[1]崔媛媛陈晖.北京市266例未成年患者医疗损害责任纠纷案例分析[J].中国卫生质量管理,2021,28(01):92-95.[doi:10.13912/j.cnki.chqm.2021.28.1.25 ]
　CUI Yuanyuan,CHEN Hui.Analysis of 266 Cases of Medical Damage Liability Disputes among Juvenile Patients in Beijing[J].Chinese Health Quality Management,2021,28(01):92-95.[doi:10.13912/j.cnki.chqm.2021.28.1.25 ]

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北京市266例未成年患者医疗损害责任纠纷案例分析

《中国卫生质量管理》[ISSN:1006-7515/CN:CN 61-1283/R] 卷: 第28卷期数: 2021年01期页码: 92-95 栏目: 质量与法规出版日期: 2021-01-28

Title:: Analysis of 266 Cases of Medical Damage Liability Disputes among Juvenile Patients in Beijing

作者:: 崔媛媛陈晖; 国家儿童医学中心/首都医科大学附属北京儿童医院

Author(s):: CUI Yuanyuan; CHEN Hui; Beijing Children's Hospital,Capital Medical University,National Center for Children's Health

关键词:: 未成年患者; 医疗损害责任纠纷; 鉴定; 案例分析

Keywords:: Juvenile Patients; Medical Damage Liability Disputes; Identification; Cases Analysis

分类号:: R197.323；D920.5

DOI:: 10.13912/j.cnki.chqm.2021.28.1.25

文献标志码:: A

摘要:: 目的分析北京市未成年患者涉诉医疗损害责任纠纷案例的具体情况，提出降低医疗纠纷风险的建议。方法对裁判文书网公布的2018年12月31日前266例北京市未成年患者医疗损害责任纠纷诉讼案件进行描述性分析。结果新生儿期患者纠纷发生率较高（55.85%），起源于围生期的某些情况的疾病占比较高（41.13%），未成年患者死亡纠纷发生率较高（35.3%），多次索赔案例占一定比例（10.15%），转诊医疗机构易被连带起诉。结论未成年患者身心与成年患者有一定差异。鉴定意见在诉讼中发挥重要作用，医疗机构需承担医疗过失导致的患者后续治疗费用。建议医疗机构应严格规范诊疗行为，充分履行知情告知义务，规范病历书写，以尽可能规避风险。

Abstract:: ObjectiveTo analyze the specific situation of the dispute cases of medical damage liability involving juvenile patients in Beijing, and put forward suggestions to reduce the risk of medical disputes.MethodsA descriptive analysis was made of 266 cases of medical injury liability disputes among juvenile patients in Beijing before December 31, 2018, as disclosed by the website of judgment documents.ResultsThe incidence of disputes among patients in the neonatal period was relatively high (55.85%), diseases originating from certain conditions in the perinatal period accounted for a relatively high (41.13%), mortality disputes among juvenile patients was relatively high (35.3%), multiple claims accounted for a certain proportion (10.15%), and referral medical institutions were liable to be jointly sued.Conclusion There were some differences between the physical and mental health of juvenile patients and adult patients.Expert opinions play an important role in litigation, and medical institutions need to bear the costs of follow-up treatment of patients caused by medical negligence.Therefore, medical institutions should strictly regulate the behavior of diagnosis and treatment, fully fulfill the obligation to inform, strengthen the standard of writing medical records, and reduce avoidable risks.

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更新日期/Last Update: 2021-01-28