Expert-Legal Peculiarities Of Surgical Malpractice
DOI:
https://doi.org/10.11603/2414-4533.2016.4.7198Abstract
The prevalence, characteristics, causes and consequences of the misuse of surgeon care, based on the studies of materials of law enforcement cases, brought against surgeons, and commission examinations in the Ternopil Regional Bureau of the Forensic examination during 2007–2016, according to the cases were studied in details in the article. Deficiencies in health care for surgical patients were detected in 90.6 % of examinations for "Doctoring". Disadvantages of medical care generally were committed by district and city hospitals surgeons and outpatient departments during the healing process of patients with urgent surgical pathology, with prevailance among patients with trauma of the chest and abdomen. Most often the surgeons made diagnostic errors, their share among other defects of medical care was 35.4 %, errors in the conduct of medical records – (23.5 %), medical and tactical errors – (20.6 %), institutional errors – (17.6 %), ethical errors – (2.9 %). Doctors’ errors were rarely isolated, usually associating with each other. Insufficient surgical care was found in 47.7 % of cases, irregularity provided surgical care – in 33.3 % of cases, untimely medical aid – in 19.0 % of cases. Defects in the quality of surgical care were met both singly and in combination. Deficiencies in health care for surgical patients almost always (93.7 %) were accompanied by serious consequences: death, serious injury or injury of moderate severity. Surgeons’ errors, which were in the causation with serious consequences, were found in 40.6 % of examinations.
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