Analysis of Processed Medical Disputes in One Hospital_West China Medical Journal

Authors：

 WANGDong-hong ¹ ,  ANHua-hua ² , LIANGTao ¹ , ZHUFa-cui ¹ , SUNXin ¹ , XIONGJian-ting ¹

1. Department of Medical Administration, Lanzhou General Hospital of Military Command, Lanzhou, Gansu 730050, P. R. China;
2. Outpatient Department, Lanzhou General Hospital of Military Command, Lanzhou, Gansu 730050, P. R. China;

Corresponding author：

ANHua-hua, Email: ahh21@126.com

Keywords：

Medical disputes; Retrospectively analysis; Medical risk early warning

DOI：

10.7507/1002-0179.20150339

Video：

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Objective To provide some basic data for studies in the future on the prevention of medical disputes by exploring its patterns and reasons. Methods Fifty-five processed medical disputes cases accepted between 2012 and 2014 were retrospectively analyzed for their patterns and causes. Results The number of males in the medical disputes was higher than that of females (male: 60.0%, female: 40.0%), and patients at the age of 40-70 also led in the disputes (aged 40-50: 20.0%, aged 50-60: 18.2%; aged 60-70: 20.0%). There were more medical disputes in the department of cardiology (20.0%), orthopedics (16.4%), otolaryngology (12.7%), and gynecology (10.9%). Conclusion There are differences in gender and age of the patients as well as departments in terms of medical disputes. We should try to discover the regular patterns of these disputes. Besides those existing medical indexes, we should establish other warning systems through psychological and sociological status of medical staff and patients for reducing medical disputes, which can surely help the administration of medical quality intervention on medical disputes.

Citation： WANGDong-hong, ANHua-hua, LIANGTao, ZHUFa-cui, SUNXin, XIONGJian-ting. Analysis of Processed Medical Disputes in One Hospital. West China Medical Journal, 2015, 30(6): 1175-1178. doi: 10.7507/1002-0179.20150339 Copy

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1. Garcia-Retamero R, Galesic M. Using plausible group sizes to communicate information about medical risks[J]. Patient Educ Couns, 2011, 84(2):245-250.
2. Treyvaud K, Inder TE, Lee KJ, et al. Can the home environment promote resilience for children born very preterm in the context of social and medical risk?[J]. J Exp Child Psychol, 2012, 112(3):326-337.
3. Lee MJ, Konodi MA, Cizik AM, et al. Risk factors for medical complication after spine surgery:a multivariate analysis of 1,591 patients[J]. Spine J, 2012, 12(3):197-206.
4. Smith GB, Prytherch DR, Meredith P, et al. The ability of the National Early Warning Score (NEWS) to discriminate patients at risk of early cardiac arrest, unanticipated intensive care unit admission, and death[J]. Resuscitation, 2013, 84(4):465-470.
5. Kellett J, Woodworth S, Wang F, et al. Changes and their prognostic implications in the abbreviated Vitalpac^TM early warning score (ViEWS) after admission to hospital of 18,853 acutely ill medical patients[J]. Resuscitation, 2013, 84(1):13-20.
6. 王名龙. MEWS系统在突发性脑出血急诊救治中的应用[J]. 实用临床医药杂志, 2012, 16(19):49-51.
7. 曹福媛. MEWS在急诊陪检转运工作中的应用[J]. 护理研究, 2013, 27(3):277-278.
8. 孙楠, 黎爱军, 连斌, 等. 医疗风险影响因素调查分析和对策研究[J]. 中国卫生质量管理, 2009, 16(4):5-7.
9. 樊震林, 王旭, 许苹, 等. 我国医疗风险管理概况[J]. 解放军医院管理杂志, 2007, 14(8):600-601.
10. 肖绍文, 张成福, 林力, 等. 44起赔付的医疗纠纷特点分析与预防对策[J]. 基层医学论坛, 2008, 12(1):57-59.
11. 孙纽云, 郜浩, 梁铭会, 等. 上海市某区2009年医疗纠纷原因分析和对策研究[J]. 中国卫生质量管理, 2011, 18(4):39-42.
12. 高晓飞, 周维燕, 孙忠河. 我国医疗纠纷原因的Meta分析[J]. 中国医药导报, 2012, 9(6):160-161, 163.
13. 肖啸, 刘渊, 自加吉, 等. 心脏手术相关医疗纠纷的法医学分析[J]. 华西医学, 2013, 28(4):547-550.
14. 黄国军. 基层医院121例医疗纠纷分析及预防对策[J]. 中国农村卫生事业管理, 2012, 32(11):1139-1141.
15. 童云龙, 陈国夫, 罗小敏, 等. 某基层医院2011年46例医疗纠纷统计分析[J]. 中医药管理杂志, 2012, 20(10):960-961.
16. 郑志方. 蚌埠市某三甲医院医疗纠纷的影响因素研究[D]. 合肥:安徽医科大学, 2012.
17. 自加吉, 刘渊, 肖啸, 等. 55例骨科医疗纠纷分析[J]. 华西医学, 2012, 27(10):1454-1457.
18. 马万兵, 李宇飞, 洪昕. 医疗风险影响因素分析及防范措施[J]. 解放军医院管理杂志, 2010, 17(12):1151-1152.
19. 徐茂云, 刘世君.医疗纠纷医生的人格特征分析[J]. 中华行为医学科学, 2007, 16(10):941-942.

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