缺陷病案即不合格病案,是引发医疗纠纷的隐患。病案是病情发展变化和医疗过程的真实记录,是医疗、教学、科研、医院和卫生行政管理、卫生统计、医疗保险理赔、疾病和伤残鉴定以及医疗事故处理的重要法律依据。所以现阶段当务之急要解决的问题是如何预防病案缺陷和采取什么预防? Defective medical records, that is, unqualified medical records, are hidden dangers that cause medical disputes. The medical record is a true record of the development of the disease and the medical process. It is an important legal basis for medical treatment, teaching, scientific research, hospital and health administration, health statistics, medical insurance claims, disease and disability identification, and medical accident handling. Therefore, the most urgent task to be solved at this stage is how to prevent the defects of medical records and what precautions should be taken?