynecologists is 95%. In Hong Kong and Taiwan, male doctors in obstetrics and gynecology accounted for 90%. In large domestic hospitals, the proportion of male obstetricians and gynecologists accounts for 30-40%.
What do you do when you meet a male doctor in a gynecology clinic? According to statistics from a website, among the approximately 13,000 people who participated in the survey, about 40% of them felt embarrassed and would refuse to see a doctor because of this, and 5.52% were willing to accept it.
Why do obstetrics and gynecology arrange male doctors?
On the one hand, it is a natural advantage . Obstetrics has the characteristics of heavy responsibility, more emergency calls, and more rescues. Compared with female doctors, male doctors have a great advantage in physical strength. Faced with high-intensity work, men will recover energy relatively. faster. In addition, although the number of obstetric male doctors is not dominant, there are many famous doctors.
On the one hand, Reshma Jagsi, an associate professor of radiation oncology at the University of Michigan School of Medicine, once publicly stated that different perspectives in a group are more conducive to solving complex problems. In obstetrics and gynecology, men and women are equally important , and diversity can improve medical quality.
The existence of male doctors in obstetrics and gynecology is inevitable. Faced with the confusion of some patients' family members, the unprofessional and non-standard handling of the hospital can easily lead to tension in the relationship between doctors and patients.
In fact , there are regulations on the protection of patients' privacy in the "Chinese Medical Practitioner Law" and "Nurse Management Measures" . Dr. Li Jiafu, director of the Department of Obstetrics and Gynecology at Zhongnan Hospital of Wuhan University, also said that male obstetricians and gynecologists are likely to cause mistrust among patients. Generally, male family members are not allowed to enter obstetrics and gynecology clinics, and visiting hours are strictly stipulated in the wards.
When a male doctor examines a female patient, there must be a female doctor or female nurse present. If the patient feels uncomfortable and asks to be checked by a female doctor, the hospital will also consider the patient's opinion.
In the eyes of doctors, patients are not divided into men and women . In the face of the outdated and conservative concepts of some patients and their families, it is even more necessary to guide them to change to agree with the "doctor's level".
3. Inventory those inspections that need to be "embarrassing"
What do you think is the most embarrassing thing about going to the hospital for an examination?
Some people said: obstetrics and gynecology met male doctors, and some people said that men met female doctors in anorectal department.
I believe that many doctors are professional. However, due to some inspections, it is difficult to distinguish whether it is an inspection behavior or an intentional violation, which also makes the doctor-patient relationship full of contradictions.
Xu Hao, the attending physician at the First Affiliated Hospital of the University of Science and Technology of China, reminded that if these behaviors occur, they are all irregular.
For example, during breast examination, large-scale pressing and rubbing of the chest; examination of private parts without notification; not wearing gloves to cover private parts; taking off the patient's clothes or touching the patient's private parts without authorization; no third person is present during the examination; the gynecologist examines the breast; Use non-medical words to describe the patient's body; fingers move in and out of the private part during bimanual examination; ask about details such as postures in intimate life, etc. When encountering these things, patients should question them.
Although some checks are "embarrassing", they should be carried out regularly for good health:
1. Anal examination
Anal digital examination can directly touch the anus, rectum, etc., and can directly identify whether there is any abnormality in the anus and rectum through fingers. According to relevant statistics, about 75%-80% of rectal cancers can be found through digital examination.
2. Gynecological examination
Gynecological examination is the most important means of discovering gynecological diseases. Gynecological routine examination, leucorrhea examination, TCT examination, and ultrasonography are recommended and must be done.
To save lives and heal the wounded, doctors need to devote a lot of energy to save patients, with more trust and understanding. However, you must also master some medical knowledge to protect your own rights.
References:
[1] "Can you understand the heavenly script prescribed by the doctor? Pharmacist: Anyway, I can’t understand”. Nutshell. 2018-12-05
[2] "[Close-up] Duan Tao: Obstetric male doctors should be good at turning danger into invisible". Medical Economic News. 2014-08-20
[3] "Should Advocate Feminization of Obstetricians and Gynecologists? "Laughing to death, some hospitals don't accept female doctors at all in obstetrics and gynecology." "Medical Obstetrics and Gynecology Channel. 2021-12-08
[4] "I went to see a doctor with abdominal pain, but the doctor put his finger into the vagina: Is it life-saving or a hotbed of sexual assault?" ". DrX said. 2021-04-19
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