Explore Preventive Countermeasures And Path For Medical Technical Appraisement Based On Analyze Cause Of Medical Negligence In Obstetrics And Gynecology

ObjectiveIn obstetrics and gynecology medical accident case analysis,to explore the causes of obstetrics and gynecology medical accidents.On the basis of targeted obstetrics and gynecology medical accident prevention measures are put forward.To explore the maternity path of technical appraisal for medical accidents is establishedMethods1.The method of literature review.Search Chinese technology periodical full-text database and Chinese academic periodical full-text database and Medline database,collecting published at home and abroad about the research of obstetrics and gynecology medical accident.Chinese term for "obstetrics and gynecology" and "medical disputes" "medical accidents","analysis" "against" "appraisal".To check the analysis of the relevant journal literature.2.Collect nantong between September 2002 and 2015 cases of medical malpractice identification,Stata8.0 is used to analyse the data.Using Pearson x2 test,judgment of obstetrics and gynecology medical accidents and hospital level correlation;Conclusion,according to case analysis of obstetrics and gynecology medical accident reason.3.Expert consulting method.With the department of obstetrics and gynecology,pediatrics new and forensic medicine appraisal expert discussion,discussion of obstetrics and gynecology medical negligence,consequences,and factors related to causality,forming a gynecology and obstetrics appraisal path.Results1.Between September 2012 and in 2015 in nantong,obstetrics and gynecology medical accidents accounted for 24.18% of the total number of accidents,of which 43.6% for obstetric medical accidents.Obstetrics and gynecology medical accident is high-risk clinical disciplines.2.Department of obstetrics and gynecology medical accident and medical institutions rank correlation;Grassroots medical institutions,especially the level of medical institution of obstetrics and gynecology medical accident rate is higher.3.The technical factors are the main factors of obstetrics and gynecology medical accident more than(60%),especially with the problems of the operation and check improper operation is more outstanding.Required qualifications,informed consent inform non-technical factors such as accident is also constitute an important factor of medical accidents.4.Establish and improve the obstetrics and gynecology medical accident appraisal path of fairness and justice has a guiding significance of technical appraisal for medical accidentsConclusion1.Obstetrics and gynecology is a high risk of medical accident,obstetrics and gynecology medical accident cause analysis should consider the level of medical institutions,from the Angle of technical and non-technical(mainly health management)perspective;2.In obstetrics and gynecology medical accident reason,take the following measures can effectively prevent the department of obstetrics and gynecology medical accident:(1)to strengthen the construction of the foundation of grassroots medical institutions,improve the level of medical personnel at the grass-roots level diagnosis and treatment;(2)to strengthen the department of obstetrics and gynecology and corresponding auxiliary construction and management;(3)to improve the overall quality of the medical personnel;(4)strengthen the sense of responsibility,improve the service quality,improve service attitude;(5)to eliminate overspray practicing medicine,regulate professional behavior;(6)respect for patients right of informed consent,strictly fulfill their obligation to inform;(7)to improve the legal knowledge,enhance awareness.3.Medical accident technical appraisal dealing with medical disputes is one of the important link,is also the responsibility to determine whether a medical institution and the size of the responsibility.Establishment of obstetrics and gynecology medical accident appraisal path can make the obstetrics and gynecology medical appraisal can in conventional norms and the corresponding laws and regulations,diagnosis and treatment obligations between find the unified,standardized and scientific legal basis and make similar case evaluation standard,to ensure that the case identification and treatment of fairness and justice.