论医疗事故罪若干问题

【作者】 王会荣；

【导师】 杨开湘；

【作者基本信息】 中南大学 ， 刑法学， 2007， 硕士

【摘要】 认定医疗事故罪,需对构成医疗事故罪的几个关键要素作出准确把握。在犯罪客观方面,以医疗行为与医疗危害行为为理论基础,对“严重不负责任”和“严重损害就诊人身体健康”两个关键要素进行理解及认定。“严重不负责任”是指医务人员违反医疗规章制度和诊疗护理常规的行为。“严重不负责任”之“严重”已属立法上多余,建议将“严重不负责任”改为“违反医疗规章制度和诊疗护理常规”。“严重损害就诊人身体健康”是指达到《人体重伤鉴定标准》所确定的重伤程度,同时事故参与度在60%以上。在犯罪主体方面,“医务人员”是指具备一定知识或学历,通过相应执业资格考试并取得国家执业注册的卫生技术人员。不包括医疗机构中的工程技术人员、后勤人员和行政管理人员。医疗事故罪的主观方面是过失,医疗过失是指在医疗活动过程中,医务人员应当预见到自己的行为违反了规章制度和诊疗护理常规,可能造成就诊人死亡或身体健康严重损害的违法性结果,因疏忽大意而没有预见或已经预见但轻信能够避免的心理态度。在一般情况下,具备注意能力的医务人员违反注意义务,即可认定为其存在医疗过失。但在特殊条件下,如“被允许的危险”、“超越承担过失”和“紧急情况”等,应对医疗过失进行特殊认定。更多还原

【Abstract】 To identify the crime of medical accident, several critical components should be commanded correctly. In the terms of crime object, based on the theory of medical practice and medical hurting practice, two critical components "seriously irresponsible" and "seriously hurting patient’s health" are understood and identified. "Seriously irresponsible" refers to the practice that medical personnel violates the medical regulation and nursing convention. In the term "Seriously irresponsible", "Seriously" is redundant in the law. The thesis suggests changing "Seriously irresponsible" for "violating the medical regulation and nursing convention ". "Seriously hurting patient’s health" refers to reaching degree of serious injury which is described in《Human Body Serious Enjury Judging Standard》, meanwhile, the participating of accident shall be above 60 percent. In the terms of crime subject, "medical personnel" are those who possess some degree of knowledge or educational background, pass the corresponding practical qualification test and get the national practical registration, but not including the personnel who engage in medical engineering、support services and executive management. The subjective of crime of medical accident is negligence, and medical negligence refers to that in medical exercise medical personnel should foresee their own practice which violates the regulation and nursing convention maybe cause the patient to die or seriously hurt their health, but they don’t foresee all of those because of negligence, or they have foreseen those, but they believe the result can be avoided. Usually, medical personnel who possess capability of care violates the duty of care can be identified that he has medical negligence. But in special cases, such as "permittable danger"、"overload negligence" and "emergency" etc, medical negligence shall be identified specially.更多还原