某矿区自1948年～1978年的三十年中,因药品质量、错用药品、超过常用量等原因造成23起医疗事故。其中死亡事故12起死亡达19人,严重反应事故11起,11人受害(表1、2、3)。为了总结经验教训,加强医疗管理,提高医护水平,改善服务态度,从根本上杜绝医疗事故的发生,现将该矿区三十年来药原性事故情况简要概述如下。 A mining area from 1948 to 1978, thirty years, due to drug quality, misuse of drugs, more than the amount used and other causes of 23 medical accidents. Of these deaths, 12 were killed, 19 were fatal, 11 were serious and 11 were injured (Tables 1, 2 and 3). In order to summarize the experiences and lessons learned, strengthen medical management, improve medical care, improve service attitude and basically eliminate medical accidents, the situation of drug-induced accidents in the mine for the past 30 years is briefly summarized as follows.