Typical nursing dispute cases

In recent years, medical disputes have occurred from time to time. The following is a typical case of nursing-related disputes that I share with you. Welcome to read!

Typical nursing dispute case 1:

? Tang, a pregnant woman in Tianjin, went to the maternity hospital for emergency treatment because of abdominal pain. She was diagnosed with threatened premature delivery and intrauterine distress, and was admitted to the ward for observation and treatment. The fetus died in the uterus.

Tang thought it was a medical fault of the hospital and appealed to the court. At the same time, he suggested that the hospital tampered with and forged his original medical record. During the trial, the hospital admitted that the medical record had been revised, but it was considered to be a standardized medical record, not forged and tampered with. The court held that the medical record is a true record of the patient's illness development and an important basis for identifying medical negligence, and it is strictly forbidden to alter or forge it. Because the hospital did not modify the medical record according to the standard, the original evidence was lost, and the facts of the case could not be ascertained. The hospital was fully responsible for this.

Typical nursing dispute case 2:

? Violation of medical record writing norms: inconsistent medical records and lack of communication between doctors and nurses.

A 48-year-old woman died of pericardial tamponade after mitral valve replacement. Nursing records:? Pericardial drainage 250mL? . Course record:? A little drainage? .

Typical nurse-patient dispute case 3: violation of doctor-patient communication system.

Patient, female, 34 years old; Because? Appendicitis appendectomy; During the operation, the surgeon and the nurse talked about it. Are there any stitches missing? ; ? Maybe it fell into your stomach? ; Causing patients to panic for a long time after operation.

Typical nursing-related dispute case 4: missed charges lead to compensation;

When the patient was in hospital, he used Uberine, but the charging system didn't accept the medicine? Ubilin? Family members decided that the hospital did not give drugs to patients. The final court decision: compensation of 30,000 yuan.

Typical nursing dispute case 5: Disputes caused by falls

An 80-year-old man with heart disease has a history of dizziness. The hospital requires patients to be accompanied by family members or nurses. The patient and his family refused in writing. During hospitalization, the patient suffered brain injury due to dizziness and falling in the bathroom, and the patient demanded compensation. In this case, the hospital gave an escort request according to the patient's condition, but the patient and his family refused, and the hospital should not bear the responsibility.

Typical nursing-related disputes Case 6: Violation of graded nursing system? Patrol round

Male, 2 1 year-old, underwent polypectomy for rectal polyps. Because the polyp base is wide (about 0.6 cm), the postoperative doctor's advice is special? Observe whether there is postoperative bleeding. 1 1 returned to the ward in the morning and fell asleep quietly in the afternoon. At 6 pm, the patient ate a small amount of liquid food. At 8 o'clock in the evening, he felt pain in his left lower abdomen, and he immediately went to the toilet. The patient found that the amount of bright red bloody stool was unclear. At night 10, the patient went to the toilet for the second time, and discharged bright red bloody stool, which was massive and made him feel flustered. I went to the toilet twice before 12 in the afternoon, and all of them were bright red bloody stools. I can't report my illness because I didn't see the nurse on duty, plus I think? There won't be much problem. Will not disturb the patient. Until I fainted in the toilet for the fifth time. After other patients found the report, the medical staff rushed to the rescue. At that time, the patient was pale, his limbs were wet and cold, and his blood pressure was 80/60 mm Hg. Heart rate 1 10 beats/min, oxygen infusion immediately, blood transfusion and fluid replacement. Transfusion of 600 ml, rehydration of 500 ml, blood pressure rose to 107/80, and immediately two surgical explorations found that the ligation line of polyp fell off. After ligation again to stop bleeding, he was hospitalized 13 days and discharged.

Typical nursing dispute case 7: violation of check system

1): pregnant woman with depression, 37+5 weeks pregnant, postpartum, for the baby? Clonazepam? .

2): After intravenous drip of mannitol, the patient's family found that the drug was overdue for more than one month.

3): Left and right error. A third-class hospital in Nanjing fractured the right lower limb, and the left lower limb was internally fixed during the operation.

4): The instrument is out of date. A 63-year-old patient suddenly vomited a lot of blood during hospitalization, and hematemesis stopped after stopping bleeding with a three-cavity and two-sac tube. A few hours later, he vomited blood again, and the tube with three cavities and two bladders was pulled out of his mouth. After the gas in the airbag is exhausted, the tube with three cavities and two airbags is pulled out. Air leakage was found at the interface of three-lumen and two-balloon tube in vitro, and it is planned to implant the three-lumen and two-balloon tube again. As the patient's condition continued to deteriorate, he died that day. It was found that the three-lumen and two-sac tube used by the patient had expired.

5) The infusion contains flocs. Plaintiff Gao Xiuyun v. A hospital in Zoucheng City for importing flocculent drugs, which caused the elderly to fall into a vegetative state. The plaintiff believes that the direct cause of the damage is that the intern nurse illegally operated the infusion independently and signed the name of nurse Lu; The hospital did not strictly implement nursing? Three checks, seven pairs? System, the defendant is at fault. Therefore, the defendant should be mainly liable for the losses suffered by the plaintiff Gao Xiuyun. The people's court of first instance ruled that the hospital compensated for various losses such as disability compensation, nursing expenses, medical expenses, food subsidies, and mental damages 133 139.28 yuan.

6) Wrong drug injection. Patients Peng and Tan have similar appearances. The nurse on duty mistakenly injected 800,000 units of penicillin into Peng without checking the ward, bed number and name. Half a minute later, she complained of severe local pain, chest pain, shortness of breath, palpitation and limb convulsions and other allergic reactions. 0. 1% epinephrine 1 ml, 25 mg phenanthrene, C500 mg vitamin C and 0/00 ml glucose solution were injected intravenously, and the allergic symptoms disappeared after half an hour.

Typical nurse-patient dispute case 8: instrument power failure: Wuhan twin cerebral palsy case

Twins, APACHE score after birth10; The next day, due to the sudden drop of temperature (2℃), the incubator was given special care; At 2300 hours, it was found that the warm box was powered off and the twins' hands and feet were cold; The patient's family asked to change the incubator and take care of it, but failed; At 6 o'clock in the morning on the third day, the patient's family once again found that the incubator was cut off, and the two patients turned blue. Expert consultation inside and outside the hospital, diagnosis: brain dysplasia, acute upper respiratory tract infection, acute bronchitis. Six months later, two patients were diagnosed with cerebral palsy. The court ruled that because the defendant was seriously irresponsible in hospital nursing work, the defendant should be liable for damages for neonatal cerebral palsy with a score of 10 at birth, and ordered the defendant to compensate the plaintiff for various losses totaling 3.83 million yuan.

Typical nursing dispute case 9: violation of the handover system

1993 Taixing shangzi No.6966: patient, female, 30 years old; Patient reason? Vomiting and abdominal pain? I went to the hospital for surgery. It is reported that the patient had no menstruation that month and had been married for three months. Check the lower body, a little blood clot, suspected? Ectopic pregnancy? Send a urine test, ask an obstetrician and gynecologist for emergency consultation, and the consultant will not accept it; After the work, the surgeon left without changing shifts; In the evening, the patient had severe abdominal pain. When other doctors arrived, the fallopian tube ruptured and died of internal bleeding. The court found that the surgeon had suspected that the patient was ectopic pregnancy and there was no fault in diagnosis and preliminary treatment; However, the bleeding caused by tubal rupture occurred suddenly after the defendant's surgeon left work automatically as usual. Are there any faults that should be paid attention to, can be paid attention to, but not paid attention to? What crime did the suspect commit? Crime of negligent death? .

Typical nursing-related dispute case 10: violation of medical record writing standard: modification and tampering with medical record.

The patient died while being confined to the affiliated hospital of a medical university in Hebei. Afterwards, Guan's family consulted the original medical records and made a copy. However, when the family members checked the medical records again, they found that the relevant personnel in the hospital had changed the medical records. The court held that during and after the treatment, the hospital violated the medical record writing regulations and altered or modified the medical record without authorization, and the death record (report) form in the medical record submitted by the hospital was inconsistent with the copy submitted by the plaintiff. According to the relevant laws and regulations, the medical records submitted by the hospital cannot reflect the real situation of the hospital's treatment of Guan, so the medical records provided by the hospital do not have the objectivity and authenticity of the evidence, and the hospital cannot prove that there is no medical fault in the process of treating Guan, so it should bear the legal responsibility of not providing evidence according to law.

Typical nursing-related dispute case 1 1: violation of nurse regulations? Failing to report the illness to the doctor in time

Patient, male, 62 years old; On the third day after upper abdominal surgery, what did you find? Difficulty in expectoration and respiratory distress? The nurse on duty did not report the illness to the doctor in time, but just sat down and patted him on the back; After about 5 minutes, the patient turned blue and sweated, and he was given oxygen. After 20 minutes, the heart stopped breathing and died after being rescued by the doctor on duty.

Typical nurse-patient dispute case 12: Nanjing twins case? Violation of nursing routine, failure to inform

Premature twins, appearing soon after birth? Red face and shortness of breath, first-degree intracranial hemorrhage and other symptoms? ; Keep warm in an incubator and breathe oxygen through a mask for a week; Cancel the order? Follow-up visit; Six months later, both children were blind; Neonatology? Oxygen supply for premature infants should not be routinely used (in principle, it should not exceed 3 days), and oxygen should only be given when breathing is difficult. If the oxygen inhalation time is too long, it will easily lead to visual impairment. ? "Newborn Nursing Routine": Premature infants who have taken oxygen should have regular eye examinations, and the first examination should be within 4-6 weeks after birth; The court found that the defendant hospital should do its best to inform the two plaintiffs' guardians? See an ophthalmologist within 4-6 weeks after delivery? ; If the two plaintiffs lost the best treatment opportunity because of unclear notification, resulting in damage consequences, the defendant shall bear the corresponding liability for compensation.

Typical nursing-related dispute case 13: Zhongjiang twins case? No active medical measures were taken.

Patient Jiang Wen, female, 27 years old; Pregnant for 6 months, B-ultrasound showed threatened abortion; The doctor then had an abortion and gave birth to a dragon wind fetus; The medical staff did not take the initiative to treat two aborted children as usual; 13 hours later, two babies were found to have breathing and heartbeat; Immediately sent to Zhongjiang County Hospital for rescue, and died invalid; The court ruled that no one could deprive two newborn babies of their right to health and life on the pretext of prenatal and postnatal care. The doctor's behavior constituted a crime of medical accident and sentenced the doctor to 2 years' imprisonment; Bear the criminal incidental civil compensation liability of 6.5438+0.92 million yuan.

Typical nursing dispute case 14: carrying out illegal medical orders

1), sinos: The usual dosage of sleep aid is 10 mg, qn. A doctor's advice: Silos 10mg? Two tablets of t.i.d were used continuously for three days, causing disputes.

2) Senile encephalopathy with a history of diabetes. Intravenous infusion of glucose solution 17 days aggravated the symptoms of diabetes and caused disputes.

Typical nursing dispute case 15: wrong execution of medical advice

On the evening of March 6, 2008, 80-year-old Mrs. Wang in Beijing was killed. It shouldn't take half an hour to make a phone call, right? He was taken to the hospital for emergency treatment, and his symptoms worsened that night. The doctor arranged for the nurse to inject amiodarone hydrochloride injection into the patient and told the nurse to push it slowly for ten minutes. At 2: 05 am on March 17, 2008, a nurse began to give medicine to Mrs. Wang. At this time, other patients called the nurse, and the nurse put down the syringe and left. Then another nurse picked up the syringe and continued to inject. It took five minutes for the two nurses to finish injecting the liquid. After the injection, Mrs. Wang died after being rescued. Mrs. Wang's family thought that the hospital was at fault, so they asked the court to order the hospital to compensate for various losses of more than 250,000 yuan.

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