「疏失」和「過失」有何區別?【醫事法學教室】 試閱
What is the difference between malpractice and negligence?
醫療疏失屬事實描述。醫療過失屬法律評價。
案例:B有腦中風病史,急救時甲醫師未施予腦部斷層檢查,嗣病況惡化,乙醫師於隔日進行檢查發現腦出血,即施行腦室導水管引流手術,仍於手術2天後死亡。
爭點為甲醫師是否未立即施予斷層檢查致延誤治療時機?
法院認定B無論採何種療法,其存活可能性皆近乎零,故B死亡之結果非因醫師之疏失所導致,無從判斷其死亡與醫師可能之醫療過失具有相當因果關係,判決甲醫師無罪。
Malpractice is a description of facts.
Negligence is determined by court.
The case:
The patient had a stroke in the past. In the emergency department, the physician A did not send the patient for a head computed tomography scan. After the patient getting worse, the physician B found the patient having intracranial hemorrhage next morning and performed ventriculostomy. Unfortunately, the patient passed away two days later.
Issues in the case:
Did the physician A miss the golden window of intracranial hemorrhage treatment since a head computed tomography scan was not performed immediately?
The court considered the survival rate was near zero no matter what treatment the patient received. The cause of the patient’s death was not related to the physician A’s possible malpractice. The court found the physician A not guilty.
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