(1) After the occurrence of medical accidents or incidents, immediately report to the superior physician or administrative leadership, to facilitate the timely adoption of effective remedial measures, as far as possible to reduce the adverse effects of the accident or incident to the patient.
(2) Timely grasp of first-hand information and evidence will help the accurate identification, accurate characterization and correct handling of medical accidents or incidents. Therefore, after the occurrence of medical malpractice or incident, only the immediate report, the medical unit can promptly send special personnel to keep a variety of materials required for the identification of the case and sealing and preservation of the scene, in order to avoid the occurrence of certain unfavorable to the identification of the medical malpractice or incident and handling of the situation.
(3) after the occurrence of medical malpractice, medical institutions and patients and their families on the nature of the accident or incident and the cause of the occurrence of disputes often occur, it is difficult to unify the understanding, which requires technical identification or autopsy. Immediate reporting, medical units or health administrative departments in order to carry out timely investigation and treatment, especially for fatal events, can be carried out in a timely manner autopsy, to ensure the accuracy of the results of the autopsy. The autopsy should be organized within 48 hours by qualified institutions and personnel. If the medical unit or the patient's family refuses to conduct an autopsy, or delays the autopsy for more than 48 hours, which affects the determination of the cause of death, the party that refuses or delays it shall be responsible.
(4) When there is a dispute over the confirmation and treatment of medical malpractice, it shall be referred to the local or municipal medical association for appraisal, which shall be handled by the administrative department of health. To the conclusions made by the expert group of medical malpractice technical appraisal or the treatment made by the administrative department of health, the patient and his/her family and the medical unit may, within 15 days from the date of receipt of the conclusions or notification of treatment, apply for re-appraisal to the next level of the technical office of medical malpractice*** with the same, or apply for a reconsideration to the next level of the administrative department of health, or sue directly to the local people's court.
The second step of the hospital medical death handling procedures: custody of all kinds of information, sealing the scene in kind
The Regulations on the Handling of Medical Accidents, Article IX stipulates: "It is strictly prohibited to alter, falsify, conceal, destroy or seize the case information."
Article 16 stipulates: "In the event of a medical malpractice dispute, the records of the discussion of fatal cases, the records of the discussion of difficult cases, the records of the examination by the superior physician, the opinions of the consultation, and the records of the course of the disease shall be sealed and unsealed in the presence of both the physician and the patient. The sealed medical records may be copies and shall be kept by the medical institution."
Article 17 stipulates: "Suspected transfusion, blood transfusion, injections, drugs and other adverse consequences, doctors and patients shall *** with the scene of physical sealing and unsealing, sealing of the scene of physical by the medical institution for safekeeping; the need for testing should be designated by the two sides *** with the test qualification of the testing organization for testing; the two sides can not *** with the designation of the test; by the health care institutions to be *** with the test qualification of the test organization; both sides can not *** with the designation, the health care institutions shall not be able to *** with the designation. *** with the designation, by the administrative department of health. Suspected transfusion of blood caused adverse consequences, the need for blood sealing and retention, the medical institution shall notify the blood collection and supply institutions that provide the blood to send officers to the scene."
Getting hold of first-hand information and evidence is a prerequisite for making an accurate identification, accurate characterization and correct handling of medical accidents or incidents. Therefore, the medical unit, after receiving the report about the medical personnel involved, their departments in the occurrence of medical malpractice, should be in accordance with the law to do a good job of storage and sealing, so as to avoid the occurrence of things that are not conducive to the handling of medical malpractice.
Three, the hospital medical treatment procedures for the third step: investigation
Medical units of the occurrence of medical accidents or incidents, should be immediately investigated, dealt with, and reported to the higher level of health administration. Individual practice of medical staff of medical accidents or incidents, by the local health administrative department to organize the investigation and handling. Patients and their families may also make requests to the medical unit for investigation and handling. The process of investigating medical accidents or incidents is actually to find the basis for dealing with medical accidents or incidents, and to analyze the causes and process of the accidents or incidents, which is the key link in the whole process of dealing with medical accidents or incidents. The process of investigation generally involves the following aspects:
First, the examination of evidence. First of all, the patient's medical record is the most primitive information to record the development of the disease process, record the doctor's treatment methods and ideas, reflecting the doctor's responsibility. In order to find out the truth of the accident, the medical records must be documented to determine whether the medical records have been altered. Secondly, drug analysis and specimens are done on the medicines, vials and residual medicinal fluids extracted from the site investigation, and the blood, urine and secretions of the patient. Again, blood typing tests are done if there is a suspicion of wrong transfusion of allogeneic blood to a patient, a suspicion of a wrong newborn exchange, or a suspicion of improper allogeneic organ transplantation. Finally, if it is suspected that the accident was caused by a malfunction of medical equipment, it will be necessary to have a professional examine the medical equipment and medical devices, etc., to determine whether there is a design defect, any mechanical failure or circuit failure, etc.
Secondly, examination of the living body and autopsy of the corpse. Examination of the living body refers to the physical examination of the patient to determine whether the patient is disabled, whether there is tissue and organ damage caused by dysfunction, to determine the degree of disability and dysfunction of the degree of medical malpractice for the correct handling of objective, scientific basis. The autopsy of the corpse is mainly to carry out pathological anatomy and forensic autopsy of the corpse to determine the cause of death.
Thirdly, the investigation and interview of the person in charge of the medical unit, the responsible medical personnel, the patients and their relatives, and the patients present, etc., and the consultation of the medical authorities for the difficult medical problems. In the process of medical malpractice, should not be ignored on both sides of the doctor and the patient's inquiry. Because the doctor and patient inquiry can get some useful information on medical malpractice, and can better eliminate the contradiction between the doctor and the patient, communication between the two sides, in order to solve the medical malpractice smoothly.
Fourth, hospital medical death handling procedures step 4: make a conclusion
Medical malpractice departments should be based on the investigation, research, and finally make the views on the handling of the accident. For cases that do not constitute medical malpractice, the situation and reasons should be explained in detail in writing to the patient and his family. For cases that constitute medical malpractice, the responsible medical personnel should be ordered to bear civil or administrative responsibility according to the "Regulations on the Handling of Medical Accidents" and other laws and regulations, and those who constitute the crime of medical malpractice should be held criminally liable in accordance with the law.