Medical malpractice and cancer of the skin

BACKGROUND: A litigation crisis exists in this country, and it may be better understood through analysis of lawsuits. Verdict summary analysis has been used for this purpose. METHODS: Ninety-nine jury verdict reviews from 1986 to 2001 were obtained from a computerized database. Reviews compiled data on defendants, plaintiffs, allegations of wrongdoing, cancer cell types, sites, outcomes, and case summaries. Data was entered into a spreadsheet for analysis. RESULTS: Failure to diagnose was alleged in 54%; of these, 48% alleged biopsies were inappropriately omitted. Allegations were highest for failure to diagnose in dermatologists and general practice physicians, for misdiagnosis in pathologists, and for complications in surgeons. Young patients and those with poor outcomes received more and larger awards. Trauma appears to have support for a role in causation of skin cancer in some courts. CONCLUSIONS: The study of skin cancer suits may help develop risk management and prevention strategies.     

法学在医疗事故处理中的应用体现

现代医学服务的对象是人，涉及到人的生命和健康．故有其相应的特殊性。《医疗事故处理条例》的正式颁布实施．对医疗事故的处理做了更科学、更严谨、更规范的规定，更好地保护了患者、医疗机构及医务人员的合法权益，对维护医疗秩序、保障医疗安全、促进医学科学的发展起到强有力的保障和推动作用，同时也推进了我国医学法制建设。也加快了我国医疗管理现代化、科学化、规范化的进程。文章就医疗事故处理中所涉度的法学基本要点进行简要阐述。     

《医疗事故处理条例》对临床医师的心理影响及对策研究

<医疗事故处理条例>(以下简称<条例>)的实施在维护医疗秩序、保障患者权益方面起到了很大的作用,但同时也对广大医务人员产生了一定的心理影响和压力.本文通过对重庆市临床医师的抽样调查反映了这种心理压力,并进行对策方面的探讨和研究.     

医疗事故技术鉴定中医疗争议的构成分析

目的为医疗管理部门制定医疗纠纷预防方案提供参考依据。方法普查和横断面研究。结果有43.8%的医疗纠纷被省级医学会鉴定为医疗事故;医疗事故中医疗过失与疾病本身对损害后果的参与度大致相等;误诊误治(49.7%)等医疗技术方面的过失仍是当前引发医疗事故的主要原因;绝大多数的医疗过失行为(80.9%)发生在手术科室,尤以妇产科(36.8%)、骨科(31.9%)和普外科(16.0%)常见;侵犯患者知情同意权的现象比较多见;患方对属于疾病自然转归等医学知识认识不足是非医疗事故医疗纠纷的重要原因。结论对医疗争议的构成特征进行分析,能够为医疗质量管理指明方向。     

Presidential address: medical-legal issues in obstetrics and gynecology

Patients, physicians, insurance companies, and legislators are expressing mounting concern in the area of malpractice insurance costs and its effect on the availability of health care. In 1986, the highest award in the history of medical-legal claims, 1,200,000 US dollars, was paid. By 2001, the average award had increased to 3,500,000 US dollars. In the late 1970s the California's Medical Injury Compensation Reform Act (MICRA) was passed. This article discusses the elements of this important legislation and its effects on the cost of medical malpractice in California, the anatomy and pathophysiology of a medical-legal claim, and the characteristics of excellent expert witnesses and suggests some important elements of a redesigned system of medical-jurisprudence.     

浅议医疗事故损害赔偿的实体法依据

《医疗事故处理办法》及其实施细则和《民法通则》都是适用医疗事故赔偿案件的法律依据。如果确立了医患双方是医疗合同关系,《消费者权益保护法》、《合同法》也是医疗事故赔偿的法律依据。     

Litigabilidad y defendibilidad en neurología y neurocirugía. Un modelo «terapéutico» para el manejo de reclamaciones por mala praxis asistencial

Despite its indisputable importance, there are not many official data on claims for malpractice at the national level in Spain, mainly due to transfers from Health to the Autonomous Communities. This lack of unified information, together with other variables related to modern Healthcare Medicine (type of healthcare system, ethical aspects, consent, patients’ rights, new technologies, etc.), complicates the healthcare professional's response to claims, and could not guarantee adequate protection of this against possible liability.This article analyzes the current situation in Spain and emphasizes aspects such as defensibility and liability in malpractice claims, taking as a model the Neurosurgery Specialty, one of the most prone to this type of situation.Prevention and action guidelines are offered, through a model aimed at reinforcing defensibility and reducing liability. This approach, which we call a «therapeutic model», considers the problem analogously to a disease, providing the basis for its prevention and management.We believe that this approach can be useful both to the neurosurgeon and to any healthcare provider at a time, such as today, when there is some confusion on these issues and some reluctance of insurance companies to provide coverage in some cases.     

医疗纠纷处理中引入听证制度的可行性探讨

听证制度是行政民主化的产物，可在宪法中找到理论依据。在医疗纠纷处理中引入听证制度有着现实的可操作性，它有利于卫生行政部门依法行政，有利于维护医患双方的合法权益。要强化听证程序对行政决定的作用。