14例眼科医疗损害责任鉴定分析  

Analysis of medical damages in 14cases with the ophthalmic diseases

作　　者：褚建欣 冯鑫媛 Chu Jianxin;Feng Xinyuan(Management Office of Tianjin Medicine and Pharmacy association,Tianjin 300050,China;Tianjin Eye Hospital,Tianjin 300020,China)

机构地区：[1]天津市医学会医疗鉴定办公室,天津300050 [2]天津市眼科医院,天津300020

出　　处：《中国卫生法制》2020年第5期84-88,共5页China Health Law

摘　　要：目的:通过对2012年至2019年受理的天津市14例眼科医疗损害责任纠纷鉴定进行分析,了解纠纷产生的原因,探讨其预防手段。方法:选取2012年至2019年期间14例涉及眼科疾病的医疗损害责任纠纷进行回顾性分析。结果:14例鉴定中,男性5例、女性9例,其中死亡1例。涉及医疗机构6家,其中三级医疗机构为13例,占比92.9%。医疗损害责任纠纷发生的原因与医方对出现的并发症预见不足、延误治疗、术前未行充分说明义务等因素相关。结论:加强全程的医患沟通,提高规范化医疗水平,强化病历监管措施,完善医疗管理体系,有利于减少医疗损害责任的发生。Objective:To determine the reasons for the medical disputes and discuss the prevention methods,through the analysis of the medical damages in 14cases with the ophthalmic diseases from 2012to 2019.Methods:The medical damages in 14cases with the ophthalmic diseases from 2012to 2019were reviewed retrospectively.Results:There were 5male patients and 9females,including 1died.Six medical institutes were involved and 13cases(92.9%)happened in the first-class medical institutes.The possible reasons for the medical damages may belong to the insufficient prediction of the complications,the delay of the treatment,and the inadequate inform before the operation.Conclusion:It would be meaningful to strengthen the communication between the patients and the doctors,to improve the skills for the management,to establish the supervision on the medical records,to optimize the medical administration,which may reduce the incidence of the medical damages.

关 键 词：眼科 医疗损害 原因 

分 类 号：D902[政治法律—法学理论]