1876例医疗损害纠纷案件成因及预防策略研究  

Research on Cause and Prevention Strategies of 1876 Medical Damage Dispute Cases

作　　者：颜羽赫 潘家运 胡佳卉 张闻轩 周典[2] 田帝 Yan Yuhe;Pan Jiayun;Hu Jiahui(School of Health Managemeant,Anhui Meidical University,Hefei,Anhui,230012,China;不详)

机构地区：[1]安徽医科大学卫生管理学院,安徽合肥230012 [2]安徽医科大学第二附属医院,安徽合肥230601 [3]安徽医科大学第一附属医院,安徽合肥230022

出　　处：《中国医院管理》2025年第3期87-92,共6页Chinese Hospital Management

基　　金：国家卫生健康委医院管理所医疗质量循证管理持续改进研究项目(YLZLXZ22K001)。

摘　　要：目的分析安徽省近年来医疗损害纠纷案件的成因以及赔偿情况,为有效控制医疗过错发生和医患矛盾提供建议。方法纳入裁判文书网2017—2022年安徽省1876例医疗损害纠纷案件,对其发生年份以及成因等方面进行分析。结果案件数量随年份并未出现明显下降,平均实赔金额不断上升;成因发生率最高的为治疗或手术不当(54.6%),平均实赔金额居首位的为用药不当或药物不良反应;案件多集中于三级公立医院,为1009例(53.8%),民营医院平均实赔金额居首位;科室发生率最高的为外科(44.62%);损害结果发生率最高的为死亡(40.2%),一级伤残平均赔偿金额最高;医院以承担次要责任为主(38.7%)。结论医患矛盾依旧严峻,应推进紧密型医联体、医共体建设,引导医疗资源配置,关注风险分担与管理优化,降低医疗损害纠纷发生率。Objective To analyze the causes and compensation characteristics of medical damage disputes in Anhui Province in recent years,and provide reference suggestions for effectively controlling and reducing the incidence of medical errors and doctor-patient conflicts.Methods The 1876 cases of medical damage disputes in Anhui Province from 2017 to 2022 were included in the judgment documents network,and their occurrence years and causes of disputes were analyzed.Results The number of medical malpractice cases did not decrease significantly,and the average amount of compensation continued to increase;the top three causes of disputes were improper treatment or surgery(54.6%),and the average first place of actual compensation was improper medication or adverse drug reactions,and in terms of hospital level,1009 cases(53.8%)were concentrated in tertiary public hospitals,the average actual compensation amount of private hospitals ranked first;the top three departments were surgery(44.62%);the highest incidence of damage was death(40.2%),and the average compensation amount for first-class disability was the highest.Hospitals were mainly responsible for secondary responsibilities(38.7%).Conclusion The contradiction between doctors and patients is still serious,so it is necessary to promote the construction of tight medical association and medical community,guide the allocation of medical resources,pay attention to risk sharing and management optimization,and reduce the incidence of medical damage disputes.

关 键 词：医疗损害纠纷 成因 预防策略 

分 类 号：R197.323.4[医药卫生—卫生事业管理]