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The article describes dynamics of forensic medical examinations on cases of doctors of therapeutic specialities. Special attention is paid to examinations on cases of cardiologists and pulmonologists. Studying archival documents we determined the peculiarities of defects of delivery of health care in a number of cardiologic and pulmonologic specialities.

Background. Statistics on the causes of death of patients with diabetes mellitus (DM) do not correspond to real indicators due to the insufficient level of diagnosis at the postmortem stage of research in most regions of the country. Aims. The aim of the study was a statistical analysis of the mortality of patients with diabetes as a result of diabetic comas for 2017-2020. Material and methods. The objects of the study were the blood and vitreous body of the eye (VB) from 4444 patients with diabetes who were registered with this disease during their lifetime. The content of glycohemoglobin in the blood, glucose, lactate and acetoacetate in the VB was determined. The diagnosis of diabetic coms was carried out taking into account previously developed criteria. Results. When analyzing the structure of mortality in patients with DM, it was found that 692 people died as a result of diabetic comas, which was 15.6%. In the structure of mortality of patients with DM, diabetic comas occupy a much larger percentage of cases than is available in statistical data. This situation is due to the insufficient implementation of laboratory tests at the postmortem stage of diagnosis, as well as the restriction of coding the cause of death of patients with DM as a result of diabetic comas. The developed methods for diagnosing diabetic comas are easy to perform, guarantee high accuracy and reliability of the result, and are available for any specialized laboratory. Conclusion. The most common hyperosmolar non-ketoacidotic coma. In recent years, there has been a tendency to reduce mortality as a result of diabetic comas.

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The main problems and diffi culties that arise when conducting Commission and complex forensic medical examinations in cases related to defects in the provision of medical care are considered. The authors note that there is a pluralism of views in science and practice regarding which institutions should conduct this type of expertise and what requirements should be met by members of expert commissions. The emphasis is placed on the fact that fi rst of all it is necessary to develop a unifi ed methodology for conducting expert examinations in this category of cases, which will be legally fixed and will become mandatory for all expert institutions. The need to comply with the existing rules for conducting expertise is emphasized. An example of an expert error made as a result of a violation of the existing procedure and methodology of expert work, which led to legal consequences in the form of charging a doctor without suffi cient evidence, in connection with which the court returned the criminal case to the prosecutor.