How to write an application to a hospitalHow to write an application to a hospital

1, the respondent: hospital, address, contact number. Legal representative (responsible person): name: position hospital director. Application matters

2, application for medical disputes between the applicant and the respondent for medical malpractice technical appraisal of the facts and reasons

3, 20 years 11 November afternoon, the applicant's son (the patient) due to ill health to the respondent, and hospitalized. By the afternoon of November 13, after examination, diagnosed as "pulmonary thrombosis", and informed the patient of his condition. In the early morning hours of November 14, the Claimant was notified of the hospital's critical condition, and when he arrived at the hospital, he saw the patient lying on the ground 2 meters away from his bed, with a wound on the left side of his face, blood flowing to his ear (which had already coagulated), and his hands and feet cold, and he was already dead. Because the respondent's staff violated the medical care routine, hasty treatment, did not do timely transfer treatment, and poor resuscitation, resulting in the patient's untreated death.

4, the respondent staff violation of medical practice, not to the patient for pathological examination to let its hospitalization, and to the hospitalization of the second day that is November 12 has been in the patient with pulmonary thrombosis needle (has been confirmed to have a pulmonary thrombosis, the day of the list of costs for evidence), the third day in the afternoon, only to check out the patient suffered from "pulmonary thrombosis," and delayed the condition, so that the patient did not have a pulmonary thrombosis, and the patient did not have a pulmonary thrombosis. The Respondent's delay in treating the patient's condition prevented the patient from receiving timely medical treatment, and the patient died as a result. Not only that, the respondent knew that the patient's condition is very serious, not only did not give timely treatment to the patient, and until the patient's death, to take the second level of care, the ward without any treatment equipment placed, and the patient's death, not in their own beds, but died on the ground 2 meters away from their own beds, and there was blood on the face. From the above circumstances, it is easy to see that the hospital did not fulfill the obligation of medical treatment and care, serious violation of medical practice, the patient did not give timely treatment and care, is the most direct cause of the patient's death.

5, the respondent diagnosed the patient's condition as "pulmonary thrombosis", according to the diagnosis and treatment routines, in the knowledge that they have no medical conditions, the patient did not make a timely transfer to the hospital or special care, and did not not notify the applicant to accompany the applicant, and did not inform the applicant of the seriousness of the patient's condition (i.e., issued a notice of critical illness). (i.e., issuing a critical illness notification). So that the patient's infection can not be effectively controlled, deterioration of the condition, and poor rescue, but also one of the main causes of the patient's death.

6. The respondent failed to fulfill its obligation to inform. After the diagnosis, the respondent knew that the patient's condition was very serious, but also did not promptly inform the patient's family of the possible adverse consequences, so that the patient unknowingly accepted the hasty treatment and care, resulting in the patient's physical damage, the rapid deterioration of the patient's condition, and ultimately led to death.

7, the respondent in the patient's death, the staff of the patient's cause of death of inconsistent explanations, previously said that the "pulmonary thrombosis", but later denied (this has the patient's relatives and school, colleagues of the questioning as evidence). The hospital's approach was incomprehensible, and gave the applicant reason to believe that the hospital was guilty of shirking its medical responsibilities with regard to the cause of the patient's death. In summary, the Respondent's staff was grossly irresponsible, violated medical and nursing routines, failed to resuscitate the patient, failed to make a timely transfer to a hospital, and failed to fulfill its duty to inform the patient of the deterioration of the patient's condition, and ultimately died, with an obvious causal relationship. In view of the above facts and reasons, is now applying for medical malpractice technical appraisal. To the District Health Bureau.