某综合医院医疗纠纷之实证研究

The study of medical disputes in a hospital

目的明确医疗纠纷发生特点和规律,为医疗纠纷防范提供依据。方法选取四川省某三级甲等医院2005～2011年的医疗纠纷数据,进行文献研究和描述性分析。结果该院近5年医疗纠纷总体数量较前明显增加;外科纠纷发生率最高,其次是儿科、妇产科;医疗纠纷的发生原因,主要包括诊断、治疗、手术和告知义务的履行;自行协商是医疗纠纷的最主要解决方式。结论建立健全医疗风险管理体系,强化质量管理,重视业务培训,坚持医德医风建设,尊重患者权利,规范和完善医疗纠纷的解决方式,以预防医疗纠纷,促进医院健康发展。

Objective To analyze the medical disputes characteristics and laws to provide basis for prevention of medical dis-putes. Methods We selected medical dispute data of a three level of first-class hospital in sichuan province 2005-2011 years,usd the literature research and descriptive analysis. Results Medical disputes of nearly five years was significantly increased ; Surgical dis-pute resulted in the highest, followed by the department of pediatrics, gynecology and obstetrics, The cause of medical disputes, in- cluding the diagnosis, treatment, operation and the performance of the inform obligation, negotiation was the most important medical dispute solution. Conclusion Establish and perfect the medical risk management system, strengthening the quality management, pay attention to professional training, adhere to the construction of medical ethics, respect patients rights,Regulate and perfect the medi-cal dispute solution, in order to promote the healthy development of the hospital, to prevent medical disputes.