论临床误诊行为侵权损害赔偿

Tort damages compensation for clinical misdiagnosis

由临床误诊引发的民事纠纷近年来增长较多,在法律评价上存在着损害赔偿的责任认定与范围确定问题。对江苏省法院在2016—2017年审结的该类案件的实证考察结果显示,对院方过错和责任的认定应在医疗鉴定结论的基础之上考虑案情,依照"合理人标准"确定院方过错与责任比例。在确定损害赔偿范围时,以合理赔偿原则取代完全赔偿原则,适当限缩了损害赔偿的空间,防止损害赔偿规模的无限扩大。精神抚慰金数额的确定应将被害人所承受的痛苦与加害人过错置于与损害结果同等重要的地位,在计算上不应对抚慰金数额进行两次折减。

Civil disputes caused by clinical misdiagnosis have grown rapidly in recent years. In legalevaluation,there is a problem of determining the liability of damage compensation and determining the scope.The empirical investigation of such cases concluded by the Jiangsu courts from 2016 to 2017 shows that thefaults and responsibilities of the hospital should be determined on the basis of the medical appraisalconclusions,and the proportion of fault and responsibility of the hospital should be determined in accordancewith the＂reasonable person standard＂. In determining the extent of damages,the principle of reasonablecompensation replaces the principle of full compensation,and the space for damages is appropriately narrowedto prevent the unlimited expansion of damages. The determination of the amount of mental solatium shall placethe suffering suffered by the victim and the injurer＇s fault as equally important as the damage result,and shallnot calculate twice the amount of the solatium amount.