Clinicians are doctors in hospitals who have direct contact with patients and provide diagnosis and treatment. The following is a sample article I compiled for you, welcome to read and refer to it!
Part 1
How can clinicians avoid doctor-patient disputes
Abstract: In recent years , with the continuous advancement of medical reform, patients gradually have higher requirements for the quality of medical treatment, and their legal awareness of medical rights and medical treatment is also constantly increasing. These needs are also gradually increasing the requirements for doctors. Doctor-patient disputes are a common doctor-patient relationship in clinical medical work. This article will analyze common doctor-patient disputes in clinical medical work, then analyze their causes, and propose corresponding countermeasures to improve the efficiency of clinical medical work. quality and establish a harmonious relationship between doctors and patients.
Keywords: Clinician; doctor-patient dispute
In clinical medical work, doctors are medical workers who have more contact with patients and are also direct participants in medical activities. Doctor-patient disputes often occur due to doctors' lack of legal awareness, inadequate skills, and weak sense of responsibility. The occurrence of doctor-patient disputes can cause trouble for medical work at least, but can have a major impact on patients' health and even endanger their lives. Therefore, in clinical medical work, fully recognizing the easy occurrence of doctor-patient disputes and taking effective preventive measures can effectively reduce the occurrence of doctor-patient disputes and improve the quality of clinical medical work.
1 Common doctor-patient disputes in clinical medical work
Doctor-patient disputes caused by doctors’ sloppy work and lack of responsibility;
Between doctors and patients Disputes arising from lack of communication between patients, or failure to pay attention to language and methods during the communication process;
Doctors’ blunt and cold service attitude leads to doctor-patient disputes;
Disputes between patients and patients Disputes caused by not being timely enough and not fully recording the medical work process;
Disputes caused by neglecting to protect patient privacy in medical work;
For medical work, Disputes caused by the failure to discover and eliminate potential safety hazards in time;
The use of drugs and equipment is not safe enough, and when a patient has an accident, the patient cannot be treated in time, causing a delay in the condition, or even causing the death of the patient. dispute.
2 Reasons for doctor-patient disputes in clinical medical work
Doctors have weak legal awareness and lack of responsibility. With the continuous improvement of our country's legal system, nationwide legal education has gradually enhanced people's legal concepts. However, there are still some doctors who lack legal awareness and self-protection awareness, do not pay attention to their words and deeds at work, and do not have enough understanding of patients and patients' families' right to know; lack awareness of patient privacy protection; illegal operations at work; due to responsibility Weakness of mind and incomplete records of the course of the disease; not paying attention to the occasion and methods in the process of rescuing patients; lack of appropriate protective measures for elderly patients who need special care and patients with mental symptoms, causing patients to fall out of bed or have other accidents. Doctor-patient disputes.
Lack of effective communication. The concept of humanized management is gradually recognized and accepted by people in modern society. In medical services, the concept of people-oriented humanized medical care has also been widely introduced into medical work. When patients are admitted to the hospital, they hope to see smiles from medical staff rather than cold faces. Due to their heavy workload, doctors often neglect communication with patients, have an indifferent attitude toward patients, lack patience, and speak in a stiff tone. These can cause dissatisfaction among patients and their families and lead to doctor-patient disputes.
The management system is imperfect and the implementation of the system is not strict. Medical work is concerned with the safety of human life. In clinical medical work, some doctors only rely on experience to judge the patient's condition and do not operate in accordance with rules and regulations, causing doctor-patient disputes.
This mainly includes the following aspects: first, not being careful enough when prescribing medical advice and prescribing the wrong medicine; second, the shift handover time is not clear, and the condition is not clearly communicated during the shift handover; third, the observation is not thorough and the patient is not treated clearly. If the patient's condition changes are not carefully observed, when the patient's condition worsens, the patient cannot be discovered in time, and the best rescue opportunity is missed; fourth, insufficient preparation for the rescue work of critically ill patients leads to serious deterioration or even death of the patient's condition, which is a major factor in doctor-patient disputes. The most serious situation.
The medical technology is not good enough and the work is not careful enough. Some medical staff, especially those who have just joined the medical team, do not have a solid theoretical knowledge base and lack practical experience in medical work. They are often in a hurry when encountering emergencies, which affects the rescue of patients. In addition, there is no careful inventory of instrument operations, resulting in the phenomenon of instruments being left in patients' bodies.
The poor attitude of medical staff causes dissatisfaction among patients. Although our country has strengthened the quality training of medical personnel, there are still some medical personnel with low quality. Some doctors are busy with various medical activities and neglect to care for and provide friendly services to patients. They make sarcastic remarks to patients and are impatient with patients' inquiries. This causes patients to lose confidence in high-quality medical work and leads to doctor-patient disputes.
Reasons from patients and their families. Due to the lack of medical knowledge of some patients and their families, and their lack of understanding of the hospital's management system, for example, in order to provide patients with a quiet and clean resting environment, the hospital has stipulated systems such as visitation and companionship. However, some patients' family members do not know enough about , or have bad motives and make unreasonable troubles with medical staff, causing doctor-patient disputes.
3 Measures to prevent and strengthen doctor-patient disputes
Enhance doctors’ legal awareness and self-protection awareness. Clinical medical work has its own unique characteristics, so it is very necessary and necessary to carry out some legal and safety management education. Combined with the actual situation of the hospital and from the perspective of managers, analyze the safety hazards in the ward, guide doctors to eliminate possible problems during the medical process, and at the same time protect themselves with legal weapons to reduce or avoid doctor-patient disputes. occur.
Operate strictly in accordance with the regulations. Medical operating procedures and various normative systems are summarized through long-term clinical medical work practice and have a certain degree of systematicness and scientificity. If the doctor fails to follow the operating procedures, harm may occur to the patient or the patient. Therefore, operating procedures should be strictly followed in medical work, and every aspect of medical work should be strictly controlled to avoid the occurrence of doctor-patient disputes.
Strengthen communication between doctors and patients and provide high-quality medical services. Doctors should always integrate humanistic medical concepts into medical work, treat patients with enthusiasm and sincerity, protect patients' privacy, and reduce doctor-patient disputes caused by their own careless words and deeds. At the same time, doctors must continue to improve their professional quality. While having a solid theoretical foundation, they must also have superb practical experience to gain the trust of patients, improve the level of medical work, and avoid the occurrence of doctor-patient disputes.
Improve the management of the doctor team. To sum up, the main reasons for the occurrence of doctor-patient disputes are: first, doctors have a weak sense of responsibility, and second, they lack work experience. Therefore, hospitals should strengthen the management of the doctor team, adopt a scheduling system in which old doctors and new doctors cooperate with each other, and exchange work experience in a timely manner so that new doctors can become competent in medical work as soon as possible. At the same time, doctors are regularly provided with ideological and moral education to enhance their sense of responsibility. They always use the concept of humanized care as the guiding ideology in medical work, continuously improve the quality of medical work, enhance communication between doctors and patients, and establish a harmonious medical system. Suffering relationship.
References
[1] Wu Mingju, Zhu Minnan. Reasons for nurse-patient disputes and their preventive measures [J]. Chinese Journal of Misdiagnosis, 2009, ***02 ***
Chapter 2
A brief discussion on the innovation of clinicians
Medicine is a science that is still being explored. Human beings’ understanding of themselves and diseases, It is still in the "childhood stage".
Facing a medical world full of unknowns, doctors can only gain or discover new understandings by constantly exploring. A history of medicine, full of exploration and discovery, has made medicine what it is today. The medicine that we clinicians now study, understand, master and apply, whether Western medicine or traditional Chinese medicine, whether internal medicine or surgery, whether surgery or medication, was explored, discovered and revealed for us by countless "Medical Columbus" pioneers. The starting point of exploration and discovery is sometimes clear, sometimes blurry, but never ending.
There are many unknown and difficult problems in the cases and diagnosis and treatment work around clinicians. With questions, they search the literature, ask teachers or colleagues for advice, participate in consultation discussions, post online for help, and try their best to solve the problems. Techniques use various channels to find solutions, which is exploration. Finding the root and mystery of a problem, finding new and good diagnostic and treatment techniques, methods or procedures, or even small innovations and inventions, this is discovery. It seems very ordinary and ordinary, but it profoundly reflects the thinking and understanding process of scientific activities. The purpose is to find objectively existing things or laws to help doctors defeat diseases.
However, everything has two sides, and exploration means taking risks. In recent years, the relationship between doctors and patients in China has been relatively tense. Doctors practice medicine "with helmets and tanks", and their awareness of self-protection has become stronger and stronger. They do not perform surgeries that should be performed, risks that should be taken, and innovations that should be done. No more innovation. Clinicians do not seek merit, but seek no faults. They would rather be "doctors of peace". In an era of harmonious doctor-patient relationships, doctors' mistakes are often understood by patients, which prompts doctors to spare no effort to treat patients, thus accelerating the progress of medicine. Regarding the current tense relationship between doctors and patients, most clinicians are full of contradictions and distress. We not only hope to explore medical restricted areas, but we are also afraid that patients will make unreasonable troubles and turn what was originally a simple medical issue into a legal dispute. For this reason, many doctors have to choose "treating by doing nothing".
The famous doctor Zhang Xiaoqian once used the words "like facing an abyss, like walking on thin ice" to describe the current cautiousness of practicing medicine in China. Doctors face huge individual differences in patients, and there is always the possibility of making mistakes in the diagnosis and treatment process. Therefore, some doctors lament that if every medical process is analyzed upside down, most of them can find some deficiencies in the treatment process. For this reason, the American Medical Association issued the famous announcement in 1999: "No one is a saint, and no one can make mistakes." It pointed out that the public must realize that doctors are also human beings and make mistakes. The responsibility for all medical defects should be attributed to doctors. It's unfair. Data show that even in Western countries with more developed medical technology, the incidence of medical defects is still as high as 10 to 15, which is more than the number of deaths caused by some malignant diseases.
We currently lack a rational attitude toward medical defects, and doctors have a neurotic taboo about their own medical defects. At the same time, our country lacks a practical response to medical defects. When a plane crashed, the country had a set of compensation standards to appease the families, but there was no clear compensation standard for medical defects. As a result, disputes in medical disputes and sky-high compensation prices often occurred. This was reported in the press, which further intensified the medical staff's avoidance of medical deficiencies.
In this way, when faced with doubts from patients, medical ethics and regulations are left behind and "save lives" by modifying medical records. The "reversed burden of proof" for doctors stipulated in our country's law also puts us doctors at a disadvantage. Moreover, the current affiliation between doctors and hospitals makes the fault of a certain doctor become the fault of a certain hospital. Once compensation occurs, the hospital generally needs to bear the bulk of the compensation. In this case, under the influence of common interests, the hospital will spare no effort to create conditions for doctors to modify medical records, and even urge and guide the doctors involved to modify medical records.
In comparison, the independent practice management methods of foreign doctors appear more reasonable. In many countries, although doctors have working relationships with certain hospitals, their interests are independent and are directly linked to insurance companies. Patients seek medical treatment from doctors and then go to the insurance company for reimbursement, including medical defects, which may also be paid by the insurance company. .
Doctors' adventurous spirit not only comes from their pursuit of truth, but also from their feelings for patients. Human hearts are made of flesh. As long as the doctor has a compassionate heart, the patients will be reasonable. Of course, there are conditions for patients to understand doctors. In clinical practice, although misdiagnosis objectively exists, doctors cannot use this as an excuse to ignore the dignity of life and allow patients to make unnecessary sacrifices and suffer unnecessary pain. Patients can tolerate normal mistakes, but they cannot tolerate mistakes caused by perfunctory and careless treatment of human life.
Politicians and philosophers in ancient China said: When doing things, we must "understand the principles of nature, be close to human feelings, and adhere to the laws of the country." Doctors should do the same. For doctors, natural principles are the laws of nature and the occurrence and development process of diseases. Human feelings are people’s thoughts, consciousness, emotions and wishes. National law refers to the principles, norms, technical routes, methods, techniques and policies for diagnosis and treatment. The essence of what clinicians explore in their daily diagnosis and treatment work is to eliminate errors, make continuous progress, and serve patients. "Be concerned first when the patient is worried, and then be happy when the patient is happy" fully embodies the true, good and beautiful spirit of medical benevolence, which is deeply rooted in modern medical personnel. No matter how the times and social environment change, this is still the mainstream of Chinese medicine.
Science is not omnipotent. Knowledge is infinite, but our degree of knowledge and scope of exploration are always very limited. The diagnosis and treatment of diseases must follow two principles: scientific principles and humanistic principles. The scientific principle is based on the condition of the disease and requires scientific and prudent principles on the pathology, physiology, treatment methods and technical routes of the disease; the humanistic principle is based on human feelings and requires the patient's psychology, will, quality of life, and The principle of humanistic care is adopted based on the requirements of individuals and their families.
Today’s medical model is: bio-psycho-social. Doctors must integrate science and humanities: have a complete knowledge base, excellent and prosperous thinking qualities, effective working methods, harmonious relationships, and a healthy physical and mental state. It is very important for doctors to communicate with patients and their families. Communication is a key link in diagnosis, treatment, medical development and the prevention of medical disputes, and it is also a manifestation of medical ethics. New-age clinicians must be careful observers, patient listeners, and keen communicators.
Clinicians’ path of exploration and discovery is a path of clinical medical research, a path of connecting theory with practice, cultivating and seeking the truth, and achieving success naturally. The soil for clinical scientific research lies in the cases and medical records of clinical diagnosis and treatment. The key is to be good at discovering problems, to have thinking and academic sensitivity, to study and explore when grasping problems, and to generate creativity in exploration. The path of exploration and discovery for clinicians at work is a trail that goes deep into the clouds. It requires us clinicians to have a persistent dedication, a career passion, a kind of thoughtful wisdom and a habit of action. It is not to seek utility, but to explore hard for the chosen goal and mission. It is the patient who really improves the doctor's ability and wisdom.
Patients are the exhibitors of pathological phenomena. Only when reading in front of the patient instead of reading in a book can the doctor's eyes glow with wisdom. The patient is the doctor's true teacher. The learning and improvement of professional and technical skills are necessary. Humanistic cultivation and philosophical concepts are fundamental and lifelong. Don't limit yourself to a narrow territory, we need to learn more knowledge.