機構照顧疏失類型分析－以法院判決案例

郭淑珍; 邱文宏; 胡月娟; 賴慧貞

doi:10.6317/LTC.20.269

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P269 - 290

医药卫生 > 预防保健与卫生学
医药卫生 > 社会医学

DOI： 10.6317/LTC

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机构照顾疏失类型分析－以法院判决案例

Types on the Negligence of the Care Facilities--Evidence from the Judgments Delivered from District Courts

郭淑珍(Shu-Chen Kuo) ；邱文宏(Wen-Hong Chiu) ；胡月娟(Yueh-Juen Hwu) ；赖慧贞(Huey-Jen Lai)

长期照护杂志； 20 卷 3 期 (2016 / 12 / 01) ， P269 - 290

繁体中文 DOI： 10.6317/LTC.20.269

照护机构；疏忽；法院判决；内容分析；住民安全； dementia ； advanced directives ； medical autonomy ； terminal care

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摘要 │ 参考文献 (46) │ 被引用文献 (1) │ 国际计量

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Litigation on the care facilities has become today’s litigation in the medical field that has the fastest growth. Once the negligence in the care-taking occurred that leads to the injury of the resident, or even to the point of death, it would be very easy for the one who is under care or for his or her family members to seek for legal way to solve the problem. Objective of this research is to discuss types of care-taking negligence and its reason in order to provide as reference for the care facilities and its worker, so as to further study on drafting the prevention strategy, reducing the negligence on care-taking to increase the quality of care and safety of the resident. This research has adopted Secondary data analysis method to use Judicial Yuan Legal Information Retrieval System, and collect the verdict of litigation of care facilities The research is based on the standpoint of one receiving care (in this case the plaintiff) to discuss the categories of the care facilities negligence occurrence and read on the verdict to utilize content analysis method in order to categorize and induce. The survey collected total of 27 cases during year 2005 to 2015, and revealed that the occurring location of the care facilities negligence, independent type of organization is significantly higher than hospital’s affiliated organization (81.48% vs 18.52%); one who initiate claim indemnity mainly are resident’s children (79.57%); object of the claim is the person in charge of the organization to be the main defendant, secondary is the nursing staff and nurse aides; 70.37% are those critical degree of resident’s injury and resulting in death; the rate of winning the lawsuit by the plaintiff is 29.63%. From the analysis of the verdict, it is known that the main negligent incident according to its order are falling down, choking, deterioration of illness, infection, misplacement of tubing, digestion of hydrochloric acid by accident, and dehydration; the six main reasons of negligence out front are delay in hospitalization, care negligence, insufficiency in evaluation and judgment, neglect in care record, insufficiency in care manpower, Adverse environment or equipment, etc. Research result can be provided for the management level of long term care facilities and its worker as warning, and to strengthen educational training of the care facilities in order to combine with establishing standard procedure of care, realize an overall barrier-free safe environment, and enhance residents safety and quality of care.

参考文献 ( 46 ) 〈TOP〉

邱文宏,纪慧如,朱立圣,张元杰,张益彰,张碧如(2012)。以医学伦理与顾客价值观点探讨医院服务产业创新价值创造之演进。管理学报，29(5)，489-512。
连结：
Allsop, J.(1994).Two sides to every story. Complainants’ and doctors’ perspectives in disputes about medical care in a general practice setting.Law & Policy,16(2),149-183.
Angelini, D. J.,Greenwald, L.(2005).Closed claims analysis of 65 medical malpractice cases involving nurse-midwives.Journal of Midwifery & Women's Health,50(6),454-460.
Beckman, H. B.,Markakis, K. M.,Suchman, A. L.,Frankel, R. M.(1994).The doctor patient relationship and malpractice. Lessons from plaintiff depositions.Archives of Internal Medicine,154(12),1365-1370.
Bennett, R. G.,O'Sullivan, J,DeVito, E. M.,Remsburg, R.(2000).The increasing medical malpractice risk related to pressure ulcers in the United States.Journal of American Geriatric Society,48(1),73-81.

被引用文献 ( 1 ) 〈TOP〉

杨婉萍(Wan-Ping YANG);陈玉凤(Yu-Feng CHEN)(2021)。护理业务与法律风险管理－以注意义务为中心。护理杂志。68(4)。6-13。

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