閱讀全文 月旦醫事法報告 第12期 http://.com.tw/magazine/m_single.asp?bkid=1924 學習式判解評析 學 學 習 習 式 式 判 判 解 解 評 評 析 析 舟狀骨骨折誤診案 舟狀骨骨折誤診案 舟狀骨骨折誤診案 Interaction Interactionofof Interaction of : : Western Western Medical Medical Science Science Case Case ofofa amisdiagnosis Misdiagnosis Western Medical Science: Case of a ofof Fracture ofofscaphoid Scaphoid Misdiagnosis offracture Fracture of Scaphoid **** Chen* Lee** * * 李貞瑩 Chen-Ying Chen-Ying Lee Lee Chen Chen 李貞瑩 李貞瑩Chen-Ying 摘摘要要 本案原告因車禍造成右腿受傷 送往被告醫院急診 本案原告因車禍造成右腿受傷 送往被告醫院急診 由取得醫師證書僅3個月餘之住院醫師診治 雖針對右 由取得醫師證書僅3個月餘之住院醫師診治 雖針對右 足踝拍攝X光片 但未診斷出有右足舟狀骨骨折 嗣原 足踝拍攝X光片 但未診斷出有右足舟狀骨骨折 嗣原 告至同院中醫傷科 先後由兩位被告中醫師 於不知 告至同院中醫傷科 先後由兩位被告中醫師 於不知 原告有骨折之診斷下 以傷科手法及外敷膏藥治療共3 原告有骨折之診斷下 以傷科手法及外敷膏藥治療共3 個多月 後始由他院醫師診斷為右足舟狀骨陳舊性骨 個多月 後始由他院醫師診斷為右足舟狀骨陳舊性骨 成功大學法律系兼任副教授 Adjunct Associate of *成 *成 功功 大大 律律 系系 兼兼 任任 副副 教教 授 Associate 授 Associate University 成功大學醫學系臨床助理教授 Clinical 成 成 功 功 大大 醫醫 系系 臨臨 床床 助助 理理 教教 授 Clinical 授 Clinical Assistant Assistant 行政院衛生福利部臺南醫院中醫科主任 Director 行政院衛生福利部台南醫院中醫科主任 Director 行政院衛生福利部台南醫院中醫科主任 Director Welfare Tainan Tainan Hospital, Hospital, Ministry Ministry Health Health Welfare, Welfare, R.O.C. R.O.C. ** 臺 灣灣 高高 雄雄 地地 方方 院院 官 Criminal Court Judge, Taiwan Kaohsiung ** 臺 官 Criminal Court Judge, Taiwan Kaohsiung District District Court Court 關鍵詞 關鍵詞 中醫師 中醫師 medicine medicine practitioner 信賴原則 legitimate practitioner 信賴原則 legitimate 組組 織織 醫醫 療療 責責 任 任 responsibility responsibility medical medical expectation expectation organization 業業 務務 過過 失失 傷傷 害 injury vocational organization 害 injury vocational negligence 團隊醫療 team negligence 團隊醫療 team medical medical DOI 10.3966/241553062017100012006 DOI 10.3966/241553062017100012006.com.tw.com.tw.com.tw 61 7 7
X Getting injuries on his right leg, being sent into emergency room in hospital, plaintiff in this case was treat by a R1 which got certificate only for 3 months. Even though R1 took an X-Ray for his right leg, he still didn t diagnose fracture of scaphoid on right leg. After going to department of Medicine taking treatments by 2 medicine practitioners as accused. Without knowing fracture of scaphoid, y treated plaintiff traumatologic diagnosis ointments for more than 3 months. plaintiff was diagnosed with old fracture of scaphoid with bad union by or physician in anor hospital in end. plaintiff complained refore 2 medicine practitioners about injury of vocational negligence civil compensation. 2 authors would like to discuss many topics in this case, like seniority capacity of physician, responsibility of medical organization, authority of judging X-Ray by medicine practitioner duty of referral, possibility of consequent-foreseeing duty of consultation referral, team medical, legitimate expectation its limitation. 62 Angle Health Law Review
本件之審級歷審表 民刑判決日期案號判決 2005 4 21 2009 3 24 9 2 439 9 4 716 720 D C D 2009 4 13 9 4 13 2,355,225 2010 3 31 9 8 3 3,371,028 2010 6 10 9 9 1064 A 2001 12 26 B3 CX A AB D E3 A A 2002 11 25A.com.tw 63
A 2003 5 13C D E E 2007 1 2394 721 一 刑事判決 D DD A X X C C D X A X A AD D C 3CA C 64 Angle Health Law Review
二 民事判決 B D EF G H A 2,355,225 B A 3,371,028 D F G H 1 X 一 醫師的年資 能力與組織醫療責任 1 24 1 47-57.com.tw 65