254例药品相关医疗纠纷原因浅析及防范对策探讨

Analysis on the causes of 254 drug-related medical disputes and its countermeasures

目的:通过对254例药品相关医疗纠纷发生的原因进行分析,归纳其特点,探讨如何制定有效的防范措施,减少医疗纠纷的发生。方法:对医院2011年-2013年全部医疗纠纷(包括投诉)资料进行回顾性整理分析。结果:3年间药品相关医疗纠纷发生的原因依次是医师不合理用药、患方原因、药学部原因、费用问题、护理服务等原因。结论:通过加强用药教育,规范医师处方行为,合理用药,加强药事管理,增加便民措施,提高患者满意度,加强药物不良反应的监测与管理以及医保政策的理解和执行,能够有效减少药品相关医疗纠纷的发生。

Objectives：To summary the causes and characteristic of drug related medical disputes and find out effectiveness preventive countermeasures by analyzing 254 drug related medical disputes. Methods：All medical disputes data from 2011 to 2013 （including complaints） were retrospectively analyzed in China-Japan Friendship Hospital. Results：In 3 years, the main causes of drug-related medical disputes could be showed in order：irrational drug use, patient, pharmaceutical department problems, drug cost and nursing services. Conclusions：Strengthening drug education, regulating the behavior of prescription and rational drug use, strengthening the management of pharmaceutical affairs, and increasing convenience measures, improving patient satisfaction, strengthening monitoring and management of adverse drug reactions as well as understanding and implementation of medical insurance policy can effectively reduce the incidence of drug-related medical dispute.