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    您的位置:華律網 > 法律專題 > 醫療糾紛 > 鑒定文書 > 醫療事故鑒定申請書范本
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    醫療事故鑒定申請書范本

    醫療事故是指醫療機構及其醫務人員在醫療活動中,違反醫療衛生管理法律、行政法規、部門規章和診療護理規范、常規,過失造成患者人身損害的事故。確定是否為醫療事故目前需要醫療事故鑒定委員會鑒定才能認定。

    目錄

    • 1醫療鑒定申請書的書寫

      醫療鑒定申請書的書寫

      申請作醫療事故技術鑒定的申請書與申請衛生行政部門處理的申請書大同小異,只是在申請事項上有不同,也應當載明申請人的基本情況、有關事實、具體請求及理由等。可由患者一方提出申請,也可由醫療機構一方提出申請,以下以患者提出申請為例,參照如下樣式:

      醫療鑒定申請書

      申請人:,女,出生于年月日,漢族,

      身份證號:住址:

      聯系方式:

      被申請人:

      單位負責人:地址:

      聯系方式:

      申請事項

      閱讀全文

    • 2醫療事故鑒定申請書范本

      申請作醫療事故技術鑒定的申請書與申請衛生行政部門處理的申請書大同小異,只是在申請事項上有不同,也應當載明申請人的基本情況、有關事實、具體請求及理由等。可由患者一方提出申請,也可由醫療機構一方提出申請,以下以患者提出申請為例,參照如下樣式:

      醫療事故鑒定申請書

      申請人:姓名,性別,出生年月,民族,工作單位,職業,住址,聯系電話。

      被申請人:單位名稱(要寫全稱),地址,聯系電話。

      法定代表人(負責人):姓名,職務。

      申請事項

      申請對申請人與被申請人之間的醫療糾紛作醫療事故技術鑒定;

      事實和理由

      ****年*月*日,申請人到被申請人處就診,因...............(寫明事實經過及要求申請作醫療事故技術鑒定的理由,可分兩段寫,第一段寫事實,第二段寫明理由。)

      閱讀全文

    • 3醫療事故鑒定申請書樣本

      申請人:

      被申請人:

      法定代表人:

      申請事項

      申請對申請人與被申請人之間的醫療糾紛作醫療事故技術鑒定。

      事實和理由

      申請人于XX年年10月4日入住被申請人婦產科分娩,于6日0時55分接受被申請人施行子宮下段剖宮產術,1時03分順利產下一男嬰,并安全返回病房,嬰兒于1時08分轉被申請人兒科治療,轉科診斷:1、早產極低

      閱讀全文

    • 4對于醫學會的首次鑒定不服,如何申請再鑒定

      再次鑒定的申請,是醫療事故爭議當事人或其法定代理人,不服地方醫學會作出的首次鑒定結論,依照本《條例》和國務院衛生行政部門制定的《醫療事故技術鑒定辦法》規定的程序和期限,向醫療機構所在地衛生行政部門提交請求所在省、自治區或直轄市地方醫學會給予再次鑒定的書面申請。

      提出再次鑒定申請必須符合以下條件:

      1、必須是醫療事故爭議當事人或其法定代理人提出的;

      2、必須是對地方醫學會作出的首次鑒定不服所提出的,其“不服”的內容可包括對事實的認定、法律法規的適用和鑒定的程序等事項;

      3、必須是依照本條例和國務院衛生行政部門《醫療事故技術鑒定辦法》規定的程序和期限;

      4、必須是向送達首次醫療事故技術鑒定書的衛生行政部門提出申請;

      5、提起由所在省、自治區或直轄市地方醫學會組織再次鑒定的當事人或其法定代理人向醫療機構所在地衛生行政部門提交再次鑒定的申請書時,必須按照本《條例》第二十八條的規定,同時提交醫療事故技術鑒定所需要的材料

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    • 5醫療事故重新鑒定的申請

      《醫療事故處理條例》

      第三十九條 醫學會對經衛生行政部門審核認為參加鑒定的人員資格和專業類別或者鑒定程序不符合規定,需要重新鑒定的,應當重新組織鑒定。重新鑒定時不得收取鑒定費。

      如參加鑒定的人員資格和專業類別不符合規定的,應當重新抽取專家,組成專家鑒定組進行重新鑒定。

      如鑒定的程序不符合規定而參加鑒定的人員資格和專業類別符合規定的,可以由原專家鑒定組進行重新鑒定。

      [分析說明]

      醫療事故技術鑒定的重新鑒定,是指醫學會經衛生行政部門審核認為參加鑒定的人員資格和專業類別或者鑒定程序不符合規定而重新組織的鑒定。重新鑒定應當在下列情形下進行:

      1)參加鑒定的人員資格和專業類別不符合規定。在這種情形下應當由醫學會重新組織雙方當事人重新抽取專家組成鑒定組進行鑒定。

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    • 6醫療事故再次鑒定申請書怎么寫

      再次鑒定申請書

      申請人:姓名,性別,出生年月,民族,身份證號,聯系電話,住址。

      申請事項:申請再次進行醫療事故技術鑒定。

      申請理由:

      申請人對徐州市醫學徐州醫鑒[2006]104號《醫療事故技術鑒定書》的“診治概要”和“分析意見”、“結論”不服,故申請再次醫療事故技術鑒定。

      一.“診治概要”不符合事實。

      1、該診治概要是“據XX醫院病歷記錄,…………”。這是醫方的一面之詞,而且與事實不符。…………

      2、“…………”這也是依照醫院病歷的記錄,事實是…………。

      二.“分析意見”不科學、不公正。

      1、分析意見1

      “由于患者未作尸檢,推測系多種嚴重基礎疾病……等綜合因素致死亡”,這種推測是沒有事實依據的。

      (1)患者這次患病之前只是“…………”(有XX醫院病歷記錄或者檢查為證),并不存在多種嚴重基礎疾病。

      閱讀全文

    最近更新:2019-07-03
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