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不同等级医院的医疗法律纠纷:一项对206例病例的回顾性研究

Medical legal dispute in hospitals of different grades: a retrospective study on 206 cases.

作者信息

Li Kai, Muhetebaier Muhetaer, Wang Jian-Wen, Xie Su-Mei, Zhang Kai, Tang Wei, Chen Feng

出版信息

Fa Yi Xue Za Zhi. 2014 Oct;30(5):355-6.

Abstract

OBJECTIVE

To analyze the characteristics of medical malpractice from different grades of hospitals and to explore forensic investigation strategies in assessing medical dispute.

METHODS

A total of 206 cases of medical dispute from 2009 to 2010 investigated by the Department of Forensic Medicine in Nanjing Medical University were selected and analyzed according to fault incidence, fault-prone part, and degree of causality in the treatment.

RESULTS

Among the 206 cases analyzed, tertiary hospitals, secondary hospitals and primary hospitals showed medium, high and low error rate, respectively. A majority of medical malpractice cases were distributed in the departments of surgery, medicine and gynecology.

CONCLUSION

The frequency and severity of medical malpractice in primary hospitals were high, which were gradually reduced in tertiary and secondary hospitals.

摘要

目的

分析不同等级医院医疗事故的特点,探讨医疗纠纷法医鉴定策略。

方法

选取南京医科大学法医学系2009年至2010年调查的206例医疗纠纷案例,根据治疗中的过错发生率、易发生过错部位及因果关系程度进行分析。

结果

在所分析的206例案例中,三级医院、二级医院和基层医院的错误率分别为中等、高和低。大多数医疗事故案例分布在外科学、内科学和妇科学科室。

结论

基层医院医疗事故的发生率和严重程度较高,在三级和二级医院中逐渐降低。

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