精神科医疗过错法医学鉴定与防范  

Forensic appraisal and prevention of common faults in medical disputes in mental hospitals

作　　者：林章鹏 文维 杨青鑫 官莉娜 杜琦 洪仕君 王诗旭 罗懿 邓虹 Lin Zhangpeng;WenWei;Yang Qingxin;Guan Lina;Du Qi;Hong Shijun;Wang Shixu;Luo Yi;Deng Hong(College of Forensic Medicine Kunming Medical University,Kunming Yunnan,650500;Zunyi Medical and Pharmaceutical College,Zunyi Guizhou,563000)

机构地区：[1]昆明医科大学法医学院,云南昆明650500 [2]遵义医药高等专科学校,贵州遵义563000

出　　处：《中国法医学杂志》2023年第6期705-709,共5页Chinese Journal of Forensic Medicine

基　　金：高校平台——云南省高校法医工程研究中心(K1322214)。

摘　　要：目的 探究精神病院医疗纠纷法医学鉴定要点,加强精神病院管理,防范医疗纠纷,提高医疗质量。方法 以裁判文书网判决书为资料,对精神病院诊疗致死纠纷常见的过错与承担责任程度进行有序多分类Logistic回归分析。结果 护理不当、管理不当、对疾病认识不足、告知不明确、抢救不到位、用药不当、诊断不明确等7个过错为医疗纠纷承担责任程度的风险因素,其他疾病为保护因素。结论 分析精神病院发生诊疗致死纠纷时的常见过错及鉴定要点,从两方面整治,可有效防范医疗纠纷的发生,提升医疗质量,实现医患共赢。Objective To explore the key points of forensics appraisal of medical disputes in mental hospitals,strengthen the management of mental hospitals,prevent medical disputes and improve medical quality.Methods Using the written judgment of China Judgments Online as materials,the order multi-class Logistic regression analysis was conducted on the common faults and level of responsibility in cases of death resulting from mental hospital treatment.Results Improper nursing,improper management,insufficient knowledge of the disease,unclear information,inadequate rescue,improper medication,unclear diagnosis were the risk factors of the degree of responsibility of medical disputes,and other diseases were protective factors.Conclusion Analyzing the common faults and identification points of death disputes in mental hospitals and rectifying them from two aspects can effectively prevent the occurrence of medical disputes,improve the quality of medical treatment,and achieve a winwin situation for doctors and patients.

关 键 词：医疗纠纷 法医学鉴定 精神病院 医疗质量 

分 类 号：D919.3[医药卫生—法医学]