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江苏卫生事业管理:2022,Vol.>>Issue(4):437-442
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江西省某三甲医院51例未成年患者医疗纠纷案件分析
徐小丽,吴井吉
(南昌大学第一附属医院医务处)
The Analysis of 51 Cases of MedicalDisputes among Juvenile Patients in a Tertiary Hospital in Jiangxi Province
XU Xiaoli,WU Jingji
(Medical Department,The First Affiliated Hospital of Nanchang University)
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中文摘要: 目的:分析江西省某三甲医院未成年患者医疗纠纷案例的特点,为减少同类医疗纠纷的发生及提高医疗机构医疗质量和管理效率提供参考。方法:提取51例未成年患者医疗纠纷案件中未成年患者的年龄、疾病、纠纷科室、纠纷原因、解决途径、赔偿金额等数据,运用统计学方法进行分析。结果:51例案例中,未赔偿9例(17.65%),赔偿金额在5万元以下20例(39.22%);青春期患者纠纷发生率较高(33.33%),循环系统疾病占比较高(25.49%);医疗纠纷多发于外科,且多因医疗技术过失引起;解决医疗纠纷的主要方式为院内协商(43.14%);纠纷发生科室、过错类别与纠纷解决方式均与赔偿金额之间具有相关性。结论:未成年患者因不具有完全民事行为能力,医务人员在诊疗过程中应更加谨慎对待。医疗机构应加强医疗质量管理,尤其是重点科室的风险防控与质量管理,医务人员应提高医疗技术水平,充分履行告知义务,高效优质书写病历,从而达到减少和规避未成年患者医疗纠纷发生的目的。
中文关键词: 未成年患者  医疗纠纷  赔偿金额
Abstract:Objective:The characteristics of underage medical dispute cases in acertain grade A tertiary hospital in Jiangxi Province were analyzed,so as to provide reference for reducing the occurrence of similar medical disputes and improving the medical quality and management efficiency of medical institutions. Methods:The age,disease,department and cause of disputes,solution and compensation amount of 51 underage cases of medical disputes were extracted and analyzed by statistical methods. Results:Of 51 cases,9 cases(17.65%)were not compensated,and 20 cases(39.22%)were paid less than 50,000 yuan. The incidence of disputes among adolescent patients was high(33.33%),and circulatory system diseases accounted for a relatively high proportion(25.49%). Medical disputes often occured in surgery,and were mostly caused by medical technical negligence. The main way to solve medical disputes was in-hospital consultation(43.14%). There is a correlation between the amount of compensation and the department of dispute occurrence,the type of fault and the way of dispute resolution. Conclusion:Because the juvenile patients do not have full civil capacity,medical staff should be more cautious in the process of diagnosis and treatment. Medical institutions should strengthen medical quality management,especially the risk prevention and quality management of key departments. Medical staff should improve the level of medical technology,fully fulfill the obligation to inform,and write medical records with high efficiency and quality,so as to reduce and avoid the occurrence of medical disputes of underage patients.
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徐小丽,吴井吉.江西省某三甲医院51例未成年患者医疗纠纷案件分析[J].江苏卫生事业管理,2022,33(4):437-442.
XU Xiaoli,WU Jingji.The Analysis of 51 Cases of MedicalDisputes among Juvenile Patients in a Tertiary Hospital in Jiangxi Province[J].Jiangsu Health System Management,2022,33(4):437-442.

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