Analysis and suggestions on non-medical technology security liability dispute litigation cases in hospitals
10.3760/cma.j.cn111325-20241022-00896
- VernacularTitle:医院非医疗技术安全保障责任纠纷诉讼案例分析与建议
- Author:
Xiaoxi JIN
1
;
Xuehui ZHANG
1
Author Information
1. 福建医科大学卫生管理学院，福州 350122
- Publication Type:Journal Article
- Keywords:
Hospitals;
Safety assurance responsibilities;
Legal disputes;
Litigation cases;
Patients;
Swiss cheese model
- From:
Chinese Journal of Hospital Administration
2025;41(8):643-649
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analyze the non-medical technology security liability dispute litigation cases in hospitals and propose corresponding countermeasures, for references for optimizing hospital safety management.Methods:Through the China Judgments Online, non-medical technical security liability dispute litigation cases in hospitals (279 cases) nationwide from 2021 to 2023 were collected. Swiss cheese model and content analysis were employed to examine the basic case details, reasons for judgment, types of hospital liability, characteristics of suicide cases, and plaintiffs′ claims regarding.Results:The 279 cases involved 231 hospitals (excluding anonymous and duplicate hospitals) and 279 patients. Among them, there were 144 tertiary hospitals, accounting for 62.34%; The inpatient department was a high-risk area for accidents (103 times, 36.92%); The frequency of falls was the highest (182 times, 65.23%); 210 cases were ruled against the hospital, accounting for 75.27%. From the perspective of court judgment reasons, the precursor of unsafe behavior (122 cases, 58.10%) was the most common primary reason, the proportion of cases which hospital bore the main responsibility was relatively high (46 cases, 71.88%); 50 cases (23.81%) were due to safety hazards in hospital facilities caused by secondary reasons. Among the 41 cases of patient suicide, 36 cases were fatal, 18 cases occurred in general hospitals, and 24 cases were without medical fault.Conclusions:The inpatient department of the hospital was a high-risk area for accidents, and the medical side had a relatively high failure rate; The warning signs of unsafe behavior were easily overlooked, and there were more cases of suicide among patients in general hospitals. It is recommended that hospitals should enhance their safety management systems, establish collaborative tiered nursing teams involving medical and nursing staff, promote the application of artificial intelligence in refined logistical management, and implement a documentation and oversight mechanism for critical procedures.
