Firearm-related injuries in Canada: issues for prevention.

We reviewed the available data on firearm-related injuries in Canada to suggest strategies for prevention in the context of the proposed amendments to the Criminal Code (Bill C-17) currently before Parliament. The risk of death from a firearm in Canada is equivalent to the risk of death from a motor vehicle crash. We discuss the risks associated with firearms with regard to suicides, homicides and "accidents." We also discuss the accessibility of firearms. This article builds upon a recently published update on the epidemiologic basis of the public health approach for the prevention of firearm-related injuries and deaths. The key to the etiologic approach to preventing such injuries and deaths is to view the incidents, regardless of their medicolegal circumstances, as having one factor in common: the discharge of a firearm.     

Bioethics for clinicians: 23. Disclosure of medical error

ADVERSE EVENTS AND MEDICAL ERRORS ARE NOT UNCOMMON. In this article we review the literature on such events and discuss the ethical, legal and practical aspects of whether and how they should be disclosed to patients. Ethics, professional policy and the law, as well as the relevant empirical literature, suggest that timely and candid disclosure should be standard practice. Candour about error may lessen, rather than increase, the medicolegal liability of the health care professionals and may help to alleviate the patient's concerns. Guidelines for disclosure to patients, and their families if necessary, are proposed.     

Glass laceration injuries and prevention.

Accidents involving glass in doors, sidelights, specially vulnerable windows, and shower screens are an important cause of injury, and occasionally death. Most of the injuries are superficial cuts and abrasions, but many involve deep lacerations of tendons, nerves and muscles. The accidents occur mainly in children and young adults with the highest rate being among males aged from 15 to 19 years. The number and severity of these injuries could be reduced through the wider use of appropriate forms of safety glazing: laminated glass or toughened glass in new installlations, and the application of a plastic safety film to existing glass.     

医疗侵权特殊性对医疗损害赔偿的影响

医疗损害及其赔偿是否有别于一般的人身损害及其赔偿?医疗损害是否具有其特殊性?经过调研发现,医疗损害及其赔偿的特殊性已经基本上得到社会认可。     

The Swedish system for compensation of patient injuries

Abstract

Since 1975 Sweden has had a patient insurance system to compensate patients for health-related injuries. The system was initially based on a voluntary patient insurance solution, but in 1997 it was replaced by the Patient Insurance Act. The current Act covers both physical and mental injuries. Although about 9,000–10,000 cases are processed in Sweden annually, compensation is paid in barely half of these cases. In the Swedish patient injury claim processing system, the Patient Claims Panel is the authority that plays an important role in ensuring fair and consistent application of the Act.     

新型冠状病毒肺炎疫情期间医护人员器械相关压力性损伤的防范策略

从器械相关压力性损伤的产生原因与损伤症状入手,着重探讨其皮肤损伤表现、治疗方法与预防策略。通过对近年来国内外发表的相关文献进行综述,旨在为新型冠状病毒肺炎疫情防控一线临床医护人员提供相应的建议,也对将来器械相关压力性损伤的防治提供参考。     

智能医学影像识别研究现状与展望

智能医学影像识别是基于人工智能技术,对X线片、计算机断层扫描、磁共振成像等常用医学影像学技术扫描图像和手术视频进行分析处理的过程,其发展方向主要包括智能影像诊断、影像三维重建与配准、智能手术视频解析等。智能影像诊断和影像三维重建与配准可提高影像识别的效率和质量,为疾病诊断和治疗提供帮助;智能手术视频解析可帮助外科医师学习、理解外科手术,并进一步指导手术过程。目前,对该领域的研究已取得一定的进展,正在逐步走向临床应用。本文就智能医学影像识别取得的进展进行总结,并对该领域的发展前景进行展望。     

胎死宫内两家医院承担医疗赔偿责任

×××女患者因怀孕发生妊高症继发胎儿死于宫内,并导致胎盘卒中,最后剖宫取出死胎并切除部分子宫,患者历经甲、乙、丙三个医院的诊治,患者认为甲、乙医院有诊治过镨,将甲、乙医院告上法庭。     

The economic consequences of medical injuries. Implications for a no-fault insurance plan.

BACKGROUND--There has been little research into the actual economic consequences of medical injuries. This inhibits informed discussion of alternatives to malpractice litigation. For example, the cost of no-fault medical accident insurance has been thought to be prohibitive. METHOD--As part of a comprehensive analysis of medical injury and litigation, we interviewed a random sample of 794 individuals who had suffered medical adverse events in New York hospitals in 1984 and used their responses to calculate the cost of injuries. We then estimated the costs of a simulated no-fault insurance program that would operate as a second payer to direct insurance sources and would compensate for all financial losses attributed to medical injury. RESULTS--The estimated costs that would be paid by a simulated no-fault program were $161 million for medical care, $276 million for lost wages, and $441 million in lost household production, or a total of $878 million in 1989 dollars for the cohort of patients who were injured in 1984. CONCLUSION--Although our estimate does not include administrative costs, it nonetheless indicates that a no-fault program would not be notably costlier than the more than $1 billion New York physicians now spend annually on malpractice insurance.     

浅谈医疗纠纷产生的原因及防范

医疗纠纷,是指患者与医疗机构及医务人员因医疗活动而发生的纠纷。其中的患者,是指为了预防、治疗疾病或保健美容而在医疗机构就诊的自然人;医疗机构,根据《医疗机构管理条例》及其实施细则,是指经登记取得《医疗机构执业许可证》,依法从事疾病诊断、治疗活动的法人、非法人组织或个体诊所。     

医疗损害赔偿无过错责任质疑

医疗损害赔偿无过错责任,可能导致“选择性医疗”“防御性医疗”的大面积采用?医疗费用的普遍上涨以及医务人员注意义务下降等诸多问题,而现行的法律制度可以对患者权益给予比较周到的保护,故不应建立医疗损害赔偿无过错责任制度?