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通过对医院医疗纠纷和事故的分析, 发现医院医疗风险中以一般医疗纠纷为主,占54 % , 其次为严重差错、技术事故和责任事故; 在医院的级别分布中, 以三级医院为首;在医院的科室分布中, 以外科、内科、妇产科、儿科、耳鼻喉科、传染科、药剂科为主, 占88 % 以上; 医疗事故和纠纷的主要责任人, 医生占50% 、护士占20-8 % ; 责任事故的原因主要为, 失职占32-4% 和违反规程占44-4 % ; 技术事故原因主要为, 违反规程占24-6 % 、误诊占30-9 % 、误治占33-2 % 。针对以上结果, 作者提出在医疗纠纷和事故防范中, 要重点加强三级医院外、内、妇、儿等科医疗纠纷的防范, 加强对医护人员的教育和管理。
Through the analysis of hospital medical disputes and accidents, it was found that hospital medical risks were dominated by general medical disputes, accounting for 54%, followed by serious errors, technical accidents, and liability accidents; in the hospital’s level distribution, tertiary hospitals were the first; In the distribution of hospital departments, the departments of surgery, internal medicine, obstetrics and gynecology, pediatrics, otorhinolaryngology, infectious diseases, and pharmacy are the main ones, accounting for 88% or more; the main responsible for medical accidents and disputes, doctors account for 50%, and nurses Accounted for 20-8 % ; The main causes of liability accidents were: 32-4% of negligence and 44-4 % of violations of regulations; The main causes of technical accidents were violations of regulations, 24–6%, misdiagnosis, 30–9 %, and errors. Governance accounts for 33-2%. In view of the above results, the author proposes that in medical disputes and accident prevention, it is necessary to strengthen the prevention of medical disputes in the external, internal, gynecological, and child medical departments of tertiary hospitals, and to strengthen the education and management of medical personnel.