68件医疗机构违反告知义务审判案例鉴定分析  

Analysis of 68 cases of medical institutions violating the duty of disclosure

作　　者：田胜男[1] 李峰[1] 于宝海 茹丽娜 Tian Shengnan;Li Feng;Yu Baohai;Ru Lina(The Second Hospital of Hebei Medical University,Shijiazhuang,050000,China)

机构地区：[1]河北医科大学第二医院法务部,河北石家庄050000

出　　处：《中国法医学杂志》2023年第5期576-579,共4页Chinese Journal of Forensic Medicine

摘　　要：目的 探讨医疗机构未尽告知义务的风险环节,指导临床。方法 回顾分析68件医疗机构违反告知义务的审判案例,统计分析违反告知义务重点环节、鉴定与审判情况。结果 68件案例涉及73所医院,29所医院存在单独违反告知义务过错(39.73%);违反告知义务101次,无告知68次(67.33%),告知不充分25次(24.75%),知情同意书瑕疵8次(7.29%)。结论 鉴定意见是法院认定医疗机构违反告知义务的主要证据,落实告知义务需在病历中合法体现,但过度要求有形告知形式会加重医疗负担和医患矛盾。医务人员履行告知义务是对患者及生命的尊重,应重视告知、讲解环节。Objective To explore the risk links of medical institutions failing to fulfill their obligation to inform,and to guide clinical practice.Methods Reviewed 68 cases of medical institutions violating the obligation to inform,and analyzed the key links,appraisal and trial of the violation of the obligation to inform,Results In the 68 cases,totally 73 hospitals were involved,and 29 hospitals had the fault of violating the obligation of disclosure alone(39.73%).There were 101 violations of the obligation to inform.Among these violations,68 failed to inform(67.33%),25 informed inadequately(24.75%),and 8 had defects in the informed consent form(7.29%).Conclusion The appraisal opinion is the main evidence for the court to determine that a medical institution has violated the obligation to inform,and the implementation of the obligation to inform should be legally reflected in the medical record.However,excessive requirements for the tangible form of notification will aggravate the medical burden and doctor-patient conflict.The medical staff should pay attention to the informing and explaining links,because the obligation of informing is to respect the patients and their lives.

关 键 词：医疗机构 告知义务 知情 侵权责任 

分 类 号：D919.3[医药卫生—法医学]