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67例护患纠纷原因分析及对策

  1  Clinical data

    In 1998-2005 67 cases of medical conflicts relating to nursing service among 372 cases of medical conflicts according to municipal health administration statistics.The causes of nurses-patients conflicts were found by analysing primary cases files identical documents and negotiating agreements.

    2  Statistical results

    In 67 cases service problem occurred in 20 cases(29.85%) medical costs in 15 cases(22.39%) communicating failure in 13 cases(19.40%) professional deficiency in 11 cases(16.42%) operating error in 5 cases(7.46%) medical facilities in 3 cases(4.48%).By analysing 17 cases of complaints related to nursing faults (25.37%) nursing fault existed in 21 cases(31.34%) but irrelated to the unsatisfactory results non-nursing faults in 29 cases(43.28%).    We found that the legal knowledge was insufficient in the nurses.The nursing documents fault or inconsistence with clinical data were in 25 cases(37.31%).

    3  Analysis

    3.1  Social factor

    3.1.1  Strengthened legal consciousness and selfprotective behavior  The patients considered that they are special consumers in the course of medical process they have the right to know of their health condition examination drug administration and medical costs   and have the right to permit what action should be done.If the nurses did not meet the requirements of the patients for their rights suspicion and disbelieve would occur the complaints against nurses could hardly be avoided.

    3.1.2  Increased requests of services  A long distance exists between the conditions of the nursing and the hope of the patients and their relatives because of medical limitation medical risks and so on.In the rural area the medical equipment out of date in the emergency condition can not help th

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