对上海市医疗事故技术鉴定中心鉴定处理的42例药事纠纷的分析

Analysis of forty-two cases of disputes caused by drug events identified by Technical Identification Center of Medical Incidents of Shanghai

目的:分析药事纠纷的一般规律与特点。方法:收集和整理上海市医疗事故技术鉴定中心受理的药事纠纷42例,并对纠纷案例进行统计分析。结果:42例纠纷中,21例属于医疗事故,其中一级事故13例,均导致死亡;95.2%的纠纷发生在医院,内科纠纷例数占总纠纷数的73.8%。静脉给药引起的纠纷24例,占总纠纷数的57.1%,有16例因抗生素的使用问题引起纠纷,占总纠纷数的38.1%,仍是产生药事纠纷的重要因素之一。结论:医务工作者应加强药学服务,提高合理用药水平,避免药事纠纷的发生。

Objective：To analyze the characteristics and the general rules of disputes caused by drug events.Methods：Forty-two cases of disputes caused by drug events heard by the Technical Identification Center of Medical Incidents of Shanghai were collected,and the dispute cases were statistically analyzed.Results：Of the 42 cases of disputes,21 were belonged to medical negligence,of which 13 were the first-grade negligence,which led the patients to death.Ninety-five point two percent of all disputes occurred in hospitals,and disputes occurring in the internal medicine department accounted for 73.8%.Twenty-four cases were caused by intravenous administration of drugs,accounting for 57.1% of the total number of disputes.Sixteen cases of the disputes were caused by the use of antibiotics,accounting for 38.1% of the total number of disputes,which was still an important factor of disputes.Conclusion：Medical and pharmaceutical workers should be strengthened to improve the level of rational drug use and to avoid the occurrence of drug event disputes.