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目的探讨民营医疗机构医疗事故的原因,分析其医疗安全质量管理中存在的问题,提高医疗安全性。方法收集2011年上海市长宁区民营医疗机构发生的医疗事故案例资料,分析诊治经过、争议要点、鉴定意见及处理情况。结果2011年上海市长宁区民营医疗机构共发生医疗事故4起,其中由法院委托鉴定1起;我医疗事故处理办公室委托鉴定3起,主要原因为诊断失误、诊疗技术应用失当和用药不当。结论我国民营医疗机构医疗质量管理亟待改进,需要落实医疗机构考核培训制度,加强医疗技术临床应用规范化及临床合理用药等质量控制,以保障患者安全。
Objective To explore the causes of medical accidents in private medical institutions, analyze the problems in medical safety and quality management and improve the medical safety. Methods The cases of medical accidents occurred in private medical institutions in Changning District of Shanghai in 2011 were collected to analyze the diagnosis and treatment, the controversial points, the appraisal opinion and the handling situation. Results In 2011, 4 medical malpractices occurred in private medical institutions in Changning District of Shanghai, among which 1 was entrusted by the court. Three cases were entrusted by the Office of Medical Malpractice Accident. The main reasons were diagnosis errors, improper application of diagnosis and treatment techniques and improper medication. Conclusion The medical quality management of private medical institutions urgently needs to be improved. It is necessary to implement the examination and training system of medical institutions, to strengthen the standardization of clinical application of medical technology and the quality control of clinical rational medicine so as to ensure the safety of patients.