Statistics and analysis of orthopedic medical disputes
骨科医疗纠纷的统计与分析

摘要

目的 统计分析骨科临床医疗纠纷的发生原因及分布特征，明确骨科纠纷高发风险因素，为构建针对性防控体系、降低骨科医疗纠纷发生率提供临床依据。方法 选取本院骨科110例医疗纠纷案例作为研究对象，对所有纠纷案例的发生原因进行分类整理、归纳统计，分析各类纠纷的占比及分布规律。结果 本次选择2024年1月至2025年3月110例骨科医疗纠纷患者的一般资料，其中医疗缺陷类纠纷占比最高，为37.27%（41例）；其次为并发症相关纠纷，占34.55%（38例）；沟通缺陷类纠纷占16.36%（18例），三类因素合计占比88.18%，是骨科医疗纠纷的主导诱因。服务态度、服务流程及其他因素占比较低。细化分析显示，操作不规范、术后抗感染不足、医患告知不完善是纠纷发生的主要细节诱因。结论 骨科医疗纠纷成因具备明显的结构性特点，临床需重点强化诊疗规范性、优化术后并发症管理、完善医患沟通机制，全方位降低骨科医疗纠纷发生风险。

Abstract

Objective To statistically analyze the causes and distribution patterns of clinical medical disputes in orthopedics, identify high-risk factors for such disputes, and provide clinical evidence for establishing targeted prevention and control systems to reduce the incidence of orthopedic medical disputes.
Methods A total of 110 medical dispute cases from the orthopedics department of our hospital were selected as research subjects. The causes of all disputes were categorized, summarized, and statistically analyzed to determine their proportions and distribution patterns.
Results General data from 110 orthopedic medical dispute patients between January 2024 and March 2025 were reviewed. Medical defects accounted for the highest proportion (37.27%,41 cases), followed by complications-related disputes (34.55%,38 cases), and communication deficiencies (16.36%,18 cases). These three factors collectively accounted for 88.18% of all disputes, constituting the primary causes of orthopedic medical disputes. Service attitude, procedural protocols, and other factors accounted for a smaller proportion. Detailed analysis revealed that non-standardized procedures, inadequate postoperative infection prevention, and insufficient patient-informative communication were the main detailed causes of disputes.
Conclusion   The causes of orthopedic medical disputes exhibit distinct structural characteristics. Clinical practices should prioritize enhancing diagnostic and treatment standardization, optimizing postoperative complication management, and improving physician-patient communication mechanisms to comprehensively reduce the risk of orthopedic medical disputes.