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目的分析医疗损害鉴定结论,了解医疗机构及其医务人员发生过错情况及原因,为防范医疗过错,降低医疗风险,提高医疗服务质量提供借鉴。方法采用描述性分析方法,分析医疗损害鉴定中的医方和患方基本情况以及鉴定结论。结果构成医疗损害的鉴定约占鉴定总数的50.96%,19~60岁患者约占鉴定总数的43.27%,发生在三级医疗机构的医疗损害占鉴定总数的70.19%,70.97%的医疗损害发生在市内6区的医疗机构,而且主要发生在外科、骨科、产科等科室。结论医疗机构应加强对医护人员的执业技能培养、医德医风和医事法律教育、医患沟通的技能技巧培训,提高医护人员医疗风险意识和防范医疗损害发生的能力。卫生行政部门应进一步强化对医疗机构医疗活动的监督,促进医疗机构提高医疗安全水平。
Objective To analyze the conclusion of medical damage appraisal, understand the circumstances and causes of medical institutions and their medical staffs’ fault, and provide references for preventing medical errors, reducing medical risks and improving medical service quality. Methods Descriptive analysis method was used to analyze the basic situation of medical and patients in medical damage appraisal and the conclusion of appraisal. Results The identification of medical damage accounted for about 50.96% of the total number of identification, about 19.27% of the total number of patients aged 19 ~ 60, 70.19% of the total number of medical damage occurred in tertiary medical institutions, 70.97% of the medical damage occurred in 6 districts of the city’s medical institutions, but mainly in surgery, orthopedics, obstetrics and other departments. Conclusion Medical institutions should strengthen their training of practicing skills, medical ethics and medical legal education, skills training of doctors and patients to improve the awareness of medical risks and prevent the occurrence of medical damage. Health administrative departments should further strengthen the supervision of medical activities in medical institutions and promote medical institutions to improve the level of medical safety.