骨科医疗损害责任鉴定成因分析及对策——附20例报告  

Causes and countermeasures for the problems in the identification of liability for orthopedic medical damage:a report of 20 cases

作　　者：陈伟[1] 赵海涛[1] 张梦 刘诗卉[1] Chen Wei;Zhao Haitao;Zhang Meng;Liu Shihui(Beijing Jishuitan Hospital,Beijing 100035)

机构地区：[1]北京积水潭医院,北京100035

出　　处：《中国法医学杂志》2023年第1期89-92,共4页Chinese Journal of Forensic Medicine

摘　　要：骨科疾病复杂多变,手术多植入内固定物,容易出现漏诊、误诊或难以避免的并发症,在中西方国家一直是发生医疗纠纷较多的科室。医疗纠纷发生后,大多需要通过医疗损害鉴定判定医疗行为有无过错以及和损害后果有无因果关系。基于鉴定结论的重要作用,通过对20例骨科医疗损害鉴定结论的回顾性分析,总结医疗过失发生的成因及骨科医疗损害鉴定中存在的问题,进行系统性分析和针对性应对,从而减少医疗纠纷的发生。Orthopaedic diseases are complex and changeable.They usually treated with implants in surgery,which is prone to misdiagnosis or unavoidable complications.The related field has appeared many medical disputes in the world.After the occurrence of medical disputes,we usually conducted medical damage identification to determine whether the medical behavior is with or without fault,and whether there is a causal relationship between the medical behavior and the damage consequences.Due to the importance of the medical damage identification,20 cases of orthopedic medical damage were retrospectively analyzed.The causes of medical negligence and problems in the identification of orthopedic medical damage were summarized,and systematic analysis and targeted response were carried out,so as to reduce the occurrence of medical disputes.

关 键 词：骨科 医疗损害赔偿 医疗鉴定 过失原因 对策 

分 类 号：D919.4[医药卫生—法医学]