Document Detail


Malpractice and system of expertise in anaesthetic procedures in Turkey.
MedLine Citation:
PMID:  16139105     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Deaths which occur during the administration of anaesthetics require medicolegal investigations. The objective of this study is to form a database for future comparisons related to anaesthetic-associated malpractice claims and also to investigate the system of expertise, pertaining to such procedures. The decisions of the Supreme Health Council, whose expert opinion is requested by legal authorities (judges, prosecutors) for health workers brought to trial in a criminal court, were examined retrospectively over the period 1995-1999. In 21 (2.3%) of the 888 decision reports prepared by the council the team members (the anaesthesiologist , the anaesthetic assistant, the anaesthetic technician, the nurse) were directly interrogated. Data concerning these 21 council decisions were evaluated within the scope of this study. It was found that 57% of the 21 decisions were related to medical procedures carried out in state hospitals. Of the 21 cases, 62% were males, 38% females. General anaesthesia was applied to 19 of the cases while one received regional (local) anaesthesia and one axillary blockade. Twenty died of complications associated with anaesthesia. Autopsy was performed on 11 (55%) of the dead. Health workers were found to have different degrees of liability in the 16 (76%) of the 21 decision reports. In their medical practices, anaesthesiologists , like other specialists, are subject to legal procedures in the country where they perform their duties, to national and international principles of ethics, and to diagnostic and curative standards/procedures relevant to the scientific level of the country concerned. In anaesthetic malpractice claims, certain standards need to be followed in inquiries and approaches so as to determine the real reasons behind the disabilities and/or deaths which occur. In order that sound evaluations could be made in such cases, the experts as well as the system of expertise should be efficient and authorized.
Authors:
M Hakan Ozdemir; Necmi Cekin; I Ozgür Can; Ahmet Hilal
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Publication Detail:
Type:  Journal Article     Date:  2004-11-11
Journal Detail:
Title:  Forensic science international     Volume:  153     ISSN:  0379-0738     ISO Abbreviation:  Forensic Sci. Int.     Publication Date:  2005 Oct 
Date Detail:
Created Date:  2005-09-05     Completed Date:  2005-12-13     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  7902034     Medline TA:  Forensic Sci Int     Country:  Ireland    
Other Details:
Languages:  eng     Pagination:  161-7     Citation Subset:  IM    
Affiliation:
Faculty of Medicine, Dokuz Eylul University, Department of Forensic Medicine, Izmir, Turkey. hakan.ozdemir@deu.edu.tr
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Anesthesiology / legislation & jurisprudence*,  statistics & numerical data*
Cause of Death
Child
Child, Preschool
Databases as Topic
Female
Forensic Medicine
Humans
Infant
Infant, Newborn
Liability, Legal
Male
Malpractice / legislation & jurisprudence*,  statistics & numerical data*
Middle Aged
Retrospective Studies
Turkey

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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