某三甲医院医疗鉴定中医疗过错原因分析及对策初探  

Analysis of the Causes of Faults in Medical Appraisal in a certain Grade-A Tertiary Hospital and Preliminary Study on the Countermeasures

作　　者：辛晨 孔德香[2] Xin Chen;Kong Dexiang(Huai’an First People’s Hospital Patient Safety Management Office,Huai’an,Jiangsu 223001;Huai’an First People’s Hospital Medical Department,Huai’an,Jiangsu 223001)

机构地区：[1]淮安市第一人民医院患者安全管理办公室,江苏淮安223001 [2]淮安市第一人民医院医务处,江苏淮安223001

出　　处：《江苏卫生事业管理》2020年第2期162-165,共4页Jiangsu Health System Management

摘　　要：目的:从医方角度审视医疗鉴定中医疗过错产生的原因,探究避免医疗过错、防范医疗纠纷的合理建议。方法:通过EXCEL软件从医疗鉴定的数量、科室分布、鉴定结果分类等对某医院2014年至2018年的107例医疗鉴定进行描述性分析。结果:产生医疗过错的共性问题:手术科室、急诊科医疗纠纷发生率较高;忽视病历的证据效应;怠于患方知情同意权的保护;医务人员自身专业素质和责任心的欠缺。结论:建立健全医院管理制度;加强医务人员职业道德素养;正视病案资料的法律效力;尊重患方知情同意权。Objective:To examine the causes of medical errors in medical expertise from the perspective of doctors,and to explore reasonable suggestions for avoiding medical negligence and preventing medical disputes.Methods:107 cases of medical appraisal in a hospital from 2014 to 2018 were analyzed by EXCEL software from the number of medical appraisal,the distribution of departments and the classification of appraisal results.Result:The common problems of medical negligence are:the incidence of medical disputes in operation department and emergency department is high;the evidence effect of medical records is neglected;the protection of pa⁃tients’right to informed consent is neglected;and the lack of medical staff’s professional quality and responsibility.Conclusion:Estab⁃lishing and improving hospital management system,strengthening medical staff’s professional ethics,facing up to the legal effect of medical records correctly,and respecting patients’right of informed consent.

关 键 词：医疗鉴定 医疗过错 病历书写 知情同意 

分 类 号：R197[医药卫生—卫生事业管理]