医疗纠纷,如果关键病例有证据显示医院明显造假,那么医院承担什么样的过错责任?谢谢!
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医疗机构就医疗行为与损害结果之间不存在因果关系及不存在医疗过错承担举证责任,这是医疗机构举证责任的部分倒置。患方需要承担是否存在医患关系,患方是否存在损害事实、是否存在实际损失、损失多少等举证责任。
《关于民事诉讼证据的若干规定》第四条规定,因医疗行为引起的侵权诉讼,由医疗机构就医疗行为与损害结果之间不存在因果关系及不存在医疗过错承担举证责任。
即涉及医方是否存在医疗过错、医疗行为与损害结果之间是否有因果关系负有举证责任。
患方与医方是否存在医患关系,患方是否存在损害事实、是否存在实际损失、损失多少等举证责任均在患方,具体来说,患者要向法院提供以下证据:
1.患方的身份及亲属关系证明:患者身份证复印件,如患者死亡或不具有完全民事行为能力,则还需法定继承人或法定代理人(如配偶、父母、子女、兄弟姐妹等)的身份证及户口簿复印件;以证明患者或者其他人的身份情况;
2、病历资料复印件。包括患者门诊病历、住院志(入院记录)、体温单、医嘱单、化验单(检验报告)、医学影像检查资料、特殊检查同意书、手术同意书、手术及麻醉记录单、病理资料、护理记录、出院(死亡)小结等;这些证据如果医疗机构以种种理由不予复印,患方可申请法院吊取证据。
3、患者或家属的误工证明。如工资单或单位出具的工资证明;无工作单位的,由居委会或村委会出具无业证明;
4、相关费用单据和清单。包括相关的医疗费单据、护理费单据、营养费单据、交通费单据;如患者伤残,需提供残疾等级证明和残疾用具费单据;如患者死亡,需提供丧葬费单据,伤残和死亡都应提供患者实际抚养的、无其他生活来源者的户籍证明及无业证明;
5、其他。如有关专家的意见、证人证言、鉴定结论、医学文献资料等。证据必须注明证据的来源;书证须提交原件,提交原件确有困难的,可以提交复制品、照片、副本或节录本。
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