Experience of obstetricians and gynecologists in the management of medicolegal cases in Egypt

Sobh, Zahraa Khalifa; Oraby, Esraa Hassan Ahmed; Abdelaziz, Saffa

doi:10.1186/s12905-022-02065-6

Cited by 7 publications

(3 citation statements)

References 24 publications

(51 reference statements)

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“…Over three-quarters of the participants were under 40, and more than two-thirds practiced medicine for ten years or less. The participation of a high percentage of new generations could be attributed to their accessibility to online webpages through which the questionnaire was distributed more than seniors 31 , 32 .…”

Section: Discussionmentioning

confidence: 99%

“…The governmental institutes in Egypt serve most populations, particularly those who cannot afford the cost of treatment in private institutes. Also, tertiary governmental hospitals receive emergency and complicated cases that private hospitals cannot manage 31 , 32 . The high workload could stand behind relative medical supply shortages and waiting times that promote violence toward medical staff 40 .…”

Section: Discussionmentioning

confidence: 99%

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Medicolegal analysis of physical violence toward physicians in Egypt

Khedr,

Mohamed,

Sobh

2024

Sci Rep

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This study analyzed physical violence against physicians in Egypt from a medicolegal perspective. 88%, 42%, and 13.2% of participants were exposed to verbal, physical, and sexual violence. Concerning the tools of violence, 75.2% of attackers used their bodies. Blunt objects (29.5%), sharp instruments (7.6%), and firearm weapons (1.9%) were used. The commonest manners of attacks were pushing/pulling (44.8%), throwing objects (38.1%), and fists (30.5%). Stabbing (4.8%) and slashing (2.9%) with sharp instruments were also reported. Traumas were mainly directed towards upper limbs (43.8%), trunks (40%), and heads (28.6%). Considering immediate effects, simple injuries were reported that included contusions (22.9%), abrasions (16.2%), and cut wounds (1.9%). Serious injuries included firearm injuries (4.8%), internal organs injuries (3.8%), fractures (2.9%), and burns (1.9%). Most (90.5%) of injuries healed completely, whereas 7.6% and 1.9% left scars and residual infirmities, respectively. Only 14.3% of physicians proceeded to legal action. The current study reflects high aggression, which is disproportionate to legal actions taken by physicians. This medicolegal analysis could guide protective measures for healthcare providers in Egypt. In addition, a narrative review of studies from 15 countries pointed to violence against physicians as a worldwide problem that deserves future medicolegal analyses.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Medicolegal analysis of physical violence toward physicians in Egypt

Khedr,

Mohamed,

Sobh

2024

Sci Rep

Self Cite

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“…Therefore, a self-administered questionnaire was formulated after careful reviewing of relevant literature and distributed online (Ashraf et al, 2014;Galal, 2016;Alsaihati et al, 2017;Skowron and Angelos, 2017;Chen and Das, 2022). Responses were received from 97 surgeons from nine Egyptian governorates, a relatively limited number of participants could be attributed to a tendency of non-disclosure of work-related data or noninterest in the research topic (Zaki and Sobh, 2021;Sobh et al, 2022).…”

Section: Discussionmentioning

confidence: 99%

A Survey on Applying Ethics of Informed Consent Among Egyptian Surgeons

Mohamed,

Khedr,

Ali

et al. 2023

Mansoura Journal of Forensic Medicine and Clinical Toxicology

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Surgical informed consent (SIC) is a fundamental part of safe clinical practice.SIC is an outcome of a proper informative process between surgeons and patients. The current study aimed to assess SIC-related practices among Egyptian surgeons. A selfadministered questionnaire was formulated upon review of available literature and surgeons were invited to submit their responses electronically. 97 Egyptian surgeons participated in the study. Participants less than 40 years old represented 85.6% and 91.8% had less than 20 years' experience. Most surgeons (83.6%) had postgraduate qualifications, 38.1% were consultants. Upon analysis of responses, it was found that 73.2% of the surgeons didn't consider non-obtaining valid SIC an error. Regarding SIC practices, it was found that 82.5% of surgeons informed patients of all the possible risks, 75.3% of participants emphasized expected surgical outcomes and 70.1% ensured that patients understood the relevant information. 63.9% of surgeons explained the drawbacks of the procedure's refusal. Also, 63.9% of surgeons documented SIC elements. Alternative treatment strategies were provided by 62.9% of participants. Regarding scoring of these six SIC practices, the median score was 5. Male surgeons had significantly higher median scores compared to females (p=0.003). Higher scores were observed among those less than 40 years old, consultants and those with doctorate degrees. The study concluded that a high percentage of participating surgeons didn't appreciate the relationship between nonobtaining valid SIC and malpractice. However, the participants' practices of SIC elements were generally good. Current results highlighted need to raise surgeons' awareness of ideal SIC practices.

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The precedent of defensive medicine practice among physicians with a glance at the impact of the COVID‐19 pandemic

Lashin,

Abu‐Elenin,

Elshora

et al. 2024

World Med & Health Policy

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The practice of defensive medicine is highly evident with the purpose of the legal self‐interest of physicians. It might be widely increased during the coronavirus disease 2019 (COVID‐19) pandemic to avoid lawsuits, especially in the absence of specific effective treatment. This study aimed to evaluate the practice of defensive medicine among the Egyptian physicians, and to identify the impact of the COVID‐19 pandemic on malpractice suits. An electronic survey link was sent to the sampled physicians working at Faculty of Medicine, Tanta University Hospitals. It included personal information, two questions measuring the physicians' perceptions about defensive medicine, Defensive Medicine Behavior Scale (DMBS) and eight questions evaluating physicians' concerns in terms of the COVID‐19 pandemic effects. The study enrolled 1074 physicians; 78.5% of them didn't possess sufficient knowledge about defensive medicine. About 73% of participants practiced defensive medicine more after the COVID‐19 pandemic, and 68.2% demonstrated increasing concerns about malpractice suits after the emergence of COVID‐19. DMBS was statistically significant high among surgical specialties physicians and those who spent less duration in the field of their expertise. There is a need to legislate a malpractice law to control the precedent increase of defensive medicine practice in Egypt. This will help to control the prevalence of defensive medicine practice, improve the quality of care, and reduce healthcare costs.

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Experience of obstetricians and gynecologists in the management of medicolegal cases in Egypt

Cited by 7 publications

References 24 publications

Medicolegal analysis of physical violence toward physicians in Egypt

Medicolegal analysis of physical violence toward physicians in Egypt

A Survey on Applying Ethics of Informed Consent Among Egyptian Surgeons

The precedent of defensive medicine practice among physicians with a glance at the impact of the COVID‐19 pandemic

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