法医学杂志

法医学杂志 ›› 2010, Vol. 26 ›› Issue (6): 440-442.DOI: 10.3969/j.issn.1004-5619.2010.06.010

• 案例分析 • 上一篇    下一篇

患者死亡医疗纠纷司法鉴定24例分析

杨嵩民1，2   

  1. （1. 登封市公安局 刑侦大队，河南 郑州 452470； 2. 郑州大学 法医学教研室，河南 郑州 450052）
  • 发布日期:2010-12-25 出版日期:2010-12-28
  • 作者简介:杨嵩民（1971—），男，河南登封人，主检法医师，硕士研究生，主要从事法医病理学、医疗纠纷的司法鉴定；E-mail：947101195@qq.com

Judicial Appraisal of 24 Cases of Medical Tangles Involving Patient’s Death

YANG SONG-MIN1,2   

  1. （1. Criminal Investigation Team, Dengfeng Public Security Bureau, Zhengzhou 452470, China; 2. Department of Forensic Medicine, Zhengzhou University, Zhengzhou 450052, China）
  • Online:2010-12-25 Published:2010-12-28

摘要： 目的 探讨涉及患者死亡医疗纠纷的过错成因，分析其司法鉴定的切入点。 方法 收集了涉及患者死亡且多次鉴定的医疗纠纷案例24例，从一般情况、科室分布、责任程度划分以及差错分析等方面进行了总结和分析。 结果 此类案例在技术方面存在患者自身疾病隐匿、接诊部门处理过程简单、科室之间配合不力、紧急情况下措施不果断等问题。此外，告知义务的履行、转诊时机把握以及常备抢救设施的维护等管理方面漏洞也是医疗纠纷的多发环节。 结论 本文可为进行此类医疗纠纷的司法鉴定提供帮助，也为避免纠纷的发生提供参考。

关键词: 法医病理学, 司法鉴定, 案例分析, 医疗纠纷

Abstract: Objective To explore the cause of mistakes in medical tangles involving patient’s death, and to analyze its key points in judicial appraisal. Methods Total 24 cases involving patient’s death and multiple identifications were respectively analyzed and summarized based on common situations, distribution of departments, degree of responsibility and mistake analysis. Results It was showed that those medical tangles mostly originated from technical aspects, such as neglecting of latent symptoms, oversimplified management in clinical reception, poor cooperation between departments, and hesitation in confronting unexpected emergencies. In addition, some institutional mistakes, such as the performance of disclosure duty, opportunity of referral course, and deficiency of basal medical equipments, were the other aspects that caused these medical tangles. Conclusion The results mentioned above could provide some clues for the judicial appraisal of the similar medical tangles, and be helpful for avoiding their occurrence in future.

Key words: forensic pathology, expert testimony, cases analysis, medical tangle

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