Medical errors classification approaches in focus

patient doctorSafety in health care, the protection of the patient from complications arising from the treatment and providing appropriate medical care to the patient according to safety standards are the basis of a mandatory attribute of the rule and the professional activity of the doctor.

In medical practice and the relevant literature the term and concept of ‘medical error’, and the scope of these errors, unfortunately, is quite huge. At the same time one of the largest ’secrets’ of medicine are medical errors, the concealment of which is associated with the fear of prosecution for a poor knowledge of the specialty and the possible penalty that prevents the active work on the errors. The importance of the problem is high and it is pretty clear that health authorities need to reorganise and rearrange the information about medical errors and their analysis.

Most often in practice of the physician adverse side effects include complications of drug therapy. So what causes these reactions: the wrong choice of drugs (including the cases without taking into account contraindications of a patient and information about them in the instruction to the drug), dosage errors, intolerance, the simultaneous use of two or more drugs and etc. The greatest number of errors (more than 70%) is due to the combined prescription of medicines. Thus, simultaneous reception 8 drugs increases the likelihood of medical errors by 50%. (more…)

This is how medical negligence solicitors work

medical lawsuitThe basic principle of conducting lawsuits related to medical negligence lies in an approach to doctors activity investigation, which reduces the demand to just ‘know what you’re doing’. Lack of professional management of a claim for medical negligence can lead to undesirable results – a complete rejection, or only partial coverage of the damage. Lack of understanding of the description and documentation of the medical case, a wrong choice of a specialist doctor for medical examination, lack of proper instructions from the doctor, and even a recommendation from a lawyer to file a lawsuit that has no chance of being satisfied – all these factors can nullify your efforts. So let us share the insights we get from medical negligence solicitors experts we are getting in touch with on a regular basis.

To take a doctor in the act is not the best option

In the conduct of medical negligence cases, it is important to understand that the task of the lawyer is not ‘catch’ the doctors on their oversight to justify the requested compensation. Doctors have to take complex and urgent decisions, and they can not be sure they are 100% right. So sometimes they make mistakes, like the rest of people every day, but sometimes these mistakes are the result of medical negligence. In this case, the patient has the right to get a compensation for physical and moral damage. (more…)

When ‘res ipsa loquitur’ works: real cases overview

medical malpactice casesRes ipsa loquitur doctrine is hard to base the arguments on in the court, and according to the polls among medical negligence solicitors, only 19% consider that using the doctrine is a reasonable in medical negligence practice. Nevertheless, there are cases when the plaintiff inflicted such damage that shows undeniable malpractice. In the case against the Voice of Cambridge Area Health Authority a patient suffered a brain injury due to the fact that he had a heart attack when he was under general anesthesia. The Court concluded that this was not supposed to happen under the described circumstances, and that therefore the accused had to provide an explanation of what happened that would prove the absence of criminal negligence in his actions.

The Canadian case of McDonald v. York County Hospital gives us the following example. In this case, the plaintiff was taken to hospital for treatment of ankle fracture and he went out of the hospital with an amputated leg. All the prerequisites of res ipsa loquitur doctrine were there: usually in such circumstances the patient does not lose his leg until clinical negligence takes place. The plaintiff could not explain what had happened and the accused could not explain it and the plaintiff have a doctor whose criminal negligence led to this injury. (more…)

Medical diagnostics and the legal concept of the process

diagnosis-processThe term ‘diagnostic process’, according to many of doctors, impoverishes the entire range of problems faced by the patient at the very beginning of the conversation with the doctor. Seasoned experts say that making a diagnosis is a creative process, as a rule, does not fit into the standard scheme. As there are no two identical doctors, and no two patients with identical conditions and problems, the spectrum of diagnostic methods aimed at figuring out the clinical picture in patients suffering from certain nosological forms of the disease is very wide in experienced, qualified and truly professional doctors (in young doctors, this spectrum is more narrow, but it could be more schematic).

Despite the fact that healing – is not so much a craft as an art of action by the doctor the term ‘diagnostic technology’ is oftentimes used in regard to diagnostic process as the work of a conveyor for the production of diagnostic services, at the inlet of which an unknown object is supplied, while on the output this image is filled with volume and content. The technological approach allows the physician to present architecture of the affected organs and systems of the patient causal connection between the relationship of the disease and impaired function of complex biological systems in the patient. This approach is also oftentimes used in legal practice according to Steve Duarte, medical negligence solicitors representative with years of experience under the betl. (more…)

The state of affairs around clinical negligence in well developed economies

regulations-medicineState regulation of medical practice was outlined in Rome. The provisions of the Roman law, the boundary between the reckless and deliberate actions of doctors gradually began to be reflected in the criminal laws of the countries of Western Europe. In the Middle Ages period, the Catholic Church has detained the development of medicine and law, the liability for the failure of healing solved, first of all, from the standpoint of violation of theological dogmas. Institute of mistakes over the years is deeply studied by experts in the field of criminal law. Standards of error contained in the criminal law of certain foreign countries, such as Argentina, Spain, Poland, the USA, France and etc.

Differentiation of intent and error are gradually reflected in the laws of all European countries, although the question of their liability was solved differently. In Germany and Austria the responsibility of the doctor for his professional shortcomings is viewed from the perspective of the private relationship between the doctor and the patient. Criminal liability for the mistakes of doctors is almost completely absent, but they face many civil lawsuits. Establishing a causal link between the fault of the doctor and the harm is the plaintiff’s prerogative. If the patient is, to some degree, is capable of finding guilt of unsatisfactory outcome of treatment, the physician’s responsibility is excluded. Current legislation of foreign countries (Austria, Germany, France) punishes only gross medical error because the relationship between doctor and patient is now recognised as private. Foreign legislation contains special provisions on the criminal liability ‘for improper medical treatment and clumsily, awkwardly carried out operation’ (you may want to get more info paragraphs as 856, 857 of the Criminal Code of Austria).

According to Art. 122-3 of the Criminal Code of France criminal liability is not initiated against the person submitting the evidence that the error made could have been avoided or shouldn’t have been manifested, the doctor was conducting his work in accordance with good practices and hence he is not responsible for the error.

legal-researchIn the UK, clinical negligence area is, perhaps, the most complicated against the background of European countries; this way or the other, either administrative or criminal prosecution can be initiated in such cases. The complexity and a higher demand in services result to an increase of the legal niche: according to Solicitors Guru, a large UK legal aggregator where you can find a solicitor, the number of medical negligence solicitors has risen by 12% in comparison with 2013.

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Clinical negligence around the globe: the legal perspective

medical crimesAccording to the United States Model Penal Code, medical personnel commits two forms of crime – inadvertently (recklessly), carelessly (negligently). Thus, the American commentary on the Criminal Code and the Manual on criminal law define criminal negligence as a situation of ignoring the substantial and undue risk, which the subject did not know, but should have known and taken into account. These same sources interpret criminal negligence (recklessness) as a situation of ignoring the substantial and undue risk, a subject was aware of, but consciously ignored them and continued risky behavior. It is easy to conclude that the domestic legal literature describes this form of guilt as ‘criminal irresponsibility’. (more…)

Claims and originating proceedings trends in London

uk legal servicesWhen looking through the archives posted at official UK government website, we have found out plenty of interesting correlations and statistics as for claims and originated proceedings issued in London by nature of proceedings. The statistics we have excavated touch the period starting from the year 2006 to the year 2012. So let us point the trends and tendencies findings we have managed to dig out.

As for the nature of proceedings around land and property industry, the obvious growth trend in the number of proceedings is observed. For example, contract of sale and purchase have jumped from 10 cases in 2006 up to 86 cases in 2012. Both landlord and tenant and mortgages and charges proceedings have experienced a rapid growth in the aforementioned period. The records went up from 3 and 1 cases in 2006, up to 63 and 56 cases in 2012 accordingly. Another interesting fact is that it seems that the nature of proceedings gets more uniform in land and property area: the amount of proceedings classified as ‘other’ have been cut down from 1000+ cases to 190 cases in 2012. (more…)