Transcription of 急診病歷記錄的陷阱 學習目標 - disaster.org.tw
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A. B. ( ) C. ( )D. ( )E. Chief Complaint Present Illness Past Hx / Personal Hx / Family Hx PE Laboratory Data / Image Impression Plan + Painful swelling over left knee joint for 4 hours since March 21, 2008 Present Illness chief complaint The 7 + why? 7 + why?1. (Chronology) (When) (How) 2. (Location) (Where) 3.
急診病歷記錄的陷阱 新光急診張志華 100.06.13 學習目標 • 寫病歷之目的 • 急診病歷書寫規範 • 危險的病歷記錄
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