Type analysis and coping strategies of insufficient medical notification
Objective To explore the specific performance of the Chinese medical party in the medical process of insufficient notification in the case of medical damage liability disputes,and to provide new ideas for improving the notification ability of the medical party and avoiding medical disputes.Methods The public data of China Judgement and Documentation Network as the research material were taken,226 judgments of medical damage liability dispute cases involving the key words of insufficient notification,insufficient notification,failure to fulfill the duty of notification,incomplete notification,and truthful notification within the scope of Zhejiang Province from January 2012 to December 2022 were searched,textual analysis to read and screen each case was used.In the end,there were 131 cases that fit into the scope of the study,i.e.,cases in which the court ruled that the medical practitioner was indeed negligent in the category of insufficient information.Results In 131 cases of medical damage liability disputes,there were 160 cases of insufficient notification,including 71 cases(44.4％)of insufficient notification of surgery,38 cases(23.8％)of insufficient notification of condition,33 cases(20.6％)of insufficient notification of risk,9 cases(5.6％)of insufficient notification of health education,6 cases(3.7％)of insufficient notification of drug use,and 3 cases(1.9％)of insufficient notification of discharge and transfer,etc.And 93 types of insufficient notification performance in six categories.The focus of informing was medical risk,the difficulty of informing was oral informing,and the standard of informing was comprehensive.Medical notification was in-fluenced by a variety of factors and was characterized by multiple levels;the focus of notification is medical risk,the difficulty of notification was verbal notification,and the standard of notification was comprehensiveness.Conclusion Medical notification is an important part of a patient's informed consent and must comply with laws and regulations and medical ethical requirements.It is recommended to strengthen the multidisciplinary integration research on insufficient medical notification,increase the medical notification retraining for medical staff,improve the communication ability of doctors and patients,and try to implement the model of medical staff protection apology system to avoid medical disputes.
Medical damageMedical disclosureInformed consentInsufficient notificationDoctor-patient communica-tion
NETL
NSTL
万方数据
