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探讨医疗纠纷的常见原因及预防和减少医疗纠纷的防范对策。方法:统计分析河南省舞钢市人民医院2008~2012年发生的94起医疗纠纷产生的原因。结果:纠纷高发科室前五位分别是妇产科、骨科、普外、急诊、神经内科;医患沟通和知情同意不到位居引起纠纷的首位;死亡病例发生的纠纷居第二位,且以肺栓塞猝死居多;因医疗责任和技术引起的纠纷居第三位。结论:提高医务人员的专业水平,加强资格准入和医疗技术准入监管,切实落实各项规章制度,加强医患沟通,改善服务态度,强化手术科室尤其是妇产科、骨科、外科等重点科室医疗安全管理,可有效地减少和防范医疗纠纷。
To discuss the common causes of medical disputes and preventive measures to prevent and reduce medical disputes. Methods: The causes of 94 medical disputes occurred in 2008 ~ 2012 in Wugang People’s Hospital of Henan Province were statistically analyzed. Results: The first five cases of high incidence of disputes were obstetrics and gynecology, orthopedics, general surgery, emergency department and neurology. Communication between doctors and patients and informed consent were less than the first place causing disputes. The second was the case of death Sudden death to pulmonary embolism mostly due to medical liability and technology disputes caused by the third place. Conclusion: To improve the professional level of medical staff, to strengthen the access control and medical technology access regulation, implement the rules and regulations, strengthen communication between doctors and patients, improve service attitude, and strengthen the focus of the surgical departments, especially obstetrics and gynecology, orthopedics, surgery Departments of medical safety management, can effectively reduce and prevent medical disputes.