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| 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 |
| 投稿时间：2019-11-12 修订日期：2020-03-09 |
| DOI： |
| 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 |
| 基金项目: |
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| 中文摘要: |
| 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依据。方法 采用回顾性研究方法，对2015年1月-2019年10月中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分析。结果 1、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。2、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。3、《中华人民共和国侵权责任法》（80.8%），《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 加强医师处理过敏性休克的处理能力、切实履行纸质的用药教育、遵循相关指南进行医疗行为能降低医疗工作中的法律风险。 |
| 英文摘要: |
| Abstrac Objective: This paper analyzes the cases of medical malpractice compensation disputes caused by adverse drug events in the past five years to provide reference for medical workers to prevent and deal with adverse drug events and avoid 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 are analyzed.Results: 1.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.2.Antibiotics(32.80%), traditional Chinese-medicine injection(9.80%), anti-TB(6.60%) are more likely to cause medical damage than other drugs.3. and have become the main legal basis for hearing medical disputes.Conclusions: Strengthening doctors" ability to deal with anaphylactic shock, carrying out paper-based medication education and following relevant guidelines can reduce the legal risk in medical work. |
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