diff --git a/logs/.2c17bf7b4e92189ae54ef8e767273ceaeb613314-audit.json b/logs/.2c17bf7b4e92189ae54ef8e767273ceaeb613314-audit.json
new file mode 100755
index 00000000..9d14d063
--- /dev/null
+++ b/logs/.2c17bf7b4e92189ae54ef8e767273ceaeb613314-audit.json
@@ -0,0 +1,20 @@
+{
+    "keep": {
+        "days": true,
+        "amount": 14
+    },
+    "auditLog": "/root/.openclaw/workspace/his-repo/logs/.2c17bf7b4e92189ae54ef8e767273ceaeb613314-audit.json",
+    "files": [
+        {
+            "date": 1778128585254,
+            "name": "/root/.openclaw/workspace/his-repo/logs/application-2026-05-07.log",
+            "hash": "2ec545aad5feb57a45e48b0a980690b3b9ef6b90e57204f6c3dfb1c7f2fd4d95"
+        },
+        {
+            "date": 1778200962650,
+            "name": "/root/.openclaw/workspace/his-repo/logs/application-2026-05-08.log",
+            "hash": "cf50ef7b8aa656efb0a209a252219fea97a437ff9020b1b8770788f1ba51303e"
+        }
+    ],
+    "hashType": "sha256"
+}
\ No newline at end of file
diff --git a/logs/.9c2086cba7d24dcd050254bba93c4693957f894e-audit.json b/logs/.9c2086cba7d24dcd050254bba93c4693957f894e-audit.json
new file mode 100755
index 00000000..c346d314
--- /dev/null
+++ b/logs/.9c2086cba7d24dcd050254bba93c4693957f894e-audit.json
@@ -0,0 +1,20 @@
+{
+    "keep": {
+        "days": true,
+        "amount": 14
+    },
+    "auditLog": "/root/.openclaw/workspace/his-repo/logs/.9c2086cba7d24dcd050254bba93c4693957f894e-audit.json",
+    "files": [
+        {
+            "date": 1778128585256,
+            "name": "/root/.openclaw/workspace/his-repo/logs/error-2026-05-07.log",
+            "hash": "84a811bf9cf76799b49d36df79427471c8e0cfaa1bd359422d69091b06a64f87"
+        },
+        {
+            "date": 1778200962653,
+            "name": "/root/.openclaw/workspace/his-repo/logs/error-2026-05-08.log",
+            "hash": "83b015957301572a67ea6fb41a65dfe5aa357831ca361155629630c6e9ef68bd"
+        }
+    ],
+    "hashType": "sha256"
+}
\ No newline at end of file
diff --git a/openhis-ui-vue3/src/views/surgicalschedule/index.vue b/openhis-ui-vue3/src/views/surgicalschedule/index.vue
index 2108a7a6..e7c9c6ed 100755
--- a/openhis-ui-vue3/src/views/surgicalschedule/index.vue
+++ b/openhis-ui-vue3/src/views/surgicalschedule/index.vue
@@ -1113,12 +1113,14 @@ function loadOrgList() {
         const records = res.data?.records || res.data || []
         orgList.value = records.map(item => ({ id: item.id, name: item.tenantName || item.name }))
       } else {
-        proxy.$modal.msgError('获取卫生机构列表失败')
+        // 权限不足时静默降级，不弹窗阻断（Bug #441）
+        console.warn('卫生机构列表加载失败（可能无权限）:', res.message || res.code)
         orgList.value = []
       }
     })
-    .catch(() => {
-      proxy.$modal.msgError('获取卫生机构列表失败')
+    .catch((err) => {
+      // 网络错误或权限拒绝：静默降级
+      console.warn('卫生机构列表加载失败:', err?.message || err)
       orgList.value = []
     })
 }