关键词:

医疗损害, 原因力, 影响因素, Logistic回归分析

Abstract:

Objective To analyze the factors that affect the causality determination of Acute Myocardial Infarction（AMI）, and to explore the role of different influencing factors in the causality determination. Methods A total of 274 cases of AMI were collected, and the causal factors were found based on practical experience and expert consultation, and SPSS 23.0 was used for orderly multi-class Logistic regression analysis. Results Improper treatment measures, improper treatment of changes in the condition, improper use of medical products, improper communication, improper medical record writing, and serious illness (P＜0.05) have a significant impact on the determination of causative potency.Among them, improper treatment measures, improper treatment of disease changes, and improper use of medical products (OR＞1) will increase the possibility of higher-level causal identification.Improper communication, improper medical record writing, and serious illness (OR＜1) will reduce the possibility of higher-level causal identification. Conclusion Factors such as treatment measures, observation and care, and inspection and diagnosis can be closely related to the occurrence of damage. The force of communication and notification in the process of damage should be judged according to whether there is fault in the diagnosis and treatment behavior and whether it affects the patient’s choice. Medical record writing and medical record management have nothing to do with the occurrence of damage, but there is a presumption of fault in the law.

Key words:

medical damage, causative potency, influencing factor, Logistic regression analysis