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目的通过对某直辖市2010年-2011年医疗事故技术鉴定结果的分析,找出医疗事故发生的重点部门和重点环节,总结预防医疗事故发生的方法。方法从委托方、医院等级、就诊科室、患者情况、疾病特点、事故原因和患者预后等方面,对124例患者情况和鉴定结果进行全面分析。结果不同医院等级医疗事故率有明显差别,三级医院发生医疗事故率较低,一级及无等级医院医疗事故率明显高于二、三级医院。临床学科中呼吸内科、产科、创伤骨科的医疗事故率分别为62.50%、41.67%、50.00%,新生儿和老年慢性病患者的医疗事故率分别为50.00%、57.10%。结论医院应加强患者安全管理,严格执行各项操作规范,加强呼吸内科、创伤骨科、产科的质量监管力度,给予新生儿和老年慢性病患者更多的关注。
Objective To analyze the results of technical appraisal of medical malpractice in a municipality from 2010 to 2011, find out the key departments and key points of medical malpractice, and summarize the methods of preventing medical malpractice. Methods A comprehensive analysis of 124 patients and their identification results was conducted from the client side, the hospital level, the visiting department, the patient’s condition, the characteristics of the disease, the cause of the accident and the prognosis of the patients. Results The rates of medical accidents at different levels of hospitals were significantly different. The rates of medical accidents at tertiary hospitals were relatively low. The rates of medical accidents at first and no level hospitals were significantly higher than those at second and third levels. The medical accident rates of respiratory medicine, obstetrics and trauma orthopedics in clinical subjects were 62.50%, 41.67% and 50.00% respectively. The rates of medical accidents in neonates and elderly patients with chronic diseases were 50.00% and 57.10% respectively. Conclusion The hospital should strengthen the safety management of patients, strictly implement the operation rules, strengthen the quality supervision of respiratory medicine, trauma orthopedics and obstetrics and give more attention to newborns and elderly patients with chronic diseases.