坦诚对待医疗差错与医患纠纷的处置——以患者安全为视角.pdfVIP

医学法学 医学与哲学 2016 年 2 月第 37 卷第 2A 期总第 542 期 坦诚对待医疗差错与医患纠纷的处置头 一一以患者安全为视角 吴英旗① 摘要z 传统医疗差错处理中的责备文化不利于及时识别和纠正医疗安全系统中的薄弱环节乃至影响医学事业的发展， 因此应当学习美国的公开揭露机制，将对待医疗差错的理念从风险管理转换为患者安全飞倡导引入公开揭露机制作 为创新医患纠纷和解、调解解决机制的契机，通过确立元过失补偿制度来分担医疗风险，加强对医疗差错监督与管理的制 度建设，以建立保障患者了解伤害事实的权益与维护医疗专业自主性的医患纠纷处置方式。 关键词:患者安全，公开揭露机制，医疗差错 申图分类号:R-05 ， D922.16 文献标识码:A 文章编号:1002 一0772(2016)02-0051-03 DOI: 10. 12014/j. issn. 1002-0772. 2016. 02a. 14 Disclosure of Medical Errors and Settlements of Medical Disputes: From the Perspective of Patient Safety WU Ying-qi. College of Humanities and Law , North China University of Science and Technology , Tangshan 063009 , China Abstract: The blame culture in traditional medical error processing cannot help to identify and correct the stark fault in medical security system , sometimes it even sets back the development of health care. The author claimed that the U. S. disclosure mechanism of medical error should be learned and concept of medical errors should be ranged from risk management to patient safety. By advocating disclosure mechanism , the medical dispute conciliation , mediation and settlement will be improved. Furthermore , we should establish the no-fault compensation system to share medical risks and strengthen supervision and management of medical errors so that patients right of informed of damage and medical professional autonomy will be protected. Key Words: patient safety , disclosure mechanism , medical errors 患者安全及我国医患纠纷处置的研究现状 发生类似的医疗损害。 患者安全意在使患者免于在医疗护理过程中由于 现今国内关于患者安全和医患纠纷处置有很多研 意外而导致的不必要