某医院已处理的医疗纠纷案例分析  

Analysis of Processed Medical Disputes in One Hospital

作　　者：王东红[1] 安花花[2] 梁涛[1] 朱发翠 孙鑫[1] 熊健庭 

机构地区：[1]兰州军区兰州总医院医务部,兰州730050 [2]兰州军区兰州总医院门诊部,兰州730050

出　　处：《华西医学》2015年第6期1175-1178,共4页West China Medical Journal

摘　　要：目的探讨医疗纠纷产生的规律与原因，为后续预防研究提供资料基础。方法对2012年-2014年已处理的55起纠纷案例进行回顾分析、描述统计，总结归纳存在的规律及发生的原因。结果发生医疗纠纷患者男性多于女性（男性60．0％，女性40．O％）；40—70岁患者出现纠纷居多（40～49岁占20．0％，50—59岁占18．2％，60～70岁占20．0％）；心血管科发生纠纷案例构成比较高（20．0％），其次是骨科（16．4％）、五官科（12．7％）、妇科（10．9％），4个科室发生的医疗纠纷占总纠纷的60．O％，是医疗纠纷发生的高危科室。结论医疗纠纷发生有性别、年龄、科室差异，预防工作中需更为关注规律性差异。有效降低医疗纠纷的发生率，除关注已有的医疗指征预警外，还需从医务人员、患者的社会、心理角度建立多维度综合的预警指标，使得医疗质量管理机构能够更为全面评估医疗风险发生的可能性，从而积极采取干预措施。Objective To provide some basic data for studies in the future on the prevention of medical disputes by exploring its patterns and reasons. Methods Fifty-five processed medical disputes cases accepted between 2012 and 2014 were retrospectively analyzed for their patterns and causes. Results The number of males in the medical disputes was higher than that of females （male： 60.0%, female： 40.0%）, and patients at the age of 40-70 also led in the disputes （aged 40-50： 20.0%, aged 50-60： 18.2%; aged 60-70： 20.0%）. There were more medical disputes in the department of cardiology （20.0%）, orthopedics （16.4%）, otolaryngology （12.7%）, and gynecology （10.9%）. Conclusions There are differences in gender and age of the patients as well as departments in terms of medical disputes. We should try to discover the regular patterns of these disputes. Besides those existing medical indexes, we should establish other warning systems through psychological and sociological status of medical staff and patients for reducing medical disputes, which can surely help the administration of medical quality intervention on medical disputes.

关 键 词：医疗纠纷 回顾性分析 医疗风险预警 

分 类 号：R197.323[医药卫生—卫生事业管理]