1146例医疗纠纷产生的原因及对策分析

Factors and Countermeasures of 1146 Cases of Medical Disputes

目的探讨医疗纠纷产生的各种因素,为医院有效处理纠纷提供参考依据。方法采用构成比和χ2检验,对2011年至2014年的1146例某院的医疗纠纷案例进行比较分析。结果某院近4年来医疗纠纷产生的主要因素为:手术并发症、手术效果不佳、医疗技术过失和医患沟通欠缺等。结论医院要加强医疗质量、病案、医护人员的业务培训、医德医风教育、医患沟通管理等措施,尊重患者的知情同意权,认真履行各项知情告知义务,建立完善各种医疗纠纷调解机制;社会要增加对医务人员的理解与尊重,为共同构建和谐的医患关系服务。

Objective To explore various that could cause medical disputes and provide a reference for hospitals to effectively deal with disputes. Methods Conducted comparative analysis on 1146 medical disputes from 2011 to 2014 in some hospital by means of composition ratio and x2 test. Results The major factors for medical disputes in this hospital in recent four years included： surgical complications, poor surgical results, medical negligence and the lack of doctor-patient communication. Conclusion The hospital should enhance the following measures including medical quality, medical records, business training of medical professionals, medical ethics education, doctor-patient communication management. Medical workers should respect patient＇s informed consent right and fulfill the obligations of informed consent. Hospital should establish medical dispute resolution mechanism. Meanwhile, the society should increase understanding and respect for medical workers and work together to build a harmonious doctorpatient relationship.