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Typification of medical lawsuit cases and analysis from the perspective of medical care management

医疗诉讼案件类型分析及医疗管理视角

基本信息

批准号：
16590429
负责人：
MIYAJI Makoto
金额：
$ 2.18万
依托单位：
NAGOYA CITY UNIVERSITY
依托单位国家：
日本
项目类别：
Grant-in-Aid for Scientific Research (C)
财政年份：
2004
资助国家：
日本
起止时间：
2004 至 2005
项目状态：
已结题

来源：
https://kaken.nii.ac.jp/en/grant/KAKENHI-PROJECT-16590429/
关键词：
Medical lawsuit Medical accident Database of court verdicts Schematization Verdicts of the Supreme Court Patient complaints center Electronic medical record system Medical care management 注意義務予見義務結果回避義務苦情相談勝訴医療水準

项目摘要

The authors considered the subject from 4 perspectives. 1)17 Supreme Court verdicts were selected and a synoptic schematization format was applied. This schematization clarified, among other things, that errors in the early "observation" of a patient by medics tends to result in misjudgment and mistreatment. Furthermore, an earnest request by a patient often leads to the patient winning the case. 2)Whether an earnest request from a patient should also apply to co-medical staff was considered, and opinions differed significantly on what medical professions should be affected. A questionnaire was thus conducted, and findings included the possibility that the only responsibility of co-medical staff, with respect to informed consent, can be accountability. 3)The necessity to include regional medical management in the scope of informed consent was considered. How the non-profit organization "Tasukeai (Mutual Help) Nagoya" developed in the Nagoya region of Japan was examined. What was found to matter most in a regional medical service is establishment of an organization to provide nursing care best fitting that region. 4)Medical care in hospitals was reconsidered to better identify ways to secure patient safety. In conclusion, the authors believe that enhancement of electronic medical record systems and greater exchanges of information are required to promote collaboration in regional medical care.In conclusion, the essence of the discussions above can be described as follows : safe, reliable and satisfactory medical service should serve to ensure safety, reliability and satisfaction in life. Although this ideal seems to be the mission of the legal system, ethics is also involved, since earnest requests from patients involve ethical values. The next issue to consider is how medical professionals can share the patient's desire for satisfaction in medical care and in life, and clarifying the distinction between the two.

作者从4个角度对这一主题进行了思考。1)选择了17个最高法院的判决，并采用了概括性图式格式。这一图式阐明了，除其他事项外，医务人员对病人早期“观察”中的错误往往会导致误判和虐待。此外，患者认真的要求往往会导致患者胜诉。2)考虑了患者的诚挚请求是否也应该适用于合作医务人员，对于哪些医疗职业应该受到影响，意见分歧很大。因此进行了问卷调查，调查结果包括共同医务人员在知情同意方面的唯一责任可能是问责。3)审议了将区域医疗管理纳入知情同意范围的必要性。考察了非营利组织“名古屋互助”是如何在日本名古屋地区发展起来的。在地区医疗服务中，最重要的是建立一个组织，提供最适合该地区的护理服务。4)重新考虑医院的医疗保健，以更好地确定确保患者安全的方法。总之，作者认为，加强电子病历系统和更多的信息交流是促进区域医疗合作的需要。综上所述，上述讨论的实质可以描述为：安全、可靠和令人满意的医疗服务应服务于确保安全、可靠和生活满意度。尽管这一理想似乎是法律制度的使命，但道德也涉及其中，因为患者的热切要求涉及道德价值观。下一个要考虑的问题是，医疗专业人员如何分享患者在医疗和生活中对满足的渴望，并澄清两者之间的区别。

项目成果

期刊论文数量（30）

专著数量（0）

科研奖励数量（0）

会议论文数量（0）

专利数量（0）

Examination of the concept of informed consent among co-medical staff.

审查医务人员知情同意的概念。

DOI：
发表时间：
2005
期刊：
Nurse Data 26(7)
影响因子：
0
作者：
Makoto Miyaji;et al.
通讯作者：
et al.

How a non-profit organization, "Tasukeai Nagoya", developed in the region.

非营利组织“Tasukeai Nagoya”如何在该地区发展。

DOI：
发表时间：
2004
期刊：
Planning Administration 17
影响因子：
0
作者：
Ohashi K;Tateishi M;Seo T et al.;Makoto Miyaji
通讯作者：
Makoto Miyaji

An analysis of use's inquiries delivered to supporter on an electronic medical system at Nagoya City University Hospital. -Making a comparison for questionnaires of Japan Council for Quality Health Care-.

对名古屋市立大学医院电子医疗系统支持者发送的使用查询的分析。

DOI：
发表时间：
2005
期刊：
The Journal of the Nagoya City University Medical Association 56(2/3)
影响因子：
0
作者：
Tong He;(director : Makoto Miyaji)
通讯作者：
(director : Makoto Miyaji)

私の医療事故概説、安全の医療・安心の医療・満足の医療-臨床の現場から-

我的医疗事故概述、安全医疗、可靠医疗、满意医疗 - 从临床情况看 -

DOI：
发表时间：
2005
期刊：
国際Bioethics Network 39
影响因子：
0
作者：
Nakazawa;M;宮治眞
通讯作者：
宮治眞

名古屋市立大学病院の電子カルテシステムにおけるサポートデスクへの問い合わせ内容の解析

名古屋市立大学医院电子病历系统支持台的咨询分析

DOI：
发表时间：
2005
期刊：
名市大医誌 56・2/3
影响因子：
0
作者：
Metoki H;Ohkubo T;Kikuya M;Asayama K;Obara T;Hashimoto J;Totsune K;Hoshi H;Satoh H;Imai Y.;梯正之ほか;宮治眞;Ugajin Takashi;宮治眞;Ohkubo Takayoshi;何童(指導:宮治眞)
通讯作者：
何童(指導:宮治眞)