[1]邓茜月应娇茜胡云梦李静张丹.死亡病例讨论制度案例分析与策略研究[J].中国卫生质量管理,2022,29(04):033-35.[doi:10.13912/j.cnki.chqm.2022.29.4.09 ]
 DENG Qianyue,YING Jiaoqian,HU Yunmeng.Case Analysis and Strategy Study of Death Case Discussion System[J].Chinese Health Quality Management,2022,29(04):033-35.[doi:10.13912/j.cnki.chqm.2022.29.4.09 ]
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死亡病例讨论制度案例分析与策略研究
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《中国卫生质量管理》[ISSN:1006-7515/CN:CN 61-1283/R]

卷:
第29卷
期数:
2022年04期
页码:
033-35
栏目:
医疗质量
出版日期:
2022-04-28

文章信息/Info

Title:
Case Analysis and Strategy Study of Death Case Discussion System
作者:
邓茜月应娇茜胡云梦李静张丹
北京中医药大学管理学院
Author(s):
DENG QianyueYING JiaoqianHU Yunmeng
School of Management, Beijing University of Chinese Medicine
关键词:
医疗核心制度死亡病例讨论制度医疗纠纷电子病历
Keywords:
Medical Core System Death Case Discussion System Medical Disputes Electronic Medical Records
分类号:
R197.31;R197.32
DOI:
10.13912/j.cnki.chqm.2022.29.4.09
文献标志码:
A
摘要:
目的分析医疗纠纷中涉及死亡病例讨论制度的情形,为死亡病例讨论制度有效落实提供参考。方法在“中国裁判文书网”使用高级检索功能,结合人工筛选方法,选取2016年-2020年涉及死亡病例讨论制度的医疗纠纷案例共55起,分析纠纷点,并筛选出3个典型案例进行剖析。结果死亡病例讨论制度执行不到位、死亡病例讨论记录缺失、缺乏临床依据、医院封存病历处置不当等是医疗纠纷主要原因,也是死亡病例讨论制度执行过程中的常见问题。结论医院应提高对死亡病例讨论制度的重视程度,明确死亡病例讨论制度执行要点,推行电子病历,利用DRGs筛查低风险分组死亡病例,有效落实死亡病例讨论制度等。
Abstract:
ObjectiveTo analyze the situation of death case discussion system in medical disputes, and to provide reference for the effective implementation of death case discussion system.MethodsA total of 55 medical dispute cases involving death case discussion system from 2016 to 2020 were selected by using advanced search function and manual screening method on "China Judicial Documents Network". The dispute points were analyzed, and 3 typical cases were selected for analysis.ResultsThe main causes of medical disputes and the common problems in the implementation of the death case discussion system included the poor execution of the death case discussion system, the lack of death case discussion record, the lack of clinical evidence, and the mismanagement of sealed medical records, etc. Conclusion The hospital should pay more attention to the death case discussion system, clarify the key points of the implementation of the death case discussion system, implement electronic medical records, use DRGs to screen low-risk grouping of death cases, and effectively implement the death case discussion system.

参考文献/References:

[1]医疗质量安全核心制度之死亡病例讨论制度[J].中国卫生质量管理,2018,25(4):115. [2]周 影,程予波,温 茜,等.死亡病例讨论对护理管理的启示[J].检验医学与临床,2014,11(18):2625-2626. [3]李文双,刘 芳,羊 俊.某综合医院2014年-2018年住院死亡病例分析[J].中国病案,2020,21(1):69-71. [4]石镁虹,章 桦,程 琴.5 012例医疗损害纠纷的成因、分布及赔偿情况分析[J].医学与法学,2015,7(6):42-48. [5]国家卫生健康委员会.国家卫生健康委印发《医疗机构病历管理规定(2013年版)》的通知:国卫医发〔2013〕31号)[EB/OL].(2013-12-17).http://www.nhc.gov.cn/yzygj/wslgf/201312/a84f3666d1be49f7a9 59d7912a978db7.shtml. [6]陈志华.医疗安全核心制度及案例精析[M].2版.北京:人民卫生出版社,2016:115. [7]李立芹,岳学敏,张宏亮,等.147份死亡病案质量调查分析[J].中国病案,2017,18(11):9-11. [8]国家卫生健康委员会医政医管局.医疗质量安全核心制度要点释义[M].北京:中国人口出版社,2018:69-70. [9]焦建军.电子病历怎样成为信息化建设核心[J].中国卫生,2018(10):89. [10]王清江,盛伟琪,左克强.基于电子病历二次开发的非计划二次手术实时监控[J].中国卫生质量管理,2020,27(1):51-53.

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更新日期/Last Update: 2022-04-28