论无过错输血感染的责任认定

The liability cognizance of non-default transfusion infection

输血感染是医疗机构临床用血所面临的一大困境,尤其是因某些危险因素的窗口期导致的无过错输血感染,并非医疗机构及其医务人员的过错,而是受到了当前医疗技术水平的限制,《侵权责任法》对这类输血感染并未做出区分,一律适用了严格责任,并不符合医疗活动的实际状况,也不能真正起到缓解医患矛盾的作用。而对临床输血以是否符合法律、法规和相关诊疗规范为标准进行区分,将窗口期引起的无过错输血感染排除在医方的责任以外,通过补偿制度或第三方保险来解决,才是实现医患之间实质公平的途径。

The predicament faced by clinical blood use in medical institutions is blood transfusion infection, es- pecially some of the risk factors cause the non-default transfusion infection in window period. It is not the fault of the medical institutions and their staff, but the restriction of current level of medical technology. Tort Liability Act do not make distinctions between the default and non-default blood transfusion infection, which is not consistent with the facts and cannot really relieve medical dispute. The way to solve this problem is to put the non-default transfusion infection caused by window period out of the responsibility of hospital. Instead, we can resolve the prob- lem via compensation system or third-party insurance.