| 吴玲,黄丽,魏龙.医院药源性医疗损害的司法案例研究[J].中国药事,2020,34(10):1145-1150 |
| 医院药源性医疗损害的司法案例研究 |
| A Judicial Case Study of Drug-induced Medical Injury |
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| DOI：10.16153/j.1002-7777.2020.10.004 |
| 中文关键词: 药物不良事件 医疗纠纷 药物配伍禁忌 医疗损害 |
| 英文关键词: adverse drug events medical disputes incompatibility of drugs medical damage |
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| 中文摘要: |
| 目的：分析药物不良事件导致的医疗损害赔偿纠纷案例，为医务工作者防范与处理药物不良事件，避免医疗纠纷提供参考。方法：采用回顾性研究方法，对2015年1月-2019年10月我国裁判文书网检索的药物不良事件导致医疗损害赔偿纠纷判例进行数据整理及分析。结果：共有52例案例纳入研究，统计结果显示，处理不当(25.0%)、监护不足(19.2%)、抗菌药物使用不当(17.3%)是引起药物损害纠纷中医疗机构过错的主要原因；抗菌药物(32.80%)、中药注射液(9.80%)、抗结核药物(6.60%) 相比其他药物更容易导致医疗损害；《中华人民共和国侵权责任法》(80.8%)及《中华人民共和国民事诉讼法》(55.8%)成为审理医疗纠纷的主要法律依据。结论：通过加强医师处理过敏性休克的处理能力、切实履行用药教育、遵循相关指南进行医疗行为的措施能降低医疗工作中的法律风险。 |
| 英文摘要: |
| Objective: To analyze the cases of medical malpractice compensation disputes caused by adverse drug events, to provide references for medical workers for preventing and dealing with adverse drug events and avoiding medical disputes. Methods: Using retrospective research method, 52 cases of medical malpractice compensation disputes caused by adverse drug events retrieved by China Judgements Online from January 2015 to October 2019 were analyzed. Results: A total of 52 Cases of medical malpractice were included in the study the statistic results show that improper handling (25.0%), insufficient monitoring (19.2%) and improper use of antibiotics (17.3%) are the main reasons for the fault of medicine treatment institutions in the dispute of medical damage. Antibiotics (32.80%), traditional Chinese-medicine injection (9.80%), anti-TB (6.60%) are more likely to cause medical damage than other drugs. The PRC on Tort Liability (80.8%), and the Civil Procedure Law of the PRC (55.8%) have become the main legal basis for hearing medical disputes. Conclusion: Strengthening doctors' ability to deal with anaphylactic shock, carrying out paper-based medication education and measures of following relevant guidelines can reduce the legal risk in medical work. |
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