医院感染管理中涉及的法律问题及应对研究  

Practical legal issues involved in control of nosocomial infections and coping measures

作　　者：刘大钺[1] 李恒爱[2] 林澜溪[1] 符忠 卢建军[1] 杨超[4] LIU Da-yue, LI Heng-ai, LIN Lan-xi, FU Zhong, LU Jian-jun, YANG Chao(The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, Guangdong 510080, Chin)

机构地区：[1]中山大学附属第一医院医院感染管理科,广东广州510080 [2]中山大学附属第一医院医院病案管理科,广东广州510080 [3]广东经纶律师事务所,广东广州510080 [4]中山大学附属第一医院医院神经外科,广东广州510080

出　　处：《中华医院感染学杂志》2018年第6期943-945,共3页Chinese Journal of Nosocomiology

基　　金：广东省科技计划基金资助项目(2013B090500098)

摘　　要：目的调研医护人员对医院感染相关内容的认知,提高法律意识,采取有效措施,防范医疗纠纷的发生。方法采用调查问卷方式,对2016年3月-5月医院500名医护人员进行调查,重点了解对医院感染概念、相关法律法规、患者知情权和隐私权、可能会引发医疗纠纷的相关因素,如建筑布局、消毒隔离措施、侵入性操作、手卫生、环境物品清洁消毒、医疗废物处置、病历书写记录等的知晓程度。结果 100%调查对象知道院感概念,大部分医护人员不熟悉相关法律法规,认为院感不会引起纠纷,只属于高危因素,其中,对建筑布局分区以及患者的知情权和隐私权可能会引起医院感染相关纠纷的认识最为薄弱。结论加强医院感染相关法律、法规培训,利用管理工具,建立多部门协作机制,提高执行力,特别是对重点科室、重点环节的管理,从而有效降低医院感染发生,避免可能引发的纠纷以及法律风险。OBJECTIVE To investigate the health care workers＇ perception about the control of nosocomial infections,raise the legal awareness and take the effective measures so as to prevent the medical disputes.METHODS From Mar 2016 to May 2016,aquestionnaire survey of 500 health care workers was conducted so as to understand the health care workers awareness about the concepts of nosocomial infections,related rules and regulations and patients＇ right to know and privacy as well as the related factors that may lead to the medical disputes such as architectural composition,isolation and disinfection measures,invasive operations,hand hygiene,cleaning and disinfection of environmental objects,disposal of medical waste and writing medical records.RESULTS Among the study objects,100% knew the concepts of nosocomial infections,the majority knew little about the related laws and regulations and did not think that the nosocomial infections could lead to medical disputes but thought that it was only a high risk factor,and the health care workers were weakest to be aware of that the architectural composition and the patients＇ right to know and privacy may lead to the medical disputes.CONCLUSIONIt is an effective way to strengthen the training of related laws and regulations for nosocomial infections,use management tools,establish multidisciplinary coordination mechanism and boost the execution power,especially the management of key department and key links,so as to reduce the incidence of nosocomial infection and prevent the medical disputes as well as the legal risk.

关 键 词：医院感染 法律法规 应对 

分 类 号：R197[医药卫生—卫生事业管理]