医疗损害鉴定中过错认定的实证研究--基于江苏省S市医学会367份鉴定书分析  

An Empirical Study of Fault Identification in the Expertise of Medical Malpractice:Based on 367 Expertise Reports from the Medical Association of S City,Jiangsu Province

作　　者：蒋雨彤 谈在祥 王旭 JIANG Yutong;TAN Zaixiang;WANG Xu(Key Laboratory of Evidence Science,Ministry of Education,China University of Political Science,Beijing 100088,China;Felony Procuratorial Evidence Research Center,China University of Political Science and Law,Beijing 100088,China;School of Management,Xuzhou Medical University,Xuzhou 221004,China;Research Center for Health Policy and health Management,Xuzhou Medical University,Xuzhou 221004,China;Modern Hospital Management Research Center,The Affiliated Hospital of Xuzhou Medical University,Xuzhou 221006,China;Forensic Science Key Lab of Shanghai Municipality&Forensic Science Key Lab of Ministry of Justice,Shanghai 200063,China)

机构地区：[1]中国政法大学证据科学教育部重点实验室,北京100088 [2]中国政法大学重罪检察证据分析基地,北京100088 [3]徐州医科大学管理学院,江苏徐州221004 [4]徐州医科大学卫生政策与健康管理研究中心,江苏徐州221004 [5]徐州医科大学附属医院现代医院管理中心,江苏徐州221006 [6]上海市法医学重点实验室暨司法部司法鉴定重点实验室,上海200063

出　　处：《医学与哲学》2024年第16期49-54,共6页Medicine and Philosophy

基　　金：2022年教育部人文社会科学规划项目(2022-22YJA820022);2023年司法部司法鉴定重点实验室开放课题(KF202322);2022年司法部司法行政(法律服务)案例理论委托课题(2022);2017年上海市现场物证重点实验室开放课题资助项目(2017XCWZK19)。

摘　　要：以《医疗损害司法鉴定指南》(SF/T 0097-2021)中过错鉴定的相关规定为理论依据,以江苏省S市医学会2018—2022年367份案例书为统计样本,探究医疗损害过错鉴定实务现状,结果表明当前医疗过错鉴定中存在诊疗规范界定不明,鉴定人过于侧重审查具体规定而忽视注意义务,鉴定人过于苛责医方的注意、告知义务,“紧急救治”“容许风险”两种特殊理论是否适用有分歧等问题。面对这些问题,笔者认为应当从明确规范范围、过错认定核心、特殊情形适用和建立专业案例库等角度寻求出路。This article uses the provisions of medical malpractice identification in the"Judicial Appraisal Guidelines for Medical Malpractice"(SF/T 0097-2021)as its theoretical basis and takes 367 case reports from the Medical Association of S City in Jiangsu Province from 2018 to 2022 as its statistical sample.It explores the current situation of fault identification in medical malpractice.The results show that there are problems such as unclear definitions of clinical norms,appraisers focusing too much on reviewing specific regulations while neglecting the duty of care,appraisers being overly critical of the medical party's duties of care and informed consent,and disagreements on the applicability of the special theories of"emergency treatment"and"acceptable risk".In light of these problems,we suggest to seek solutions from perspectives such as clarifying the scope of norms,identifying the key point of medical malpractice identification,applying special circumstances,and establishing a professional forensic case database.

关 键 词：医疗损害 医疗过错 司法鉴定 实证分析 

分 类 号：R-05[医药卫生]