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目的分析近三年医疗争议病案情况,探讨医疗争议患者住院病案的管理。方法调取2012年到2014年北京地区以心肺血管为特色的某三甲综合医院279份医疗争议病案资料进行分析。结果 279份医疗争议病案资料中涉及重点科室心脏外科168份,占60.22%;心脏内科56份,占20.07%。三年期间的使用频次分别为3次,次均复印页数为246页。结论医疗争议主要涉及重点科室的危重症患者,是特殊病案保管的重要部分,需要专人进行特殊流程的管理,以确保安全及满足医院管理、法律诉讼等环节的正常使用。
Objective To analyze the medical dispute medical records in the past three years and to explore the management of medical dispute patient inpatient medical records. Methods A total of 279 medical dispute medical records in a Grade A general hospital with cardio-pulmonary vascular characteristics in Beijing from 2012 to 2014 were analyzed. Results Of the medical records of 279 medical disputes, 168 were involved in cardiac surgery in key departments, accounting for 60.22%; 56 were cardiology, accounting for 20.07%. Three times during the three-frequency use, the average number of pages to 246 pages. Conclusion Medical disputes mainly involve critically ill patients in key departments and are an important part of the special medical records. Special procedures are needed to ensure the safety of medical disputes and the normal use of hospital litigation and lawsuits.