[1]史芳 张毛影 马静媛 黄崇亚 高建辉 顾珊智.骨科医疗损害司法鉴定案例分析探究[J].中国卫生质量管理,2018,25(04):085-87.[doi:10.13912/j.cnki.chqm.2018.25.4.27]
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骨科医疗损害司法鉴定案例分析探究
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《中国卫生质量管理》[ISSN:1006-7515/CN:CN 61-1283/R]

卷:
第25卷
期数:
2018年04期
页码:
085-87
栏目:
质量案例
出版日期:
2018-07-28

文章信息/Info

作者:
史芳 张毛影 马静媛 黄崇亚 高建辉 顾珊智
西安交通大学法医学院
关键词:
骨科; 医疗损害; 司法鉴定; 医患沟通
Keywords:
Orthopedics;  Medical Malpractice; Judiciary Authentication;  Doctor-Patient Communication
DOI:
10.13912/j.cnki.chqm.2018.25.4.27
摘要:
目的分析骨科医疗损害特点、影响因素及过错原因，为降低骨科医疗损害发生率提供参考。方法回顾性分析2002年1月-2015年12月西安交通大学法医学司法鉴定中心鉴定的100例骨科医疗损害司法鉴定案例。结果男性患者居多(80%)，年龄分布以中年组（41岁～60岁）居多（49%）；就诊原因以工伤意外、车祸居多（80%）；诊疗后果以致残居多（61%）。涉案医院以二级医院居多（48.3%）。医方过错原因主要以“对病情观察、预计不足”“术中操作不当”“误诊误治、漏诊漏治”“术后处理方式不当”为主，医方过错参与度主要分布在C级。结论骨科医务人员应严格遵守骨科诊疗规范，履行诊疗义务，加强医患沟通，加强业务学习力度，提高技能水平，以防范骨科医疗损害事件的发生。
Abstract:
ObjectiveTo analyze the characteristics, influencing factors and reasons of orthopedic medical malpractices, and to prevent reference for decreasing medical malpractices.MethodsFrom January 2002 to December 2015, 100 cases of orthopedic medical malpractices in Judiciary Authentication Center of Xi’an Jiaotong University were analyzed retrospectively. ResultsThe majority of patients were male (80%) and middle-aged patients (49%). The main reason of hospital admission was injuries caused by work or traffic accident (80%), and disability constituted most of the medical consequences (61%). The secondary level hospitals had the highest incidence of orthopedic medical malpractice (48.3%). The major reasons of medical fault included the inadequate observation or estimation of diseases, intraoperative improper operation, delayed or missed diagnosis and treatment, and postoperative improper management, and most fault participation was the C level.ConclusionThe medical staff in Department of Orthopedics should strictly comply with the diagnosis and treatment standards, perform the treatment obligation, strengthen doctor-patient communication, improve profession learning and technical ability to prevent the occurrence of orthopedic medical malpractices.

参考文献/References:

［1］曾恩泉，杜冰，陈伯礼，等. 医疗损害法医司法鉴定的合法性浅析［J］.中国法医学杂志，2015，30 (3)：341-342.

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更新日期/Last Update: 2018-07-28