The Analysis Of Results Of Medical Accidents Technical Appraisal In A Certain City And The Research On Precautionary Measures

Objective: Through analyzing medical malpractice expertise cases about this ten years organized by the medical association in certain city, the essay is to find out the ratio, distribution characteristics and development tendency of medical accidents, to discuss main reasons leading to medical accidents and offer precautionary measures for active departments to improve the policy. This has important implications for the promotion of improving the quality of medical services and doctor-patient crisis of confidence, creating a harmonious society and improving people’s health and well-being.Methods: All the materials of this essay are from the 694 medical malpractice expertise cases happened in certain city from Jan.2004 to Dec.2013 organized by the medical association, also empirical research cases analysis is from the source cases.Meanwhile, by conducting a survey for 200 medical personnel, medical malpractice experts and legal persons and other related professionals, supplemented by on-site interviews, the essay is to find out their thoughts about the causes of medical accidents and its settlement mechanism proposal under different version. Build the database and then use the descriptive analysis method to analyze the statistics.And all the information are from CJFD, SWIC and Wanfang database.Results:1.The medical malpractice cases in ten years are identified a total of 275 in the city,the average accident rate is 39.6%, and the differences in the ratio of medical accidents decade are not statistically significant. But in the identification number,there is on the rise from 2004-2009,and shows a declining trend from 2009-2013.The number of accident cases was not obvious from 2004-2009,and shows a declining trend from2009-2013.There is four level of medical accidents at most in all medical malpractice cases, accounting for 40.7%. The medical side taking responsibility for medical negligence is in the largest proportion of all medical malpractice cases, to 41.5%.2. The medical accident occurs mainly in surgical departments. The top five departments followed by obstetrical department, orthopedics department, general surgery, neurology and neurosurgery, obstetrical department takes the highest accident rate to be 64.4%, and other departments are respectively to be 41.9%, 39.8%, 36.4% and33.3%. The ratio of medical accidents are not the same between hospitals, and the difference is statistically significant, X2=47.26, P=0.00<0.01. The highest accident rate is the individual clinics and township hospitals, 58.3%, followed by municipal hospital and municipal level two hospitals to be 54.5% and 48.3%. Divided by regional characteristics, county medical accident ratio is much higher than the the ratio of urban medical accident, to be 50.1% and 28.6%. The difference is also statistically significant,X2=33.59, P=0.00<0.01.3. By analyzing the causes of 275 medical accident cases, it occurs that the medical side factors are the main factors, which due to the lack of medical staff skills, sense of duty, medical writing not standardized, inadequate informing. The rates are respectively to be 53.1%, 22.2%, 12.7% and 6.9%.Conclusion: The medical accident the ratio in the city is 39.6%, being little change of the decade. The medical accident occurred mainly in obstetrical department,orthopedics department, general surgery and other surgical departments. The lower level of the hospital the more it happened and county medical accident the ratio is much higher than the ratio of urban medical accident. The main reasons leading to medicalaccident are the lack of medical staff skills, sense of duty, medical writing not standardized, inadequate informing; the patient side not cooperation to the treatment and deliberately concealing disease are also causing medical accident in some cases. To prevent medical accidents,medical institutions should strengthen the medical quality management,improve medical technology level and law consciousness,and through publicity and education,improve the consciousness of cooperation.The Government should strengthen its efforts to support the primary hospital, solve the problem for unfair allocation of health resources, improve diagnosis and treatment of primary health care institutions; implement mandatory medical malpractice liability insurance, establish long-term prevention mechanism of the risk of medical accident.