从“举证责任倒置”谈病理工作者自我权益的维护  

Self-protection of the Rights and Interests of Pathological Workers under "Onus Proof of Conversion"

作　　者：赵龙坡[1] 刘艳丽[1] 杨连君[1] 成继民[1] 

机构地区：[1]解放军白求恩国际和平医院病理科,河北石家庄050082

出　　处：《中国医学伦理学》2007年第2期86-88,共3页Chinese Medical Ethics

摘　　要：近年来,涉及病理学诊断的医疗纠纷越来越多。病理诊断报告的差错失误,病理资料的保存不善,忽视患者的知情同意权,会诊制度的不完善等都可能给病理工作者带来医患纠纷与麻烦。对临床病理工作者来讲,如何妥善解决这些问题,维护自身的合法权益?笔者针对最高人民法院在《关于民事诉讼证据的若干规定》中作出的因医疗行为引起的侵权诉讼的举证责任倒置的规定,结合在临床病理科室工作的具体实践经历,从医学伦理和法律角度分析,提出了以下解决对策:①提高病理诊断准确性;②严格按工作常规进行操作;③落实患者的知情同意权;④建立区域性病理诊断中心;⑤加强与临床医师的交流与沟通;⑥规范病理诊断报告书写及发出流程;⑦提高与患者交流的技巧。The medical disputes related to pathological diagnosis are increasing continuously in recent years. Medical conflicts and disputes with Pathological staff may be resulted from misdiagnosis of the pathological reports, dissatisfactory storage of pathological data and materials, neglect of the patients＇ rights of informed - consent, and imperfection of consultation system. How to resolve these questions and protect the rights and interests of pathological staff themselves？ Some medical ethics and law analysis is given based on the prescript ＂Onus Proof of Conversion＂ issued by the Supreme Court of the People＇s Republic of China in ＂Some Stipulation of Civil Litigation Testimony＂ for the medical tort lawsuit caused by medical practice, and author＇s clinical pathological experience. Some recommendations and preventive measures are proposed as follows ： 1, to improve the veracity of pathological diagnosis; 2, to operate abiding by the job routine strictly; 3, to carry out the patients＇ rights of informed -consent; 4, to set up a regional center for pathological diagnosis; 5, to reinforce the communication between pathological doctors and clinical doctors ; 6, to make the flow of signing and sending - out of pathological diagnosis reports standardized; 7 ,to improve the doctors＇ommunication skills with the patients.

关 键 词：举证责任倒置 病理 权益维护 

分 类 号：R-052[医药卫生]