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目的:分析探讨药源性医疗事故争议的性质、特点、原因,提出积极有效地预防措施和建议。方法:以贵州省医学会纂写的《医疗事故鉴定案例百例汇编》作为资料来源,重点回顾性统计、分析2002年9月—2004年3月,贵州省和有关地州市医学会医疗事故技术鉴定工作办公室已鉴定的100例医疗事故争议中,19例由药物引起的医疗事故争议。结果:经鉴定构成医疗事故的为66例,不构成事故的为34例,其中构成药源性医疗事故的为13例,药源性医疗事故占医疗事故总数的19.69%。其中一级9例,占事故总数的13.63%;二级0例;三级1例,占事故总数的1.52%;四级3例,占事故总数的4.54%。结论:药物不良反应、遴选药品、药物剂量、给药途径、误用药物、药物配伍禁忌等因素均会造成药源性医疗事故的发生,临床医务人员应加强培训,提高业务水平,掌握药物知识,合理使用药物,提高职业道德素质,健全、完善医院各种规章制度,以减少或避免药源性医疗事故的发生。
OBJECTIVE: To analyze and discuss the nature, characteristics and causes of drug-induced medical malpractice controversy, and propose active and effective preventive measures and suggestions. Methods: A compilation of one hundred cases of medical malpractice cases compiled by Guizhou Medical Association was taken as the data source, and the retrospective statistics were retrospectively analyzed. From September 2002 to March 2004, medical institutions of Guizhou Province and relevant prefectural medical institutions Of the 100 cases of medical malpractice identified by the Technical Appraisal Office, 19 were medical controversies caused by the drug. Results: Sixty-six cases were identified as medical accidents and 34 cases were not accidents, among which 13 cases were drug-induced medical accidents and 19.69% were medical-related accidents. Among them, 9 cases were in first grade, accounting for 13.63% of the total number of accidents; 0 cases in grade 2; 1 case in grade 3, accounting for 1.52% of the total number of cases; 3 cases in grade 4, accounting for 4.54% of the total number of accidents. Conclusion: Adverse drug reactions, drug selection, drug dosage, route of administration, misuse of drugs, drug incompatibility and other factors can all lead to the occurrence of drug-induced medical accidents. Clinicians should strengthen their training, improve their professional skills and acquire knowledge of drugs , Rational use of drugs, improve the quality of professional ethics, improve and perfect the hospital a variety of rules and regulations, in order to reduce or avoid the occurrence of drug-induced medical accidents.