Causes of 100 cases of dispute over malpractice in Nantong and preventive measures / 中华医院管理杂志

ABSTRACT

An assortment and analysis was made into the distribution of 100 cases of dispute over medical malpractice taken up by the Association the author works with across various levels of medical institutions and different disciplinary specialties as well as the results of arbitration. The leading causes of dispute on the part of physicians were misdiagnosis, missed diagnosis, and delayed treatment; inappropriateness in the selection of indications of operation, operational procedures and postoperative observation and handling; irrational use of drugs and adverse drug reactions; poor performance of the duty to provide necessary information; and improper medical records. The preventive measures put forward for guarding against medical malpractice included: ①taking strict precautions against misdiagnosis and missed diagnosis; ②ensuring the quality of operations; ③putting under strict control the indications and ways of drug use; ④properly performing the duty to provide necessary information and respecting patients right of informed consent; ⑤reinforcing management of medical institutions at the grassroots and perfecting various rules and regulations.