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<div id="Title"> <h1><span id="lalTitle">医疗事故ä¸çš„法律责任与赔å?/span></h1></div>
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å‘布时间:<span id="lbInDate">2017/11/15 21:54:31</span> <span id="lbSource"></span><span id="lbAuthor"></span>
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<span id="lalContent"><p style="text-indent: 2em; text-align: left;">按照国务院《医疗事故处ç†æ¡ä¾‹ã€‹ç¬¬äºŒæ¡ä¹‹è§„定："医疗事故，是指医疗机构åŠå…¶åŒ»åŠ¡äººå‘˜åœ¨åŒ»ç–—活动ä¸ï¼Œè¿å医疗å«ç”Ÿç®¡ç†æ³•å¾‹ã€è¡Œæ”¿æ³•è§„ã€éƒ¨é—¨è§„ç« å’Œè¯Šç–—æŠ¤ç†è§„范ã€å¸¸è§„ï¼Œè¿‡å¤±é€ æˆæ‚£è€…人身æŸå®³çš„事故ã€?quot;人民法院审ç†åŒ»ç–—事故赔å¿æ¡ˆä»¶ï¼Œä¸€èˆ¬éƒ½æ˜¯æŠŠå®ƒä½œä¸ºä¾µæƒæ¡ˆä»¶å¤„ç†çš„。审ç†ä¸é€šå¸¸è¦æ¶‰åŠå››ä¸ªæ–¹é¢çš„è¯æ®è¦ä»¶ï¼Œå³ä¾µæƒè¡Œä¸ºã€è¢«å‘Šæ–¹è¿‡é”™ã€åŒ»ç–—行为与æŸå®³åŽæžœä¹‹é—´æœ‰å› 果关系åŠæŸå®³åŽæžœã€‚但在å‘ç”ŸåŒ»ç–—çº çº·æ—¶ï¼Œç”±äºŽå¤§éƒ¨åˆ†çš„è¯æ®éƒ½æŽŒæ¡åœ¨åŒ»è€…手ä¸ï¼Œæ‚£è€…很难å–è¯ã€?/p><p style="text-indent: 2em; text-align: left;">ã€æ‘˜è¦ã€‘为使患者群体有更大的空间æ¥ç»´æŠ¤è‡ªå·±çš„æƒåˆ©ï¼Œ2002å¹?æœ?日实施的《最高人民法院关于民事诉讼è¯æ®çš„若干规定》第四æ¡(å…?é¡¹è§„å®šï¼šå› åŒ»ç–—è¡Œä¸ºå¼•èµ·çš„ä¾µæƒè¯‰è®¼ï¼Œç”±åŒ»ç–—机构就医疗行为与æŸå®³ç»“果之间ä¸å˜åœ¨å› 果关系åŠä¸å˜åœ¨åŒ»ç–—过错承担举è¯è´£ä»»ã€‚这就æ„味ç€å› 医疗行为引起的侵æƒè¯‰è®¼ï¼Œå®žè¡Œå› 果关系推定和过错推定，实行举è¯è´£ä»»å€’置。å—å®³äººåœ¨å› æžœå…³ç³»å’Œè¿‡é”™çš„è¦ä»¶ä¸Šä¸å¿…举è¯è¯æ˜Žï¼Œè€Œæ˜¯ç”±æ³•å®˜æŽ¨å®šï¼Œå—害人åªéœ€è¯æ˜Žè‡ªå·±åœ¨å°±åŒ»æœŸé—´å—到æŸå®³ã€‚如果医疗机构认为自己的医疗行为与å—害人的æŸå®³äº‹å®žä¹‹é—´æ²¡æœ‰å› 果关系，或自己没有过错，å¯ä»¥ä¸¾è¯è¯æ˜Žè‡ªå·±çš„ä¸»å¼ ï¼ŒæŽ¨ç¿»å› æžœå…³ç³»æˆ–è¿‡é”™ï¼Œä¸æ‰¿æ‹…责任，å¦åˆ™ï¼Œå› 果关系推定或过错推定æˆç«‹ã€?/p><p style="text-indent: 2em; text-align: left;">具体情况，å¯ä»¥ä»Žä»¥ä¸‹å‡ æ–¹é¢æ¥åˆ†æžï¼?/p><p style="text-indent: 2em; text-align: left;"><strong>(一)医疗事故赔å¿è´£ä»»æž„æˆä¸çš„å› æžœå…³ç³»æŽ¨å®š</strong></p><p style="text-indent: 2em; text-align: left;">医èŒè¿‡å¤±è¡Œä¸ºä¸Žæ‚£è€…人身æŸå®³åŽæžœä¹‹é—´å¿…é¡»å…·æœ‰å› æžœå…³ç³»ï¼Œæ‰èƒ½æž„æˆåŒ»ç–—事故赔å¿è´£ä»»ã€‚å› æ¤ï¼Œæ‚£è€…çš„æŸå®³åŽæžœå¿…须是医疗机构的医疗è¿æ³•è¡Œä¸ºæ‰€è‡´ã€‚按照最高人民法院上述å¸æ³•è§£é‡Šï¼ŒåŒ»ç–—事故赔å¿è´£ä»»çš„å› æžœå…³ç³»å®žè¡ŒæŽ¨å®šã€?/p><p style="text-indent: 2em; text-align: left;">å®žè¡Œå› æžœå…³ç³»æŽ¨å®šï¼Œå°±æ„味ç€å—å®³äººåœ¨å› æžœå…³ç³»çš„è¦ä»¶ä¸Šï¼Œå°±ä¸å¿…举è¯è¯æ˜Žï¼Œè€Œæ˜¯ç”±æ³•å®˜å®žè¡ŒæŽ¨å®šã€‚å—害人åªè¦è¯æ˜Žè‡ªå·±åœ¨åŒ»é™¢å°±åŒ»æœŸé—´å—到æŸå®³ï¼Œå°±å¯ä»¥å‘法院起诉，ä¸å¿…è¯æ˜ŽåŒ»é™¢çš„医疗行为与æŸå®³åŽæžœæœ‰å› 果关系;åŒæ—¶ä¹Ÿä¸å¿…è¯æ˜ŽåŒ»é™¢ä¸€æ–¹çš„è¿‡é”™ï¼Œå› ä¸ºè¿‡é”™ä¹Ÿæ˜¯å®žè¡ŒæŽ¨å®šçš„ã€‚ç”±äºŽè¿™ç§å› æžœå…³ç³»æ˜¯æŽ¨å®šçš„ï¼Œå› è€Œï¼Œè¿˜åº”å½“åœ¨æŸå®³äº‹å®žä¸ŽåŒ»ç–—行为之间排除其他å¯èƒ½æ€§ã€‚当确定这ç§æŸå®³äº‹å®žæ²¡æœ‰ä»»ä½•å…¶ä»–åŽŸå› æ‰€è‡´å¯èƒ½æ—¶ï¼Œå³å¯æ–定该ç§åŒ»ç–—行为是æŸå®³äº‹å®žçš„åŽŸå› ï¼Œå³æŽ¨å®šå› 果关系æˆç«‹ã€?/p><p style="text-indent: 2em; text-align: left;"><strong>(äº?医疗事故赔å¿è´£ä»»æž„æˆä¸çš„过错推定</strong></p><p style="text-indent: 2em; text-align: left;">医疗事故赔å¿è´£ä»»é€‚ç”¨è¿‡é”™è´£ä»»åŽŸåˆ™ï¼Œå› è€Œï¼Œæž„æˆåŒ»ç–—事故赔å¿è´£ä»»ï¼Œå¿…须具备主观过错的è¦ä»¶ã€‚没有过错，就没有赔å¿è´£ä»»ã€‚最高人民法院å¸æ³•è§£é‡Šè§„定，对医疗事故赔å¿å®žè¡Œè¿‡é”™æŽ¨å®šï¼Œä¿æŠ¤å—害人的æƒåˆ©ã€?/p><p style="text-indent: 2em; text-align: left;">医疗事故的主观过错表现为行为人在医疗活动ä¸çš„过失。首先，医疗过失表现在负有诊疗护ç†èŒè´£çš„医护人员主观状æ€ä¸ã€‚医疗机构作为责任人，也应具有过失，但这ç§è¿‡å¤±æ˜¯ç›‘ç£ã€ç®¡ç†ä¸å‘¨çš„过失，采å–推定形å¼ã€‚其次，医疗过失åªåŒ…括过失，ä¸åŒ…括故æ„，如果在医疗过程ä¸åŒ…括过失，ä¸åŒ…括故æ„，如果在医疗过程ä¸æ•…æ„致害患者的，则构æˆä¼¤å®³ç½ªæˆ–者æ€äººç½ªï¼Œä¸èƒ½å†ä»¥åŒ»ç–—事故对待。医疗过失的形å¼ï¼Œæ—¢å¯ä»¥æ˜¯ç–忽，也å¯ä»¥æ˜¯æ‡ˆæ€ ，总之都表现为对自己应尽的注æ„义务的è¿åã€?/p><p style="text-indent: 2em; text-align: left;"><strong>(ä¸?医疗事故赔å¿æ¡ˆä»¶ä¸çš„举è¯è´£ä»»å€’ç½®</strong></p><p style="text-indent: 2em; text-align: left;">举è¯è´£ä»»å€’置，是特殊侵æƒé¢†åŸŸå®žè¡Œçš„过错推定原则的è¡ç”Ÿç‰¹å¾ï¼Œå³å½“原告å—到侵害时如果被告ä¸èƒ½è¯æ˜Žè‡ªå·±æ— 过错，就推定被告有过错。这实际是将民事责任的主观è¦ä»¶çš„举è¯å€’置，å³åªè¦æ±‚患者è¯æ˜ŽåŒ»ç–—事故的客观è¦ä»¶ï¼ŒåŒæ—¶æŽ¨å®šåŒ»ç–—机构有过错。如果医疗机构ä¸èƒ½è¯æ˜Žè‡ªå·±çš„医疗行为没有过错，则他应当承担赔å¿è´£ä»»ã€‚å之，如医方能够æ出足以è¯æ˜Žå…¶æ²¡æœ‰è¿‡é”™çš„åè¯ï¼Œåˆ™åŒ»æ–¹ä¸æ‰¿æ‹…èµ”å¿è´£ä»»ã€?/p><p style="text-indent: 2em; text-align: left;">医疗机构能够è¯æ˜Žè‡ªå·±çš„医疗行为与患者æŸå®³ä¹‹é—´æ²¡æœ‰å› 果关系，医护人员和医疗å•ä½æ²¡æœ‰è¿‡é”™ï¼ŒåŒ»ç–—å•ä½å°±ä¸æ‰¿æ‹…ä¾µæƒè´£ä»»ã€?/p><p><br style="text-indent: 2em; text-align: left;"/></p></span>
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