首页|医疗损害鉴定中过错认定的实证研究——基于江苏省S市医学会 367 份鉴定书分析

医疗损害鉴定中过错认定的实证研究——基于江苏省S市医学会 367 份鉴定书分析

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以《医疗损害司法鉴定指南》(SF/T 0097-2021)中过错鉴定的相关规定为理论依据,以江苏省S市医学会 2018-2022年367 份案例书为统计样本,探究医疗损害过错鉴定实务现状,结果表明当前医疗过错鉴定中存在诊疗规范界定不明,鉴定人过于侧重审查具体规定而忽视注意义务,鉴定人过于苛责医方的注意、告知义务,"紧急救治""容许风险"两种特殊理论是否适用有分歧等问题.面对这些问题,笔者认为应当从明确规范范围、过错认定核心、特殊情形适用和建立专业案例库等角度寻求出路.
An Empirical Study of Fault Identification in the Expertise of Medical Malpractice:Based on 367 Expertise Reports from the Medical Association of S City,Jiangsu Province
This article uses the provisions of medical malpractice identification in the"Judicial Appraisal Guidelines for Medical Malpractice"(SF/T 0097-2021)as its theoretical basis and takes 367 case reports from the Medical Association of S City in Jiangsu Province from 2018 to 2022 as its statistical sample.It explores the current situation of fault identification in medical malpractice.The results show that there are problems such as unclear definitions of clinical norms,appraisers focusing too much on reviewing specific regulations while neglecting the duty of care,appraisers being overly critical of the medical party's duties of care and informed consent,and disagreements on the applicability of the special theories of"emergency treatment"and"acceptable risk".In light of these problems,we suggest to seek solutions from perspectives such as clarifying the scope of norms,identifying the key point of medical malpractice identification,applying special circumstances,and establishing a professional forensic case database.

medical malpracticemedical faultjudicial appraisalempirical analysis

蒋雨彤、谈在祥、王旭

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中国政法大学证据科学教育部重点实验室 北京 100088

中国政法大学重罪检察证据分析基地 北京 100088

徐州医科大学管理学院 江苏徐州 221004

徐州医科大学卫生政策与健康管理研究中心 江苏徐州 221004

徐州医科大学附属医院现代医院管理中心 江苏徐州 221006

上海市法医学重点实验室暨司法部司法鉴定重点实验室 上海 200063

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医疗损害 医疗过错 司法鉴定 实证分析

2024

医学与哲学
中国自然辩证法研究会

医学与哲学

CSTPCDCHSSCD北大核心
影响因子:1.314
ISSN:1002-0772
年,卷(期):2024.45(16)