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医疗过错的法律伦理分析——以间质性肺炎医疗损害司法鉴定为例
引用本文:何继武, 樊伍峰, 何东全, 段鹏, 李素伟, 程海军, 朱克英, 张敏. 医疗过错的法律伦理分析——以间质性肺炎医疗损害司法鉴定为例[J]. 医学与哲学, 2022, 43(7): 28-30. doi: 10.12014/j.issn.1002-0772.2022.07.06
作者姓名:何继武  樊伍峰  何东全  段鹏  李素伟  程海军  朱克英  张敏
作者单位:①. 湖北医药学院附属襄阳市第一人民医院医务科 湖北襄阳 441000; ②. 襄阳法正法医司法鉴定所法医临床组 湖北襄阳 441000
基金项目:2020年湖北省教育厅研究项目(2020559)
摘    要:

医疗损害司法鉴定意见的关键在于有专业知识的人按科学规范的技术标准对专业问题进行判定。科学规范的技术标准有助于鉴定结论的客观性与可重复性。研究发现,诊疗伦理关注重点在病历书写等核心制度及诊疗规范等相关问题;医疗损害司法鉴定关注重点在违反具体规定、告知义务、注意义务的过错。医疗损害司法鉴定的医学法律伦理关注重点在规范医疗的过错认定,呵护患者的身体健康权益;重视医疗决策伦理的风险评估,保护患者的生命安全权益;管控家属的情绪,维护医患的和谐关系。正确评估医疗过错与损害后果之间因果关系体现伦理的公平正义,共同维系医患和谐。



关 键 词:医疗过错   医疗损害司法鉴定   知情同意   间质性肺炎
收稿时间:2022-01-16
修稿时间:2022-04-01

Legal Ethical Analysis of Medical Fault: Taking Judicial Expertise of Medical Malpractice of Interstitial Lung Disease As an Example
HE Ji-wu, FAN Wu-feng, HE Dong-quan, DUAN Peng, LI Su-wei, CHENG Hai-jun, ZHU Ke-ying, ZHANG Min. Legal Ethical Analysis of Medical Fault: Taking Judicial Expertise of Medical Malpractice of Interstitial Lung Disease As an Example[J]. Medicine & Philosophy, 2022, 43(7): 28-30. doi: 10.12014/j.issn.1002-0772.2022.07.06
Authors:HE Ji-wu  FAN Wu-feng  HE Dong-quan  DUAN Peng  LI Su-wei  CHENG Hai-jun  ZHU Ke-ying  ZHANG Min
Affiliation:①. Department of Medical Affairs, Xiangyang No.1 People's Hospital, Hubei University of Medicine, Xiangyang 441000, China
Abstract:The key to judicial expertise of medical malpractice is the judgments made by professionals on professional issues according to scientific and standardized technical standards. Scientific and normative technical standards contribute to the objectivity and repeatability of identification conclusions. The study finds that clinical diagnosis and treatment ethics focus on core systems such as medical record writing and related issues such as diagnosis and treatment norms, and the judicial expertise of medical malpractice focuses on the fault of violating specific regulations and duty of disclosure and duty of care. The legal ethics of judicial expertise of medical malpractice focuses on the identification of medical faults and patients' wellbeing, on the risk assessment of medical decision-making ethics and patients' life safety, on the emotion management of the patient's family members and harmonious doctors-patient relationship. Correct assessment of the causal relationship between medical fault and damage consequences reflects ethical fairness and justice, and jointly maintains the harmony between doctors and patients.
Keywords:medical fault  judicial expertise of medical malpractice  informed consent  interstitial lung disease
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