28 -year -old pregnant woman died。Family members are crying and scolding，The narrow diagnosis room is messy。

 

  & ldquo;，I jumped here today。& rdquo; The father of the late patient stood on the top of the hospital，threatened to discuss the statement。

 

  Everything caught off guard。Family with joy to welcome new life，In the face of a pregnant woman during a cesarean section in Beijing, amniotic fluid embolism，The facts of death due to excessive blood loss，I can only find a hospital to discuss。

 

  Hospital response: There is no medical error in the diagnosis and treatment process.

 

  28 -year -old hot potato，Finally passed to the hands of the mediation offer of the People's Mediation Committee of the Medical Disputes。

 

  More than 6 hours of comforting and persuasion by the mediation staff，The affected party fills in the mediation application on the spot。When evacuating at 7 pm，The mediator brought back the application and medical records of both parties。

 

  In China，Such a medical dispute mediation mechanism is moving towards mature。early July this year，The National Health and Family Planning Commission to maintain medical order to build a harmonious doctor -patient relationship media communication meeting，Guo Yanhong, Deputy Director of the Medical Political Management Bureau of the National Health and Family Planning Commission, disclosed，The number of national medical disputes in 2014 decreased by 8.7%compared to 2013，The number of medical disputes in 2015 continued to decrease by 1.8%。Based on the decline in 2014，Medical -related cases that occurred in the hospital in 2015 continued to decrease by 12.7%。2015，Nearly 4,000 people's mediation organizations have established medical disputes in the country，mediation and handling medical disputes 71,000，mediation success rate above 85%，Solved more than 60%of medical disputes，Give play to the main channel of the regulation。

 

  From the south to the north to the handshake,

 

  This was once considered a mediation that may be full and unknown。

 

  The claims of both doctors and patients have also been different:

 

  Died 28 -year -old family members who are going to be born in pregnant women think that the medical surgery plan is wrong，Rescue delay，Calcus 2 million yuan;

 

  The medical side believes that its diagnosis and treatment behavior meets the diagnosis and treatment specifications，No fault。

 

  This is exactly this & ldquo; Dohate & rdquo;，Make the family members of patients who first involved medical disputes are very embarrassed，Even such actions appeared & mdash; & mdash; & ldquo; bribe & rdquo;。

 

  Original，After receiving the case，The mediators who deal with this medical dispute to meet the family members of the deceased in accordance with the procedure。When the obligation to inform your family，The patient's family suddenly took out two envelopes with RMB，Hard plug to the medailor's hands。

 

  stake sports betting appstake online sports bettingAccording to the staff of the Beijing Municipal Medical Dispute Mediation Committee，Facing the sincere eyes of family members，The mediation staff can not bear to refuse，Helplessly accepted the envelope。& ldquo; After the family members leave，They will give the enlightenment to the leaders of the Medical Development Commission as soon as possible，Envelope is also sealed on the spot，Temporary financial storage。Relevant person in charge instructed the mediation officer to go all out to handle the case，After the case is over, return the red envelope to & rdquo;。

 

  Through the experts of the Beijing Municipal Medical Transfer Committee，Drawing conclusion: Inadequate discussion before medical treatment，No rescue plan，Rescue start -level rescue team responds slowly; the monitoring during the operation is not in place，No bleeding amount in the anesthesia record、Dynamic observation of urine output and hemoglobin、Dynamic monitoring of coagulation elephants，Revoic records used in the rescue records，not recorded in anesthesia records; the medical party considers the patient's blood oxygen saturation 100%，Lack of diagnostic basis; placenta delivery is large bleeding、Blood pressure drop，Uterine resection delay; rescue process supplementation of insufficient crystalline fluid。

 

  From this，The main reason for the expert group to infer the death of patients is that the continuous low -informed state of the organs causes functional failure。

 

  but，The mediation suggestion given by the Medical Development Commission will not be accepted。During this period，The affected party has repeatedly urged the mediation progress。For this，The Medical Transfer Committee held a doctor and patient meeting，Both parties initially reached a compensation opinion of 990,000 yuan。

 

  But，A response from the medical party once again caught the mediation into a deadlock & mdash; & mdash; requested that the Beijing Municipal Health Administrative Department will be judged before determining the amount of compensation。

 

  The deadlock has not yet been solved，The mediators received the urging call from the family members again。The mediator has to inform him of the specific situation，Tell him to treat disputes rationally，Rights in accordance with the law。Repeated communication and coordination by the medievant，The doctor and patients reached a mediation recommendation after 4 days。

 

  The final mediation result is，Determine the insufficient preparation for medical treatment、Insufficient monitoring during the rescue process、The negligence with inadequate rescue measures has a direct causal relationship with the patient's death，The medical party should bear the main compensation liability，The two parties finally reached 960,000 yuan in compensation opinions。Signing the agreement on the day of the medical transfer committee，Leaders of the Medical Transfer Committee and mediation officer jointly returned the sealed & ldquo; red envelope & rdquo;。

 

  less than 5 years，Nearly 8,000 doctor -patient disputes here are the flags and drums。

 

  According to the latest "Beijing Social Governance Development Report (2015-2016)"，From 2011 to November 30, 2015，Beijing Medical Dispute People's Mediation Committee has accepted 7949 pieces of medical disputes，mediation rate 100%，Success rate 95.78%。mediation 7519 cases，Among them, 2127 cases of difficult and complicated disputes，Involved in the parties 31796 people，Actual compensation amount of more than 420 million yuan。On -site emergency mediation disputes from 328，Successful guidance stake online sports bettingstake online sports bettingof more than 75%of the parties to accept and apply for mediation。

 

   & ldquo; The biggest rule is the rule of law & rdquo;

 

  Medical dispute mediation，This working mechanism is being promoted in various places。It is the patient's patient justice，Let some public with suspicion emotion finally returned with satisfaction。

 

  Some patients have said that the family members of patients，willing to go to the Medical Stake Sports BettingRegulatory Commission，Because & ldquo;，If you do n’t accept it, you can go to the court to sue & rdquo;。

 

  Also because of this，& ldquo; The difficulty of mediation disputes is not to analyze whether the hospital has the responsibility、What is the degree of responsibility，Instead, how to make both doctors accept our evaluation results，Reach the final agreement。& rdquo; Liu Fang, deputy director of the Beijing Municipal Medical Development Commission, said，On the issue of medical disputes，Some patients have psychological expectations for compensation，At this time, the mediation staff needs to play a role，Putting the facts、Reasonable，Practice psychological expectations back to reality with legal basis。

 

  In mediation，The evaluation of medical damage responsibility is the highlight，The results related to a medical dispute together。To improve professionalism，The Beijing Medical Regulatory Commission established & ldquo; People's mediation expert library & rdquo;，Professional guidance of medical damage responsibility assessment。At present, the expert library owns 1497 people，involved 45 disciplines，All physicians with senior professional titles from the clinical first lines of each three hospitals。

 

  & ldquo; If the results of our free mediation are not recognized，You can still go to the court to sue，This is here，Both doctors and patients are easy to accept。& rdquo;，Director of Tianjin Medical Transfer Committee Zhang Youqiang said，Hospital and health system have complaints and acceptance departments，But patients often do not buy it，I think they are both referees and athletes，There is a fairness。If you take legal channels，The results of medical accident identification are required as the basis for judgment，The cycle is long and the cost is high。Some patients have not waited for the results of the medical accident appraisal，It has died。

 

  At the same time，Based on this，All places are also exploring effective ways to resolve medical disputes，and trying all kinds of experience:

 

  Jiangxi Province forms a mediation system，First, strengthen complaint management，The complaint window is set up uniformly in the province's secondary level，Do a good job of complaints and reports，Misunderstanding the misunderstandings of both doctors and patients; the second is to pay attention to the in -hospital consultation，Special medical dispute mediation office in the second level or above hospitals，Medical disputes that can be resolved to the maximum likely to resolve the compensation amount of less than 20,000 yuan; the third is to strengthen people's mediation，Realized the full coverage of the people's mediation agency of medical disputes，To work at the office、Personnel and funding are guaranteed，In 2015, there were more than 1900 medical disputes with a total amount of more than 20,000 yuan.，I have achieved & ldquo; free justice、mediation priority、Mediation in accordance with the law & rdquo;;;

 

  Chongqing City has improved the mechanism of investigation and resolution of medical contradictions and disputes，Strengthen the source governance。Public security organs cooperate with the health department、stake sports betting appMedical Institution，Establish a regular investigation My stake betting appand resolution mechanism for doctors and patients，Disputes of doctors and patients excreted，Implement one by one to solve the stability control measures，Guide patients to resolve medical disputes through legal channels，Strictly prevent & ldquo; people turn punishment & rdquo; case occurred，Analysis and judgment of analysis of it.、Find Questions part -time、Resolve stability control，Cumulative investigation and resolution of 453 doctors and patient disputes。At the same time，Reflecting the masses' protrusion、Easy to breed & ldquo; black clinic & rdquo;、Fake doctor's area、location，Joint multiple departments to conduct clear inspections and unannounced visits and clean up and rectify，A total of 215 places for medical order to check and control medical order，Clean up 2,992 individual clinics，Investigation and punishment & ldquo; Professional medical trouble & rdquo; & ldquo; Medical Trust & rdquo; & ldquo;，109 illegal clinics;

 

  & ldquo; Let the people convince，There are two & mdash; & mdash; love and rules。& rdquo; Zhang Youqiang said，It is inseparable from being a person，Starting from good heart，More respect and understanding。Must do things according to the rules，& ldquo; The biggest rule is the rule of law & rdquo;。He said with emotion，Many things in China must be done，Still rely on sounding the legal system。

 

  A variety of ways to protect the whole society

 

  According to the National Health and Family Planning Commission,，Since the end of 2013, it has launched a special operation for medical order to combat medical order illegal crimes，By insisting on holding one hand to crack down on illegal criminal activities in medical -related medical illegal crimes，One -handed medical dispute prevention and handling long -term mechanism construction，Improve and perfect intra -hospital mediation、People's Mediation、Judicial Mediation、Medical risk sharing mechanism (referred to as & ldquo; three mediation one insurance & rdquo;) medical dispute treatment system，The medical practice environment has been effectively improved，Hospital medical disputes、Criminal case、Public security incidents and hidden safety hazards are significantly reduced，Implement & ldquo; Sanlian & rdquo;。

 

  Processing and preventing medical disputes、Campaign of illegal crimes related to medicine is no longer the health department & ldquo; housework & rdquo;，but the common responsibility of all departments and even the whole society。

 

  In 325 hospitals in Anhui Province，Now all the police room has been completed，Realized intelligence first、Early warning is first、Prevention in front、Settlement is before，Disposal disputes of medical treatment are active defense。According to statistics，Since 2013, it has actively investigated and resolved medical disputes from 5703。Relying on the police room and auxiliary police officers，Professional patrol team can also be established，Timely discover and stop the current crime 639。Take Huangshan People's Hospital as an example，Since the establishment of the patrol team，2015 medical dispute cases decreased by 58.3%year -on -year，Cases of doctors and patients have not occurred since 2016。

 

  All nationwide，Such a police officer is in 85%of hospitals above level 2 or above.，More than 5600 Hospital Emergency Alarm Device and Public Security Organization Agency。The construction of the national hospital safety defense system reached 85%。

 

  To provide a powerful guarantee for handling medical disputes，The National Health and Family Planning Commission also jointly stake betting apppromotes medical liability insurance with the Insurance Stake Sports BettingRegulatory Commission，Active research and exploration and establishment covers responsibility、Full coverage mechanism such as accidents and non -fault compensation。As of May 2016，More than 70,000 medical institutions in the country participated in medical liability insurance，Add more than 7,800 newly added，90%of which are grass -roots medical institutions。

 

  During the practice process，It has also developed more detailed development。For example，The implementation of Shanxi Province is & ldquo; multi -dangerous parallel & rdquo;。

 

  Starting in 2012，Shanxi Province explores the establishment of a medical behavior of a third -party witness talk system，Synchronous promotion with surgery、Anesthesia、Maternal and baby safety is the main form of & ldquo; medical accident insurance & rdquo; derivative insurance。

 

  grass -roots medical liability insurance，It is Shanxi Province that promotes the insurance at the second level or above & ldquo; at the same time & rdquo;，Explore the establishment of the insurance method suitable for the grassroots。As of the end of 2015，The province's insurance medical institution reaches 1230，Where，282 hospitals above the second level，Comprehensive hospitals at or above the county level reached 98%。

 

  In addition，Medical units also establish a sound medical quality and safety control and continuous improvement system，Strengthen quality and safety supervision，Implement the full process、All element quality management。Multi -department jointly carried out the combat & ldquo; medical care & rdquo; & ldquo;，Maintain the normal medical order of the people。1043 counties (cities in 28 provinces、District) Carry out a hierarchical diagnosis and treatment pilot，Promote the sink and sharing of high -quality medical resources，Let the masses enjoy high -quality medical services nearby。Improve the level of basic medical insurance protection，Unreasonable growth of controlling medical expenses，Residents' personal hygiene expenditure accounted for total health expenses from 35.29%in 2010 to currently below 30%，The lowest level in the past 20 years，Medical & ldquo; Get sense & rdquo; continuously improve。