本文已被：浏览 636次 下载 0次
中文摘要: 目的：由医院医务管理部门参与患方的术前见证，探讨其对医患沟通效果及医疗纠纷发生的影响。方法：回顾性分析漳州市某三甲医院2013年至2021年经医院医务管理部门参与的术前见证病例，探讨发生医疗纠纷的成因。结果：经医院医务管理职能部门参与的术前见证病例762例次，无论是死亡病例还是康复出院的患者，均未发生医疗纠纷。开展术前见证后，全院医疗纠纷发生率稍降低，其中胸心外科医疗纠纷发生率由0.5342%降低至0.1580%，具有统计学差异。此外，四级手术未开展术前见证的病例医疗纠纷发生率为0.2086%，高于术前见证的同级别手术。结论：由医院医务管理部门参与的术前见证，能有效提高沟通效果，减少和预防医疗纠纷的发生。
Abstract:Objective：To observe the role of the hospital’s medical management department participating in preoperative witness on reducing medical disputes. Methods：A retrospective analysis of preoperative witnessed cases froma certain Grade A tertiary hospital from2013 to 2021with the participation of the hospital's medical management department to explore the causes of medical disputes. Results：There were 762 cases witnessed by the hospital’s medical management department，there was no medical dispute，whether it was a death case or a recovered patient. The incidence of medical disputes in the hospital decreased slightly by preoperative witness，especially thoracic and cardiac surgery decreased from 0.534 2% to 0.158 0%，with a statistical difference. The incidence of medical disputes in the cases without preoperative witness for the fourth-level operation was 0.208 6%，which was higher than that of the same-level operation witnessed before the operation. Conclusion：The preoperative witness with the participation of the hospital’s medicalmanagement department can effectively improve the communication，and reduce the occurrence of medical disputes.
文章编号： 中图分类号： 文献标志码：
基金项目:福建医科大学启航基金一般项目（2019QH1269） 福建医科大学启航基金一般项目（2019QH1269）
引用文本：
郭立伟,王进贤,林广民*.医院医务管理部门参与患方术前见证的作用△[J].江苏卫生事业管理,2022,33(5):578-580.
GUO Liwei,WANG Jinxian,LIN Guangmin*.The Effect of the Hospital’s Medical Management Department Participating in Preoperative Witness△[J].Jiangsu Health System Management,2022,33(5):578-580.
郭立伟,王进贤,林广民*.医院医务管理部门参与患方术前见证的作用△[J].江苏卫生事业管理,2022,33(5):578-580.
GUO Liwei,WANG Jinxian,LIN Guangmin*.The Effect of the Hospital’s Medical Management Department Participating in Preoperative Witness△[J].Jiangsu Health System Management,2022,33(5):578-580.
