护理记录单；原因分析；防范对策。
眼科；表格式护理记录单；临床应用；质量控制；
Ophthalmology Nursing record table format Clinical application Quality control;
目的分析护理记录单纠纷隐患产生原因，并探讨相应防范对策。
Objective To analyze the reason of potential disputes in care records, and discuss the corresponding countermeasure.
前言：目的：分析护理记录单书写存在的问题，提高护理记录质量。
Objective: To analyze the questions of writing nursing records, for improving quality of nursing records.
方法用统一的质量标准检查380份护理记录单，对存在的缺陷分类列出。
Methods Inspected 380 nursing labels with the unification quality specification, listed the defect.
目的：为保证手术护理记录单的完整性，提高手术护理记录单质量，降低缺陷发生率。
Objective to guarantee the integrity to enhance the quality to lower the incidence of defect of the operation nursing record.
方法用统一的质量标准检查952份护理记录单，对存在的缺陷用表格形式按百分比分类列出。
Methods Inspects 952 nursing labels with the unification quality specification, lacks to the existence hidden lists with the tabular form according to the percentage classification.
目的：应用PDCA循环管理纠正儿科基础护理单记录缺陷。
Objective To evaluate the effect of PDCA circular administration in correcting the defects of basic nursing sheets records in pediatrics.
结论：针对肝胆外科设计的分级护理巡视记录单可明显改善护理质量，提高病人满意率。
Conclusion: Grading nursing care visiting labe aimed at department of hepatobiliary surgery may improve nursing quality and increase satisfaction of patients significantly.
结论：针对肝胆外科设计的分级护理巡视记录单可明显改善护理质量，提高病人满意率。
Conclusion: Grading nursing care visiting labe aimed at department of hepatobiliary surgery may improve nursing quality and increase satisfaction of patients significantly.
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