CAJ | 학술논문

目的通过案例分析,探索医疗纠纷产生的规律性因素,为医疗机构管理提供客观依据.方法选取北京地区再次医疗事故鉴定顺序案例200宗,依据患方陈述材料及鉴定书中专家意见,对纠纷原因、争议焦点及专家分析意见进行归类.结果患方对治疗效果不满意是医患纠纷的主要诱因,占总数的50.5％.而诱因是对治疗经过不满意的案例中,构成医疗事故的比率最高,达48.15％.手术操作、治疗处理、告知沟通以及医疗文书方面的过失或缺陷较为集中.结论医疗纠纷发生的原因繁多,医疗事故的根源也是多方面的.医疗机构应加强医疗质量管理,进行充分而有效的医患沟通,对关键医疗行为有高质量记录等,可以减少医疗纠纷及医疗事故的发生.
목적 통과안례분석,탐색의료규분산생적규률성인소,위의료궤구관리제공객관의거.방법 선취북경지구재차의료사고감정순서안례200종,의거환방진술재료급감정서중전가의견,대규분원인、쟁의초점급전가분석의견진행귀류.결과 환방대치료효과불만의시의환규분적주요유인,점총수적50.5％.이유인시대치료경과불만의적안례중,구성의료사고적비솔최고,체48.15％.수술조작、치료처리、고지구통이급의료문서방면적과실혹결함교위집중.결론 의료규분발생적원인번다,의료사고적근원야시다방면적.의료궤구응가강의료질량관리,진행충분이유효적의환구통,대관건의료행위유고질량기록등,가이감소의료규분급의료사고적발생.
Objective To identify regular roots for medical disputes by case studies for providing evidences for hospital management..Methods 200 cases of medical malpractice were selected consecutively and categorized according to the causes,dispute focus and expert opinions.Results The main factor to trigger medical disputes is dissatisfaction of the outcome,accounting for 50.5％.48.15％ of the disputes,however,result from dissatisfaction of the therapy process which constitutes a medical malpractice.Neglect or defects in treatment,surgical operation,information notice and medical papers were highly common causes.Conclusion Medical disputes result from a variety of causes,so are the roots of medical malpractice.Medical institutions are recommended to enhance medical quality management,make sufficient doctor-patient communication,and make high quality documentation of key medical activities,in an effort to minimize medical disputes and medical malpractice.