医疗过错的法律伦理分析——以间质性肺炎医疗损害司法鉴定为例

Legal Ethical Analysis of Medical Fault:Taking Judicial Expertise of Medical Malpractice of Interstitial Lung Disease As an Example

医疗损害司法鉴定意见的关键在于有专业知识的人按科学规范的技术标准对专业问题进行判定。科学规范的技术标准有助于鉴定结论的客观性与可重复性。研究发现,诊疗伦理关注重点在病历书写等核心制度及诊疗规范等相关问题;医疗损害司法鉴定关注重点在违反具体规定、告知义务、注意义务的过错。医疗损害司法鉴定的医学法律伦理关注重点在规范医疗的过错认定,呵护患者的身体健康权益;重视医疗决策伦理的风险评估,保护患者的生命安全权益;管控家属的情绪,维护医患的和谐关系。正确评估医疗过错与损害后果之间因果关系体现伦理的公平正义,共同维系医患和谐。

The key to judicial expertise of medical malpractice is the judgments made by professionals on professional issues according to scientific and standardized technical standards.Scientific and normative technical standards contribute to the objectivity and repeatability of identification conclusions.The study finds that clinical diagnosis and treatment ethics focus on core systems such as medical record writing and related issues such as diagnosis and treatment norms,and the judicial expertise of medical malpractice focuses on the fault of violating specific regulations and duty of disclosure and duty of care.The legal ethics of judicial expertise of medical malpractice focuses on the identification of medical faults and patients'wellbeing,on the risk assessment of medical decision-making ethics and patients'life safety,on the emotion management of the patient's family members and harmonious doctors-patient relationship.Correct assessment of the causal relationship between medical fault and damage consequences reflects ethical fairness and justice,and jointly maintains the harmony between doctors and patients.