440例医疗纠纷案例回顾调查分析及防范对策探讨  

Retrospective Analysis of 440 Medical Tangle Cases and Discussion on Prevention Countermeasures

作　　者：周英丽[1] 冯利[1] 张少君[1] 王渭玲[1] 

机构地区：[1]西安交通大学第一附属医院皮肤科,陕西西安710061

出　　处：《中国医学伦理学》2016年第3期397-400,共4页Chinese Medical Ethics

摘　　要：目的 了解医疗纠纷流行病学分布情况,分析医疗纠纷发生的主要原因,探讨医疗事故鉴定在医疗纠纷赔偿中的作用及影响医疗纠纷赔偿额度的因素。方法 采用回顾性调查研究设计方法,主要项目包括患者的基本信息、医疗机构基本情况、医疗争议的基本情况、医疗纠纷及事故处理情况四部分。使用SPSS13.0进行统计学分析。结果 440例医疗纠纷案件中,286例经过鉴定的案例中,鉴定为医疗事故的132例,占30%;非医疗过失或过错的平均每例赔偿20776.60元,医疗过失或过错的平均每例赔偿56196.40元,经统计学分析,P〈0.05,具有差异。结论 年龄在21～60岁之间的人群是医疗纠纷的高发人群;医疗纠纷更容易发生在骨科、普外科和门诊;医疗过失或者过错产生的经济赔偿额度更高。Objective ：To investigate the epidemiology distribution of medical tangle, analyze the main causes of medical tangle cases, and discuss the function of malpractice appraising and extra influential factor of medical conflict compensation. Methods： Using the method of retrospective analysis, the basic information of patients, medical institutions, medical dispute, and medical dispute treatment were collected. The data were analyzed by SPSS13.0. Results： In the total of 440 cases, 286 eases had been authenticated and 132 cases were identified as medical malpractice （30%）. The average compensation for non - medical malpractice is 20776.60 Yuan, for medical malpractice is 56196.40 Yuan per case. Compared with non - medical malpractice, the compensation amount for medical malpractice was higher with significant difference, P 〈 0.05. Gonelusion： People aged 21 to 60 years had high incidence of medical tangle. The medical dispute cases were more likely to occur in the department of orthopedics and surgery as well as the section for outpatients. The compensation amount caused by medical malpractice cases were more than those without medical mistakes.

关 键 词：医疗纠纷 医疗事故 回顾性调查 

分 类 号：R197.32[医药卫生—卫生事业管理]