结论规范手术知情同意书的填写，能有效地保护医患双方的合法权益，有利于提高病历的内涵质量，丰富病案的内容。

Conclusion the standardized management of operation consent can protect the legitimate interests of both the doctors and patients, and increase the connotation of the medical records.

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目的提高病案管理质量，提高病历书写质量。

Objective To improve the quality of the medical record management and that of the documentation medical record writing.

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