Park Hyun Jun, Cho Duk Young, Park Yong Sug, Kim Sun Wook, Park Jae-Hong, Park Nam Cheol
Department of Urology and Biomedical Research Institute of Pusan National University Hospital, Busan, Korea.
Department of Medical Management, Pusan National University School of Medicine, Busan, Korea.
World J Mens Health. 2016 Apr;34(1):56-63. doi: 10.5534/wjmh.2016.34.1.56. Epub 2016 Apr 30.
To analyze the types of medical malpractice, medical errors, and medical disputes in a university hospital for the proposal of countermeasures that maximize the efficiency of hospital management, medical departments, and healthcare providers.
This study retrospectively reviewed and analyzed 55 closed civil lawsuits among 64 medical lawsuit cases carried out in Pusan National University Hospital from January 2000 to April 2013 using medical records, petitions, briefs, and data from the Medical Dispute Mediation Committee.
Of 55 civil lawsuits, men were the main plaintiffs in 31 cases (56.4%). The average period from medical malpractice to malpractice proceeding was 16.5 months (range, 1 month to 6.4 years), and the average period from malpractice proceeding to the disposition of a lawsuit was 21.7 months (range, 1 month to 4 years and 11 months).
Hospitals can effectively manage their legal risks by implementing a systematic medical system, eliminating risk factors in administrative service, educating all hospital employees on preventative strategies, and improving customer service. Furthermore, efforts should be made to establish standard coping strategies to manage medical disputes and malpractice lawsuits, operate alternative dispute resolution methods including the Medical Dispute Mediation Committee, create a compliance support center, deploy a specialized workforce including improved legal services for employees, and specialize the management-level tasks of the hospital.
分析大学医院医疗事故、医疗差错及医疗纠纷的类型，以提出对策，最大限度提高医院管理、医疗科室及医护人员的效率。
本研究回顾性分析了2000年1月至2013年4月在釜山国立大学医院进行的64起医疗诉讼案件中的55起已结案民事诉讼，使用了病历、请愿书、案情摘要以及医疗纠纷调解委员会的数据。
在55起民事诉讼中，男性为主要原告的有31起（56.4%）。从医疗事故发生到进行医疗事故诉讼的平均时间为16.5个月（范围为1个月至6.4年），从医疗事故诉讼到诉讼结案的平均时间为21.7个月（范围为1个月至4年11个月）。
医院可通过实施系统的医疗体系、消除行政服务中的风险因素、对全体医院员工进行预防策略教育以及改善客户服务来有效管理法律风险。此外，应努力制定管理医疗纠纷和医疗事故诉讼的标准应对策略，开展包括医疗纠纷调解委员会在内的替代性纠纷解决方法，设立合规支持中心，配备专业人员队伍，包括为员工提供更好的法律服务，并使医院管理层面的任务专业化。
