Qualität der Befunddokumentation und weiterführenden Betreuung von Gewaltopfern am Beispiel einer unfallchirurgischen Notaufnahme einer Großstadt

Jungbluth, Pascal; Wild, Michelle; Hakimi, Mohammad; Betsch, M.; Dassler, K.; Möller-Herckenhoff, L.; Windolf, Joachim; Ritz‐Timme, Stefanie; Graß, Hildegard

doi:10.1055/s-0031-1280168

Cited by 4 publications

(3 citation statements)

References 22 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The examined persons covered all ages in both groups, and the average age was 27.5 and 29.1 years, respectively. The data are comparable to other studies in which, when non-domestic violence is considered, approximately 73–82% of the victims are male and the average age is at about 30 years [ 15 , 17 , 20 ]. The control group was matched to the case group based on the type of violence involved, to evaluate case circumstances that were as comparable as possible as a basis for the studies.…”

Section: Discussionsupporting

confidence: 85%

See 1 more Smart Citation

Comparison of the quality of clinical forensic examination of victims of physical violence conducted by clinicians and forensic examiners

et al. 2023

View full text Add to dashboard Cite

Introduction The Istanbul Convention calls for comprehensive care for victims of violence while maintaining forensic standards. After violent crimes, court usable documentation of injuries and securing of evidence is essential to avoid disadvantages for those affected in criminal prosecution. Material and methods This retrospective study compares forensic relevant aspects in clinical forensic examination of victims of physical and sexual violence conducted by clinicians and forensic examiners. Forensic medical reports based on clinical documentation of individuals of all ages in the period from 2015 to 2018 (n = 132) were evaluated in comparison to a control group of examinations conducted by forensic specialists. A comparative statistical evaluation was performed. Results The study revealed statistically significant differences in forensically relevant aspects. In the clinical examinations, full-body examination was performed in only 37.9%, and concealed body sites were examined in 9.8%. Photo documentation was often incomplete (62.4%), without scale (59.1%), blurred (39.7%), or poorly exposed (31.2%). Information on size, color, shape, and texture of injuries was often missing. In about every third examination, the findings were not described purely objective. A body scheme was used only in 8.3% of the clinical cases. Discussion In order to establish nationwide care structures and the forensic standard required in criminal proceedings, intensive involvement of forensic medicine is essential. Standardized examination materials, regular training of medical staff, and telemedical approaches can improve the care for victims of violence regarding criminal prosecution.

show abstract

Section: Discussionsupporting

confidence: 85%

“…Only a few publications deal with partial aspects of the usability of medical reports in criminal proceedings [14][15][16][17][18][19]; comprehensive analyses have not been found in the international scientific community.…”

Section: Discussionmentioning

confidence: 99%

Comparison of the quality of clinical forensic examination of victims of physical violence conducted by clinicians and forensic examiners

et al. 2023

View full text Add to dashboard Cite

show abstract

“…Because of this discrepancy, the clinical documentation, especially in an emergency situation, is not robust enough to be accepted in court, i.e. it lacks the illustrative power to answer reconstruction questions [31]. The need for medical education, on the one hand, and interdisciplinary care for victims of violence, on the other, has already be recognized [24,35].…”

Section: Introductionmentioning

confidence: 99%

Characterisation of Victims Of Violence in the A & E Department and Analysis of the Acceptance of a Medico-Legal Expertise Centre After its Implementation vs. Multi-Year Consolidation

et al. 2018

View full text Add to dashboard Cite

Background People who have become victims of domestic or public violence often suffer long-term physical, psychological and social impairment. Due to physical injury, the first contact with the health care system is frequently an A & E Department. Thus, physicians and especially surgeons play a key role in detecting victims of domestic or public violence. The specific needs of victims are adequate medical treatment of injuries, forensic documentation, as well as interdisciplinary medical support to prevent further morbidity and violence. To take this into account, so-called expertise centres for victims of violence have been established at several locations in Germany in recent years. In this study: I. We tried to define the characteristics of victims of domestic and public violence to ensure better identification by physicians/surgeons. II. We elucidate the acceptance and effectiveness of such an expertise centre one year after its implementation and for a period of three years (2007 – 2009) and for a follow-up period of three years (2014 – 2016) after establishment. Material and Methods Patients were prospectively classified as victims of violence by the attending physician at the A & E Department and further treatment was initiated by the expertise centre for victims of violence. Medical reports from the A & E Department were analysed anonymously and compared with the number of patients of the expertise centre for victims of violence who had been referred from A & E Department. Results Orthopaedic and trauma surgery is the main referring discipline for the expertise centre for victims of violence. 0.9% of patients (2007 – 2009) and in the follow-up period (2014 – 2016) even 1.6% of patients were identified as victims of violence. However, the acceptance of such a centre fell from 22.2% (2007 – 2009) to 17.2% (2014 – 2016). Conclusion Physicians and especially trauma surgeons are responsible for identifying victims of domestic or public violence and ensuring further treatment. Accordingly, it is crucial that the expertise centre should characterise the victims of violence and be aware of their different needs, if the expertise centre is to be accepted. The results of this study indicate that interdisciplinary training and close cooperation between traumatology and legal medicine are the main prerequisites for continuous improvement in the treatment of victims of violence.

show abstract

Nichtakzidentelle gewaltbedingte Verletzungen in chirurgischen Notaufnahmen in Hamburg

et al. 2021

View full text Add to dashboard Cite

Qualität der Befunddokumentation und weiterführenden Betreuung von Gewaltopfern am Beispiel einer unfallchirurgischen Notaufnahme einer Großstadt

Abstract: A very high percentage of victims of violence could be found among the patients needing traumatological treatment. With regard to the fragmentary care there is an enormous need for medical training and interdisciplinary treatment of victims of violence.

Cited by 4 publications

References 22 publications

Comparison of the quality of clinical forensic examination of victims of physical violence conducted by clinicians and forensic examiners

Comparison of the quality of clinical forensic examination of victims of physical violence conducted by clinicians and forensic examiners

Characterisation of Victims Of Violence in the A & E Department and Analysis of the Acceptance of a Medico-Legal Expertise Centre After its Implementation vs. Multi-Year Consolidation

Nichtakzidentelle gewaltbedingte Verletzungen in chirurgischen Notaufnahmen in Hamburg

Contact Info

Product

Resources

About