124例医疗事故技术鉴定结果分析

Technical Appraisal Results Analysis of 124 Cases of Medical Negligence

目的通过对某直辖市2010年-2011年医疗事故技术鉴定结果的分析,找出医疗事故发生的重点部门和重点环节,总结预防医疗事故发生的方法。方法从委托方、医院等级、就诊科室、患者情况、疾病特点、事故原因和患者预后等方面,对124例患者情况和鉴定结果进行全面分析。结果不同医院等级医疗事故率有明显差别,三级医院发生医疗事故率较低,一级及无等级医院医疗事故率明显高于二、三级医院。临床学科中呼吸内科、产科、创伤骨科的医疗事故率分别为62.50%、41.67%、50.00%,新生儿和老年慢性病患者的医疗事故率分别为50.00%、57.10%。结论医院应加强患者安全管理,严格执行各项操作规范,加强呼吸内科、创伤骨科、产科的质量监管力度,给予新生儿和老年慢性病患者更多的关注。

Objectives Through the analysis on technical appraisal results of medical negligence in a municipality from 2010 to 2011.to find out the key departments and key links of medical negligence.thus put forward the prevention methods of medical negligence.Methods To conduct a comprehensive analysis on the situations and appraisal results of 124 patients from aspects such as the client. hospital grade.clinic department and the situation of patients.disease characteristics.accident reasons and the prognosis of patients.Results There was obviously difference among different level of hospitals for medical negligence rates.the medical negligence rate of tertiary hospitals was low.and it was obviously higher in Grade One or no grade hospitals than secondary and tertiary hospitals.The medical negligence rate of different departments included respiratory medicine.obstetrics. orthopedic trauma were respectively 62.50%、41.67%、50%. while for the newborn and elderly patients with chronic diseases were 50.00%、57.10%.Conclusions The hospital should strengthen the safety management of the patients.carry out the operations specifications strictly.strengthen the quality supervision of departments of respiratory medicine.orthopedic trauma and the obstetrics.and give more attention to the newborn and elderly patients with chronic diseases.