Study on the Cause of Medical Errors in Medical Disputes and Improvement Measures
Objective:To analyze 675 medical malpractice cases and provide countermeasures for continuous improvement of medical quality.Methods:The information of 675 medical malpractice cases handled by a medical liability insurance underwriting agency in Nanjing in 2022 was collected.The characteristics,high-risk departments,medical staff's negligence reasons,and violation of medical core systems in the treatment process were analyzed to identify high-risk factors in the medical institutions'treatment process.Results:The study found that elderly patients,inpatients,and surgical patients in tertiary medical institutions were high-risk groups for medical disputes,and obstetrics and gynecology,orthopedics,general surgery,emergency department,and cardiothoracic surgery were high-risk departments.Operating/procedure-related negligence was the main reason for medical disputes,and there were problems with the implementation of core medical systems such as consultation system and medical record management system.Conclusion:Medical institutions should focus on high-risk factors in medical disputes and establish a comprehensive quality management mechanism for continuous improvement of medical technology and medical quality and safety.
Medical DisputeMedical NegligenceMedical Core System