上海市某三级医院57起产科纠纷赔偿案例分析  

Case Analysis on 57 Medical Disputes in the Obstetrical Department of A Third-grade Hospital in Shanghai

作　　者：刘小萍 付卫华[1] 卜涛 LIU Xiao-ping;FU Wei-hua;BU Tao(Medical Service Reception Office,Obstetrics and Gynecology Hospital of Fudan University,Shanghai 200011,China)

机构地区：[1]复旦大学附属妇产科医院医疗服务接待办公室

出　　处：《医学与哲学》2019年第12期62-64,共3页Medicine and Philosophy

摘　　要：产科是医疗纠纷发生概率最高的科室之一。随着国家二胎政策的全面实施,高危孕产妇的比例在不断升高,一旦出现医疗过错,极易导致医疗损害后果的发生。回顾性分析了上海市某三级医院57起产科医疗赔偿案例,分析其成因及分布特点。通过分析可知,造成产科医疗纠纷争议事由为胎儿或新生儿损害、孕产妇损害、意外事件等,医务人员在诊疗过程中存在助产及手术操作不当、胎儿监护不当、抢救治疗措施不力等过错。建议产科医务人员提高医疗技术水平和责任心,加强医患沟通,增强防范意识,以提高产科医疗质量,降低医疗纠纷的发生。Obstetrical department is one of the departments with the highest probability of medical disputes. With the complete implementation of the National Two-child Policy, the proportion of high-risk pregnancy women is increasing. Once medical errors occur, it is extremely easy to lead to the medical damages. This paper retrospectively analyzed 57 cases of medical compensation in the obstetrical department of a third-grade hospital in Shanghai. The causes and distribution characteristics were also analyzed. Through analysis, it was known that the causes of medical disputes in the obstetrical department were fetal or neonatal damage, maternal damage, and medical accidents and so on. There were some errors in the diagnosis and treatment of medical personnel, such as improper midwifery and operation, improper fetal monitoring, inadequate rescue and treatment measures. It is suggested that the obstetrical practitioners will improve their medical skills and sense of responsibility and strengthen doctor-patient communication to enhance their awareness of risk prevention, so as to improve the medical quality of obstetrical care and reduce the occurrence of medical disputes.

关 键 词：产科 医疗损害 医疗纠纷 

分 类 号：R05[医药卫生]