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目的了解医疗诉讼赔偿案件中医院存在的问题,以期防范医疗诉讼案件的发生。方法总结分析某基层医院2011年结案的10起医院承担赔偿责任的医疗诉讼案件。结果医疗诉讼赔偿案件中涉及手术科室4例、非手术科室6例,发生在门(急)诊5例、住院部5例,分布基本平均,判令医院赔偿金额平均为5.8万元;病案管理不力、医疗告知不充分和医疗过失是导致医院赔偿的主要原因。结论医疗机构应重视病案书写与保管,做好医疗知情同意管理工作,加强“三基”培训,提高医务人员法律意识。
Objective To understand the existing problems in medical litigation cases in order to prevent the occurrence of medical litigation cases. Methods To summarize and analyze the medical litigation cases in 10 hospitals in a grass-roots hospital that were settled in 2011 with compensation liability. Results There were 4 surgical departments and 6 non-surgical departments in the medical litigation cases, 5 cases occurred in the emergency department and 5 cases were inpatient department. The distribution was basically average, and the average hospital compensation was 58,000 yuan. The medical record management Inadequate medical notification and inadequate medical care are the main reasons for hospital compensation. Conclusion Medical institutions should attach great importance to the writing and keeping of medical records, do a good job in medical informed consent management, and strengthen the training of “three bases” so as to raise the legal awareness of medical staffs.