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%. Continue reading “Medical errors classification approaches in focus”

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 belt. Continue reading “Medical diagnostics and the legal concept of the process”

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’. Continue reading “Clinical negligence around the globe: the legal perspective”