CAJ | 학술논문

目的对院内猝死所致纠纷进行回顾分析，以进一步预防、控制院内猝死所致医疗纠纷。方法收集27例院内猝死所致的医疗纠纷病例，对这些病例的死亡原因、纠纷特点进行分析。结果心源性猝死所致纠纷占医疗纠纷数的近50%，45岁以上中老年患者猝死发生纠纷占据总纠纷例数的近70%。近90%的纠纷通过第三方调解方式得以解决。结论提高医务人员的技术水平和沟通交流能力，建立风险评估系统预测识别心脏骤停高危患者，建立重点患者监测机制，能有效减少院内猝死纠纷的发生。
목적대원내졸사소치규분진행회고분석，이진일보예방、공제원내졸사소치의료규분。방법수집27례원내졸사소치적의료규분병례，대저사병례적사망원인、규분특점진행분석。결과심원성졸사소치규분점의료규분수적근50%，45세이상중노년환자졸사발생규분점거총규분례수적근70%。근90%적규분통과제삼방조해방식득이해결。결론제고의무인원적기술수평화구통교류능력，건립풍험평고계통예측식별심장취정고위환자，건립중점환자감측궤제，능유효감소원내졸사규분적발생。
Objective To further prevent and reduce medical disputes of in-hospital sudden death through a retrospective analysis of 27 cases. Methods Collect 27 medical records of in-hospital sudden death and analyze their death causes and characteristics of these medical disputes. Results Sudden cardiac death resulted in 50%of medical disputes and 70%patients in these disputes were above 45 years old, 90%of medical disputes were settled by the third party mediation. Conclusion Medical disputes of in-hospital sudden death could be effectively reduced by improving professional techniques and communication skills of medical staffs, establishing risk assessment system for high-risk inpatients of sudden cardiac arrest and building key inpatients supervision system.