medical damage liability dispute litigation medical appraisal mediate
目的：了解某三甲医院医疗损害责任纠纷诉讼案件情况，以引起医院管理者重视，防范医疗纠纷。方法：提取114份判决中的患者年龄、疾病、纠纷科室、鉴定责任、赔偿金额等信息，利用Excel表对数据进行描述性统计分析。结果：对医疗损害责任纠纷案件的基本情况、患者年龄分布及主要疾病构成、纠纷科室分布、鉴定情况及法院判决进行统计。结论：应做好中老年患者及手术科室、急诊科的纠纷防范工作；提高医疗质量、保障知情同意权；重视医疗鉴定工作；构建医疗风险分担机制；加强医调委调解解决医疗纠纷，缓解诉讼压力。
Objective：To understand the litigation cases of medical damage liability disputes in a certain Grade-A Tertiary Hospital，to arouse the attention of hospital managers and prevent medical disputes. Methods：The age，disease，dispute department，appraisal responsibility，compensation amount and other information of 114 judgments were extracted，and the data were analyzed by using Excel. Results：The basic situation，age distribution of patients，main disease composition，distribution of dispute departments，identification and court decisions of medical damage liability disputes were made statistics. Conclusion：We should do a good job in the prevention of disputes among elderly patients，surgical departments and emergency departments；improve the quality of medical treatment and guarantee the right of informed consent；attach importance to medical appraisal；build a medical risk mechanism；strengthen the mediation of the medical commission to solve medical disputes and relieve the pressure of litigation.