两次鉴定结论差异原因分析  

Analysis of the Different Conclusion of two Class Medical Malpractice Identification

作　　者：薛晓芳[1] 谭鸣[1] 司徒薇薇[1] XUE Xiao-fang,TAN Ming,SITU Wei-wei（Shanghai Medical Malpractice Center of Shanghai Medical Association,Shanghai 200031,China）

机构地区：[1]上海市医学会医疗事故技术鉴定工作办公室,上海200031

出　　处：《医学信息》2011年第13期4401-4402,共2页Journal of Medical Information

摘　　要：目的通过总结两次鉴定结论有差异的案例,分析其原因,提出降低差异率的方法。方法收集2008年1月至2010年10月经由上海市医学会组织鉴定的再次鉴定案例共430例,与首次鉴定结论有差异的128例,分析引起差异的原因。结果两次鉴定差异率达29.77%。结论引起鉴定结论差异的因素主要有专家认识不一致,鉴定学科不一致等,应加强专家培训及鉴定队伍建设,缩小鉴定差异率,提高鉴定质量。Objective To put forward a method to reduce the inconsistency rate,by summarizing and analizing the different conclusions of two class medical malpractice identification.Methods 430 medical cases that were appraised for the second time by Shanghai Medical Association from Jan,2008 to Oct.2010 and 128 ones that had different technic conclusion from the first medical malpractice identification were collected and analyzed.Results The inconsistency rate of the two appraisal conclusions was 29.77%.Conclusion The main factors of the differenct conclusion of two class medical malpractice identification are the inconsistency of experts awareness and identification subject,etc.We should strengthen the building of expert training and identification team,narrow the inconsistency rate and improve identification quality.

关 键 词：医疗事故 两次鉴定 结论差异 原因分析 

分 类 号：R197.3[医药卫生—卫生事业管理;医药卫生—公共卫生与预防医学]