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[医院的法律责任]

[Legal liability of the hospital].

作者信息

Bohle T

出版信息

Z Arztl Fortbild (Jena). 1995 Nov;89(6):609-12.

PMID:8588432
Abstract

Civil liability of the hospital institution for damages due to hospital treatment means liability for malpractice by the hospital staff. Such liability depends on whether the mistake was made during inpatient or out-patient care; it further depends on the hospitalization contract. If a health-service patient or a private patient has been harmed during treatment in a hospital, the hospital institution is liable for all staff members including the coordinator of the medical staff. However, if the hospitalization agreement stipulates that the coordinator of the medical staff shall be the contracting party only with respect to medical treatment, the hospital institution is not liable for the coordinator's behaviour. In case of outpatient treatment, the hospital institution is liable only for medical treatment provided by the hospital itself (i.e. in case of out-patient surgery) and not for medical treatment within the coordinators own out-patient department. The hospital institution has to organize the hospital's activities properly to avoid liability for faulty organisation. I.e the hospital institution has to provide sufficient staff out of office hours, to lay nonskidding floors or to instruct the staff properly in case a patient wishes to make his last will and testament. Regardless of a fault, the hospital institution is always liable for use of defective medical instruments. The hospital institution may try to avoid liability for tort (including compensation for immaterial damage) by proof of proper selection and supervision of the staff. However, such relief is very difficult and not available for key personnel.

摘要

医院机构对因医院治疗造成的损害承担的民事责任是指医院工作人员的医疗事故责任。这种责任取决于错误是在住院治疗还是门诊治疗期间发生;它还取决于住院合同。如果医疗服务患者或自费患者在医院治疗期间受到伤害,医院机构应对包括医务人员协调员在内的所有工作人员负责。但是,如果住院协议规定医务人员协调员仅就医疗治疗而言是合同方,医院机构对协调员的行为不承担责任。在门诊治疗的情况下,医院机构仅对医院自身提供的医疗治疗(即门诊手术的情况)负责,而不对协调员自己门诊部门内的医疗治疗负责。医院机构必须妥善组织医院的活动,以避免因组织失误而承担责任。也就是说,医院机构必须在非办公时间提供足够的工作人员,铺设防滑地板,或者在患者希望立遗嘱时对工作人员进行适当指导。无论有无过错,医院机构对使用有缺陷的医疗器械总是要承担责任。医院机构可以通过证明对工作人员的适当选拔和监督来试图避免侵权责任(包括对非物质损害的赔偿)。然而,这种免责非常困难,关键人员无法获得。

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