Malpractice and system of expertise in anaesthetic procedures in Turkey

Özdemir, Mehmet Hakan; Çekin, Necmi; Can, İlkay; Hilal, Ahmet

doi:10.1016/j.forsciint.2004.08.016

Cited by 11 publications

(5 citation statements)

References 17 publications

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“…[9][10][11] Unlike from the literature, in the present study, failure to obey legal legislations and lack of care and attention (recklessness) in operative period was found as the main reasons of liabilities.…”

Section: Discussioncontrasting

confidence: 80%

Malpractice Claims in Ophthalmology: A 10-Year Review

Özdemir¹,

Can²,

Koçak³

2014

tjo

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Objectives:In the literature, there are a limited number of studies related to medical litigation in ophthalmology. We aimed to reveal and discuss the profile of medical malpractice claims and liability of clinicians involved in ophthalmology cases. Ma te ri als and Met hods: We retrospectively reviewed 1531 malpractice claims reported by the Supreme Health Council of Turkey between 1991 and 2000; 59 (3.85%) were related to ophthalmology, and 57 cases could be included in the study. Data including patients' age, sex, diagnoses, and malpractice claims of judgment, distribution of ophthalmologic subspecialties and results of surgical/medical interventions, and the distribution of liability of health workers in these reports were collected. Results: Most frequently encountered ophthalmologic events which resulted in malpractice claims were: cataract surgery ranked first with 19 malpractice claims (33.3%) followed by traumatic injuries of the eye (15.8%), and erroneous reporting (15.8%). Health personnel were found at fault in 38.6% of the claims. Of the cases, 36.8% were placed in private clinics and hospitals. Lack of care was mostly observed in state hospitals than in private ones. Medicolegal autopsy was performed on 6 of the cases among 8 deaths. Conclusion: These findings would contribute to the data about the profile of medical malpractice claims related to ophthalmology. Revealing the data could be helpful for preventing malpractice claims and faults at similar medical conditions. (Turk J Ophthalmol 2014; 44: 1-5) Amaç: Oftalmoloji alanında tıbbi uygulama hatalarıyla ilgili sınırlı sayıda araştırma bulunmaktadır. Türkiye'de tıbbi uygulama hataları iddialarında yasal makamlara bilirkişilik görevi Yüksek Sağlık Şurası tarafından da yapılmaktadır. Bu çalışmayla, yasal makamların resmi talebi üzerine oftalmoloji alanındaki tıbbi uygulama hataları iddiasıyla Yüksek Sağlık Şurası'nın görüş verdiği erişkin ve çocukluk yaş grubu olgularının profilinin ortaya konulması ve hekimlerin kusurlu bulunma durumlarının tartışılması amaçlandı. Ge reç ve Yön tem: 1991-2000 yılları arasında Yüksek Sağlık Şurası'nca görüş verilen 1531 olgunun kayıtları retrospektif olarak incelendi, tıbbi uygulama hatası iddialarının 59'u (%3,85) oftalmoloji alanıyla ilgiliydi, 57'si çalışmaya alındı. Bu olgular; yaş, cinsiyet, tıbbi girişimin türü, sonuçları, oftalmolojik alanlara göre dağılımı, olguların tanıları, bilirkişi görüşleri ve kusurlu bulunma oranları yönünden incelenerek değerlendirmeye alındı. Bulgular: Ortalama yaş 26,46±20,35 yıldı, %63,6'sı erkekti. En sık rastlanılan iddialar sırasıyla; 19 olguyla (%33,3) katarakt cerrahisi, gözün travmatik yaralanmaları (%15,8) ve hatalı/yanlış rapor düzenleme (%15,8) iddialarıydı. İddiaların % 38,6'sında sağlık çalışanları kusurlu bulundu. Olayların % 36,8'inin özel kliniklerde veya hastanelerinde olduğu gözlendi. Dikkat eksikliğine, devlet hastanelerinde özellerden daha çok rastlanırken, yasal düzenlemelere uygun davranmama özel kliniklerde ve özel hastanelerde daha çok karşılaşılan bir duru...

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Section: Discussioncontrasting

confidence: 80%

Malpractice Claims in Ophthalmology: A 10-Year Review

Özdemir¹,

Can²,

Koçak³

2014

tjo

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“…As has been highlighted, 10 autopsy is a valuable tool to reveal and prove medical malpractice. Specifically, in the issue of anaesthesia-related deaths, 11 failure to perform autopsy, which could provide valuable supplementary information concerning the medical condition of the patient, as well as the reason and condition under which the operation was undertaken, constitutes a problem. Based on our study no data on the incidence of anaesthesia medical malpractice can be given since the autopsy rate and total number of cases are too low to measure incidence and prevalence rates of errors and adverse events, but our results reinforce the need for a complete postmortem investigation in all cases of anaesthesia-related deaths.…”

Section: Resultsmentioning

confidence: 99%

Retrospective analysis of anaesthesia-related deaths during a 12-year period: looking at the data from a forensic point of view

et al. 2012

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Anaesthesia-related death is one of the most complex events to be studied in forensic pathology because of its rarity and its doubtful presentation. Particularly, the difficulties in assessing the cause of deaths in such circumstances are underlined. A scale must be considered in order to determine the causal role of anaesthesia in the process leading to death. Indeed, beyond deaths exclusively explained by anaesthetic care, there are deaths that are not anaesthesia-related and deaths explained by surgery and co-morbidities in which the role of anaesthetic care has to be carefully investigated. A retrospective analysis of 3138 autopsies is presented with the aim of better understanding the patho-physiological process of anaesthesia-related mortality and to determine the causal role of anaesthesiological care in the process leading to death, thus assessing the real incidence of deaths due to anaesthesia (0.16%). In the present study, the number of deaths generically anaesthesia-related (33 cases) accounts for 2.06% of autopsies due to medical malpractice claims and 1.05% of all autopsies. The number of deaths totally related to anaesthesic care is rather low with 0.32% of autopsies due to medical malpractice claims and 0.16% of all autopsies. Anaesthesia-related deaths were due to lack of or delay in intubation (2 cases), acute cardio-respiratory failure (2 cases) and anaesthetic-induced hepatotoxicity (1 case). The importance of a careful forensic investigation (clinical and familial history, medical records, complete autopsy and toxicology), which can lead to a clear understanding of anaesthesia-related deaths, is also stressed.

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“…During the extended surgery, checking pressure points every few hours, frequent limb repositioning, stabilizing the head in neutral position, and maintaining the blood pressure in accepted ranges are of utmost important. It is the anesthesiologist's responsibility to protect the patient throughout the operation, from the induction of the anesthesia until completion of the surgery [9].…”

Section: Discussionmentioning

confidence: 99%

Trendelenburg Position-Induced Brachial Plexus Injury Following Laparoscopic Rectal Cancer Surgery

Yavuz¹,

Ethemoglu²,

Olpak³

et al. 2020

Indian J Surg

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Position-related brachial plexus injury may be diagnosed currently because of the rise in the number of laparoscopic colorectal surgeries being performed. The Trendelenburg position, which is necessary for laparoscopic and robotic surgeries, may lead to excessive pressure on the shoulders and thus cause brachial plexus injury. There are some risk factors like prolonged surgery and high BMI. Most patients recover with high-dose corticosteroid treatment and physical therapy. We report a case of brachial plexus injury caused by patient position during surgery.

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Malpractice and system of expertise in anaesthetic procedures in Turkey

Cited by 11 publications

References 17 publications

Malpractice Claims in Ophthalmology: A 10-Year Review

Malpractice Claims in Ophthalmology: A 10-Year Review

Retrospective analysis of anaesthesia-related deaths during a 12-year period: looking at the data from a forensic point of view

Trendelenburg Position-Induced Brachial Plexus Injury Following Laparoscopic Rectal Cancer Surgery

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