41例发生漏误诊的骨科医疗事故案例分析  

41 Cases Analyses of Orthopedics Malpractices Accompanied with Missed Diagnosis or Diagnostic Errors

作　　者：江扬[1] 周琳[2] 许苹[3] 梁庆宇[4] 吴宏[5] 

机构地区：[1]第二军医大学研究生管理大队,200433 [2]解放军第210医院,116021 [3]第二军医大学卫勤系卫生事业管理教研室,200433 [4]上海市卫生局卫生监督所,200031 [5]上海市卫生局科教处,200040

出　　处：《成都医学院学报》2012年第2期172-174,共3页Journal of Chengdu Medical College

基　　金：国家自然科学基金(NO:70973135)

摘　　要：应用RCA方法对某市卫生局卫生监督所存档的41例骨科存在漏诊误诊的医疗事故报告书进行分析处理。对医疗事故的等级和责任程度、医疗事故在各级医院的分布、医疗事故的责任人职称分布、致伤原因、漏误诊损伤部位分布和医疗事故中患者的基本情况进行分析,得出统计结果,并针对结果进行讨论,提出建议。The article applies RCA（ Root Cause Analysis）to analyze 41 orthopedics malpractices statements accompanied with missed diagnosis or diagnostic errors filed in Agency for Public Health Inspection of certain Municipal Health Bureau. We get some statistical analysis results in the grading of medical malpractices and duty levels,malpractices distributions in the hospital,doctors professional title distributions, venerated causes and injuries sites distributions, and the patients basic conditions. The last we give out reasonable suggestions based on the results.

关 键 词：骨科 医疗事故 漏诊误诊 

分 类 号：R197.32[医药卫生—卫生事业管理]