1, strengthen medical ethics and medical style construction, set up a good image
Medical ethics education for medical personnel, set up a good professional ethics, is the prevention of medical disputes is a vital part. A number of departments to grasp **** control, treat both symptoms and root causes, vigorously recognize advanced models, severely investigate and deal with disciplinary actions, and strive to do everything for the sake of the patient, all services to patients, all the convenience of the patient. With practical action to continuously improve the quality of medical care, reduce the occurrence of medical errors and disputes.
2, enhance the medical technology of medical personnel
Medical personnel should keep abreast of the times to strengthen medical technology, strengthen the three basic training, learning advanced medical technology, because the new implementation of the tort liability law has been to determine whether the medical party is at fault for the standard of medical technology level at that time, so it is very important to keep abreast of the times to master advanced medical technology.
3, strengthen the case management
Case is the medical process of the original records of the various aspects of the case, the case reflects the problem is often the medical aspects of the problem, which plays a vital role in the handling of medical disputes (especially since the implementation of the reversal of the burden of proof). Medical records are an important basis for determining whether the medical practitioner is at fault, if there is no medical records, the court will consider that the medical practitioner can not prove that the medical practitioner to assume full responsibility. China's current Regulations on the Management of Medical Records in Medical Institutions stipulate that outpatient (emergency) medical records should be kept for a period of not less than 15 years from the date of the patient's last visit. The Inpatient Work System provides that inpatient medical records should, in principle, be kept permanently. SongLiHong lawyers have represented a medical dispute because the hospital did not keep medical records, resulting in the hospital was awarded compensation of more than 600,000 yuan. According to the patient's condition at that time, the hospital's responsibility is very slight, but there is no medical records, the hospital can not prove that they are not at fault, therefore, the hospital was judged to bear 80% of the responsibility. Medical institutions must pay attention to case management, must really do: ① strengthen the legal education of the case, improve the sense of responsibility; ② strengthen the management of the system, the implementation of the medical instruments (hospitalization records, medical records and auxiliary examination reports) of the writing, especially electronic medical records should be written more rigorously; ③ strict case management system, prohibited at will lending, alteration and loss.
4, the establishment of sound rules and regulations, standardize a variety of operating procedures
Currently, hospitals have developed and improved practical measures to establish and improve the rules and regulations: all levels of various types of health care personnel's responsibilities, work systems and diagnostic and treatment of injury routines, such as the three-level physician check-up system, the first diagnosis is responsible for the system, the system of pre-operative and post-operative discussions, difficult and critical and death of patients to discuss the system, Medical record writing system, handover system, medical equipment management system, prescription management system, "three checks and seven pairs" system, hospital infection management system, consultation system, preoperative conversation with patients or their families. For medical norms should be strictly enforced. In a medical dispute case represented by Song Lihong, because the doctor did not use the microscope in accordance with the medical standard for surgery, resulting in paraplegia after surgery, causing great harm to the patient.
5, improve the style of service, improve the quality of medical care
Hospitals find ways to strengthen the medical staff in a timely manner, responsive service, discreet service, non-specific services and clean service concept, strengthen the medical staff of medical ethics education and quality of service education, set up a wholeheartedly for the people's service ideas, all patient-centered, improve the attitude of the service, and further improve the efficiency of the medical staff work, rigor, and the medical staff to improve the quality of the service. Medical staff work efficiency, rigor, science, comprehensiveness and purity, and effectively improve the level of medical technology, reduce the occurrence of medical disputes.
In this regard, the summary of the "ten points": medical technology and then a little more brilliant, service attitude and then a little more enthusiastic, ask the condition of a little more detailed, check the body and then a little more comprehensive, auxiliary inspection and then complete a little more accurate record of the course of the disease, to inform the family a little more specific, the treatment of care and then a little more reasonable, to find the change of condition and then a little more timely, and then a little bit of rapid resuscitation. If you can really do this "ten points", you can significantly improve the quality of medical care, which reduces the risk of medical accidents and medical disputes is very useful.
6, the implementation of informed consent, to prevent medical disputes
Hospitals in different stages of medical activities, from start to finish according to the actual situation of the patient, by informing the purpose of a clear medical service contract, the development of the disease regression process and the characteristics of the damage to the medical services, clear health care services to fulfill the risk of the contract; treatment of more than a few sets of therapeutic options, will be the advantages and disadvantages of each program, Side effects of each program, make clear, put forward optional and recommended choice of diagnostic and therapeutic means, so that the patient to participate in the development and selection; informed of the standard of service, price and possible duration of service, as well as through the active treatment measures may still occur can not be expected or can not be prevented by the accident; all the patients should be informed of the death of patients' family members should be an autopsy, so as to realize the understanding of the two sides of the same, to avoid the occurrence of the majority of the doctor-patient relationship. The occurrence of contradictions.
7, the establishment of a good doctor-patient relationship
Current doctor-patient relationship is tense, conflict, a very important reason is due to the part of the medical staff's poor sense of service, service is not in place. To this end, the major hospitals have taken practical measures to strengthen the service consciousness of medical personnel, strengthen the concept of service of medical personnel, improve the service attitude of medical personnel, hospitals mainly from the following four points of requirements for medical personnel: ① strengthen the concept of timely service to improve the efficiency of the service; ② strengthen the "prudent" attitude of service to improve the service of the work of the scientific; ③ strengthen the "response" concept of service to improve the service of the work of the strict; ③ strengthen the "response" concept of service to improve the work of the strict; ③ strengthen the "response" concept of service to improve the work of the service of the "response" concept of service to improve the service of the "service" concept of the service. The work of the rigor; ④ respect and safeguard the rights and interests of patients, respect for the patient's right to know.