Analysis of Commission Forensic-medical Examinations performed in Cases Concerning the Responsibility of Surgical Professional Doctors

Kozan, N. M.; Voloshynovych, Volodymyr; Kotsyubynska, Yuliia; Zelenchuk, Halyna; Tsikhivskyi, A. O.

doi:10.21802/gmj.2020.2.10

Cited by 2 publications

(1 citation statement)

References 3 publications

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“…(2018), Н. М. Козань зі співавт. (2020))[5,6,8], недостатнє методологічне забезпечення судовомедичних експертиз у випадках кримінальних проваджень проти лікарів та застарілість існуючої нормативної бази, яка не відповідає сучасним запитам судово-слідчої практики, призводить до суб'єктивності виконання таких експертиз, без необхідної системності, фактично на власний розсуд. Унаслідок цього страждає наукова обґрунтованість і доказовість підсумків експертів, що створює підстави для визнання «Висновку експерта» недопустимим доказом, тому негативно відображається на розслідуванні і, в кінцевому підсумку, не сприяє встановленню істини в суді.Тому метою цієї роботи стало створення докладної методики організації і виконання судово-медичної експертизи з приводу скарг на дефекти медичної допомоги та розробка конкретних практичних рекомендацій для судово-медичних експертних установ у випадках досудового розгляду кримінальних проваджень стосовно правопорушень у сфері охорони здоров'я.На підставі вивчення матеріалів 350 судовомедичних експертиз у випадках притягнення медичних працівників до кримінальної відповідальності, виконаних у Тернопільському обласному бюро судово-медичної експертизи, КМУ «Бюро судово-медичної експертизи Департаменту охорони здоров'я Чернівецької ОДА» й «Обласному бюро судово-медичної експертизи Житомирської обласної ради» впродовж 2007-2016 років[7], з урахуванням власного експертного досвіду пропонуємо таку методику судовомедичних експертиз за «лікарськими справами».…”

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Methodology of the performance of forensic medical examination in cases of medical malpractice litigation

V.V.

B.V.

2022

Med. perspekt.

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Forensic medical examination is the main source of evidence in criminal cases related to defects in the provision of medical care. Despite the implementation in Ukraine of the new Criminal Procedural Code and the reform of the law enforcement system, this type of expert activity is not sufficiently regulated up to now. Development of an unified methodology for the organization and conduction of forensic medical examinations in cases of medical malpractice litigation is the goal of the research. On the basis of national legislation, 135 Court decisions and 350 case materials regarding the medical practitioners involved in negligence were investigated, algorithm of the expert commission’s activity is created. The algorithm consists of four sequential stages: preparatory, organizational and informational, analytical and evaluative and final. An acquaintance with the case materials takes place at the preparatory stage. The following problematic issues are normally solved during the 2nd stage of the algorithm: the personnel of the expert commission, an appointed rapporteur, the main disease or injury the claimed patient suffered, the literature data and normative documents that govern the provision of medical care in a particular case. At the analytical and evaluative stage, the features of the pathological process in the victim are clarified, the admitted defects of medical care are established with their expanded expert characteristics. At the final stage, the expert commission draws up an "expert conclusion", in which it states the negative consequences of an admitted defect in medical care, establishes a causal relationship and makes a reasonable conclusion about the main reason for the development of an unfavorable outcome for the patient.

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Methodology of the performance of forensic medical examination in cases of medical malpractice litigation

V.V.

B.V.

2022

Med. perspekt.

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Epistemological construction doctrine of the veterinary care defect phenomenon in forensic veterinary examination

Yatsenko

2023

Law. Human. Environment

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To prove the guilt of a veterinary professional in causing harm to animal health, forensic veterinary examination plays an important role, as the expert’s opinion is a source of evidence in legal proceedings that helps law enforcement agencies or the court to correctly qualify the offence and establish the compliance of certain actions of a veterinary professional with the current legislation. However, the study of the problem of defects in veterinary care is not properly covered in Ukrainian scientific sources. The research aims to formulate a definition of the concept of “defects in veterinary care”, to identify the signs of this phenomenon in the aspect of forensic veterinary examination, to propose a classification of types of defects and to give their characteristics. The methodological basis of the study is a systematic approach due to the specifics of the topic of the work and involving the use of general scientific and special scientific methods, including analysis, synthesis, analogy; logical and semantic method; systemic and structural method; modelling method; comparative legal method. It is proved that a defect in the provision of veterinary care should be considered a situation where a veterinary professional performs poorly diagnostic, therapeutic, tactical, resuscitation, rehabilitation and other procedures, carries out preventive measures, and also performs professional duties improperly or fails to perform them, which causes or may cause negative consequences for the animal(s) in the form of a health disorder (disease, injury, mutilation, etc.) or cause death. The author’s definitions of the concepts of “non-performance or improper performance of professional duties by a veterinary practitioner”, “accident in veterinary practice”, and “professional error in veterinary practice” are proposed and their signs are outlined. It is shown that defects in veterinary care can be caused by both objective and subjective factors. A classification of defects in veterinary care is proposed: by stages of veterinary care, elements and nature of veterinary care, and legal basis. The practical significance of the study is that it forms the basis of the methodology for determining defects in veterinary care during forensic veterinary examination

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Analysis of Commission Forensic-medical Examinations performed in Cases Concerning the Responsibility of Surgical Professional Doctors

Cited by 2 publications

References 3 publications

Methodology of the performance of forensic medical examination in cases of medical malpractice litigation

Methodology of the performance of forensic medical examination in cases of medical malpractice litigation

Epistemological construction doctrine of the veterinary care defect phenomenon in forensic veterinary examination

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