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目的:比较医疗事故与医疗损害鉴定结论,分析医疗过错发生规律,促使医疗机构防范医疗过错、提高医疗服务质量,并为完善医学会医疗损害鉴定提供建议。方法:采用描述性分析方法,比较医疗事故与医疗损害鉴定结论的相关内容及相关因素。结果:医疗事故技术鉴定和医疗损害鉴定所涉医疗机构主要位于市内六区;三级医疗机构在两种鉴定中占据70%~80%;法医参与医疗事故鉴定率为29.37%,法医参与医疗损害鉴定率为84.89%;医疗事故构成率为60.14%,医疗损害构成率为54.67%;一、二级医疗机构和近郊区、远郊县医疗机构是医疗过错较为高发的机构。结论:卫生行政部门应加强对一、二级医疗机构和近郊区、远郊县医疗机构医疗安全与风险监控,提高其医疗服务水平,并进一步完善法医参与鉴定的相关制度。
OBJECTIVE: To compare the conclusions of medical malpractice and medical damage appraisal, analyze the law of medical malpractice, urge medical institutions to prevent medical malpractice, improve the quality of medical service, and provide suggestions for improving medical injury appraisement. Methods: Descriptive analysis was used to compare the contents of the conclusion of medical malpractice and medical damage assessment and related factors. Results: The medical institutions involved in the technical appraisal of medical malpractice and the appraisal of medical damages are mainly located in six districts of the city; the third-level medical institutions occupy 70% -80% of the two appraisals; the appraisal rate of forensic participation in medical malpractice is 29.37% The rate of injury identification was 84.89%. The rate of medical malpractice was 60.14% and the percentage of medical damage was 54.67%. The primary and secondary medical institutions and the medical institutions in the outskirts and outskirts counties were the institutions with higher medical malpractice. Conclusion: The health administrative departments should strengthen the medical security and risk monitoring of primary and secondary medical institutions and medical institutions in the suburbs and outer suburbs, improve the level of their medical services and further improve the relevant systems of forensic participation and identification.