临床重点病例上报管理对湖北省宜昌市某医院医疗纠纷防范的影响

针对长期以来医患关系紧张、医患矛盾突出、医疗纠纷愈演愈烈的严峻形势，湖北省宜昌市某医院结合既往医疗纠纷发生的原因和特点，对可能发生纠纷的高风险病例进行分类，实施重点病例上报管理制度，并在管理方法上不断改进和规范，取得了良好效果。实施重点病例上报管理对于有效提高诊疗环节质量、改善医患关系、减少医疗纠纷具有重大的实际意义。但值得注意的是，游离于重点病例之外仍存在部分高风险病例，需结合医疗安全隐患排查工作和突发医疗意外事件处理流程进行医疗安全管理，做到对医疗安全事故的主动防范。

Effects of the Clinical key Cases Reported in the Prevention of Medical Disputes in a hospital in Yichang,Hubei

In the light of the serious situation of tension, the doctor - patient relationship has long conflict between hospitals and patients, medical dispute intensified, Hubei city of Yichang, combined with the previous Yiling Hospital medical disputes causes and characteristics, the classification of high risk cases may occur disputes, focus on the implementation of case management, and the management method of continuous improvement and specification, and achieved good results. The implementation of key cases reported is to the management for improving the medical quality, improve the doctor - patient relationship, has important practical significance to reduce medical disputes. But it is worth noting that, free to report key cases are still part of the high risk cases, combined with the medical investigation work safety and emergency medical accident treatment process of medical safety management, strive for active.