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Características de la historia clínica

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Características de la historia clínica

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Indica el nombre de las distintas características de la historia clínica

Created by

Claudia
Claudia
Spain

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Características de la historia clínica
 

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Características de la historia clínicaOnline version

Indica el nombre de las distintas características de la historia clínica

by Claudia
1

Existe una sola historia clínica para cada persona.

2

Contiene la información de todos los episodios o visitas del paciente

3

Es privada, solo pueden acceder las personas autorizadas a ello.

4

Se deben evitar abreviaturas y no se debe omitir información.

5

Debe poderse recuperar en los casos que se requiera legalmente

6

La información de la historia clínica debe ser verdad, no se puede mentir, es un derecho del paciente.

7

Los centros deben guardar y proteger las historias de forma segura y poder recuperarlas fácilmente

     
  
  
8

Deben estar identificados los profesionales sanitarios que intervienen en el proceso asistencial

        
  
  
  
 
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