When it comes to doctors’ outpatient medical records and prescriptions, before the emergence of electronic medical records and electronic prescriptions, some doctors’ handwriting was very illegible (please believe me, it is by no means a common phenomenon). The reason is probably related to the following factors?

1: Studying medicine is very hard. After five years of undergraduate study, the pile of textbooks you have to study is taller than a person who is 170cm tall. Medicine is the most rigorous science, including anatomy, pathology, and pathology. Physiology, pharmacology, internal and external medicine, etc. all rely on rote memorization. In the process of learning, medical students must be quick to listen to the teacher's lectures, including later internships and ward rounds. The instructions of the superior doctors must be recorded quickly, a bit like shorthand, so the handwriting will fall off the leaves in the wind. Usually it's scrawled and you just need to recognize it yourself. Over time, a bad habit may develop.

2: The writing of hospitalization medical records is still very formal. For various inspections by the Health and Family Planning Commission, ghost drawings are not acceptable, so doctors write all hospitalization medical records in a relatively regular way.

3: The outpatient clinic is different and crowded. Doctors don't have enough time to write medical records in a regular manner, so some doctors become wild and imaginative, otherwise the speed of medical treatment will be affected. For example, when there was no limit on my number, I could see hundreds of patients in one morning at most. The writing in each outpatient medical record was extremely simple and the handwriting was relatively sloppy.

Outpatient medical records are not written by patients at all, which actually makes sense.

4: Prescriptions and medical orders. At first, both pharmacists and nurses complained about the scrawled handwriting. Gradually, a tacit understanding was formed, and the Holy Book became a common text between doctors and pharmacists, and between doctors and nurses. What the doctor wants to express. If you don't understand, you must ask a doctor for confirmation, otherwise a medical accident may occur.

5: This situation is actually similar all over the world, including the United States and Europe. In 2000, the British Medical Journal (BMJ) reported a lawsuit: A doctor in the United States prescribed Isosorbide dinitrate 20 mg, taken orally every 6 hours (Isordil, 20 mg, Q6h) for patients with angina pectoris. Because the font was too elegant, the pharmacist After mistaking Isordil for the antihypertensive drug Plendil, the patient suffered a heart attack after taking an overdose and died days later. In the end, the court found that the prescriber and pharmacist were equally responsible, and each compensated the patient's relatives US$225,000.

6: It is not ruled out that some doctors, especially old Chinese doctors, want to show off their style. This situation is particularly common in private clinics. Even if you take a photo to save it and show it to other Chinese medicine practitioners, other Chinese medicine practitioners will still be confused.

7: It must be explained that some netizens believe that the doctor's illegible prescription is to prevent patients from knowing the name of the prescribed medicine so that they can get drug rebates. This is a complete "conspiracy theory" and nothing more than baseless speculation.

8: Medical records play a very important role in medical treatment and hospital management, and are also the legal basis for handling medical accidents and medical disputes. At the same time, the "Medical Record Writing Standards" and "Prescription Management Measures" issued by the National Health and Family Planning Commission stipulate that the writing of medical records requires neat writing, clear handwriting, and accurate expressions. For this reason, many doctors with illegible handwriting have been punished by their hospitals. .

9: At present, electronic medical records and electronic prescriptions have basically replaced handwriting, and this phenomenon will soon become extinct!