医疗纠纷案例分析与对策  

Cases Analysis of Medical Disputes and Relevant Countermeasures

作　　者：阮鹤瑞[1] 金疆山[1] 白海霞[1] 郭刚[1] 傅凯丽[2] 

机构地区：[1]新疆军区第23临床部,乌鲁木齐市830002 [2]新疆军区联勤部卫生处,乌鲁木齐市830002

出　　处：《中国病案》2015年第5期25-26,37,共3页Chinese Medical Record

摘　　要：病案资料是医疗行为过程中形成的真实、客观文字记录,是医疗纠纷诉讼及医疗鉴定的无可替代的书面证据。而当下医疗过程中仍存在病案质量缺陷及医疗制度不落实、病案资料保管不善、质控不严、责任心缺失等问题。本文通过9例典型案例分析,从不同侧面提示病案资料作为医疗诉讼的证据链存在不容忽视的较大缺陷,是造成医疗纠纷的重要原因。因此,提高医务人员法律意识与责任心、修炼基本功、加强病案资料管理,规范医疗行为,才能有效规避医疗纠纷的发生。The medical records materials were factual and objective written records formed during medical treatment process, which were written evidence that could not be replaced in medical disputes litigation and medical identification. There are still many problems existing in current medical treatment process such as quality defects of medical records, implementation deficiency medical system, inappropriate storage of medical records materials, not strict quality control and lack of accountability and other issues. Through analysis on 9 cases of typical cases, this article indicated that as the evidence chain in the medical litigation, the larger defects that could not be ignored existing in them were the important cause of medical disputes. Therefore, we should enhance the legal awareness and responsibility of medical staff, practicing basic skills, strengthen the management of medical records materials and standardize the medical practices, so as to avoid the occurrence of medlcal disputes.

关 键 词：医疗纠纷 案例分析 措施 

分 类 号：D922.16[政治法律—宪法学与行政法学] R-051[政治法律—法学]