Military Medical Academy, Saint Petersburg, Russia
Brief summary
The analysis of primary medical records of patients undergoing treatment at the outpatient dental institutions of various forms of ownership. Analyzed the quality of outpatient cards dental patients, their correspondence forms of modern requirements, as well as the completeness of filling in the diagnosis and treatment. The emphasis of the analysis was made on the details of the description of the objective of the local status of organs and tissues of the masticatory apparatus, which is of direct significance in forensic-medical examination of such patients. Identified preconditions for treatment of a patient for judicial protection in connection with defects of the primary medical documentation. Conclusions are made and recommendations to improve the quality of filling of outpatient cards dental patients.
Key words
Primary medical documentation, outpatient\\\'s card dental patient treatment-and-prophylactic institution, professional mistake dentist.