Objective: To analyze the cases of medical malpractice compensation disputes caused by adverse drug events, to provide references for medical workers for preventing and dealing with adverse drug events and avoiding medical disputes. Methods: Using retrospective research method, 52 cases of medical malpractice compensation disputes caused by adverse drug events retrieved by China Judgements Online from January 2015 to October 2019 were analyzed. Results: A total of 52 Cases of medical malpractice were included in the study the statistic results show that improper handling (25.0%), insufficient monitoring (19.2%) and improper use of antibiotics (17.3%) are the main reasons for the fault of medicine treatment institutions in the dispute of medical damage. Antibiotics (32.80%), traditional Chinese-medicine injection (9.80%), anti-TB (6.60%) are more likely to cause medical damage than other drugs. The PRC on Tort Liability (80.8%), and the Civil Procedure Law of the PRC (55.8%) have become the main legal basis for hearing medical disputes. Conclusion: Strengthening doctors' ability to deal with anaphylactic shock, carrying out paper-based medication education and measures of following relevant guidelines can reduce the legal risk in medical work.
Wu Ling, Huang Li, Wei Long
. A Judicial Case Study of Drug-induced Medical Injury[J]. Chinese Pharmaceutical Affairs, 2020
, 34(10)
: 1145
-1150
.
DOI: 10.16153/j.1002-7777.2020.10.004
[1] 张德雨,张纯兵,宋孝飞,等.药源性医疗损害司法鉴定的方法与步骤[J].法医学杂志,2019,35(1):95-98.
[2] 练小龙.183例医疗纠纷回顾性分析及防范对策的探讨[J].中国卫生产业,2019,16(4):74-76.
[3] 杨砚.三级甲等医院医疗纠纷档案管理存在的问题与处理对策[J].中国卫生产业,2019,16(16):37-38.
[4] 刘宇,柏涌海,王沛,等.上海某三甲医院医疗纠纷影响因素研究[J].中国卫生质量管理,2019,26(3):75-78.
[5] 吴新民,薛张纲,王俊科,等.围术期过敏反应诊治的专家共识[J].中国继续医学教育,2011,3(10):129-130.
[6] 沈东超,王子璇,肖伏龙,等.急性缺血性卒中静脉应用阿替普酶纳入及排除标准的科学声明(第八部分)美国心脏协会/美国卒中协会致医疗卫生专业人员的声明[J].中国卒中杂志,2016,11(9):796-807.
[7] 沈东超,王子璇,肖伏龙,等.急性缺血性卒中静脉应用阿替普酶纳入及排除标准的科学声明(第一部分)[J].中国卒中杂志,2016,11(2):137-149.
[8] 中华医学会心血管病学分会,中国老年学学会心脑血管病专业委员会.华法林抗凝治疗的中国专家共识[J].中华内科杂志,2013,52(1):76-82.
[9] 中华医学会心血管病学分会介入心脏病学组,中国医师协会心血管内科医师分会血栓防治专业委员会,中华心血管病杂志编辑委员会.中国经皮冠状动脉介入治疗指南(2016)[J].中华心血管病杂志,2016,44(5):382-400.
[10] Steininger C,Willinger B.Resistance Patterns in Clinical Isolates of Pathogenic Actinomyces Species[J].J Antimicrob Chemother.,2016,71(2):422-4287.
[11] Czarniak P,Boddy M,Sunderland B,et al.Stability Studies of Lincomycin Hydrochloride in Aqueous Solution and Intravenous Infusion Fluids[J].Drug Des Devel Ther.,2016,10:1029-1034.
[12] Llanos-Paez CC,Hennig S,Staatz CE.Population Pharmacokinetic Modelling,Monte Carlo Simulation and Semi-mechanistic Pharmacodynamic Modelling as Tools to Personalize Gentamicin Therapy[J].J Antimicrob Chemother.,2017,72(3):639-667.
[13] Bakheit AH,Al-Hadiya BM,Abd-Elgalil AA.Azithromycin[J].Profiles Drug Subst Excip Relat Methodol,2014,39:1-40.
[14] Docherty JR.The Pharmacology of a1-adrenoceptor Subtypes[J].Eur J Pharmacol,2019,855:305-320.
[15] Pavan Taffner BM,Mattos FB,Cunha MCD,et al.The Use of Optical Coherence Tomography for the Detection of Ocular Toxicity by Ethambutol[J].PLoS One,2018,13(11):e0204655.
[16] CaoY,Zhang KY,Li J,et al.Polyethylene Glycol Electrolyte Lavage Solution versus Colonic Hydrotherapy for Bowel Preparation before Colonoscopy:A Single Center,Randomized,and Controlled Study[J].Gastroenterol Res Pract,2014,2014:541586.
[17] 谢帆,巫珺,费慧,等.糖皮质激素所致精神障碍一例 [J].国际精神病学杂志,2018,45(6):1146-1147.
