The Problem of Peer Review of Adverse Outcome of Health Care: Monitoring, the Development and Modern State

Erofeev, S. V.; Edelev, N. S.; Malakhov, N. V.; Semenov, Anna

doi:10.19048/2411-8729-2017-3-1-4-10

Cited by 3 publications

(1 citation statement)

References 2 publications

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“…196) 1 проводится комиссионная судебно-медицинская экспертиза. По данным многих авторов, число судебно-медицинских экспертиз, связанных с ненадлежащим оказанием медицинской помощи, неуклонно растет, при этом доля экспертиз акушерско-гинекологического профиля составляет 15-41 %, что ставит их на одно из первых мест среди всех экспертиз по делам о профессиональных нарушениях медицинских работников [3,4,6].…”

Section: St Petersburg State Pediatric Medical University Ministry unclassified

Forensic medical evaluation of the role of the formation of ascending amniotic infection in the event of intrauterine fetal death

et al. 2018

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The analysis of expert practice and scientific research conducted during the last decade show that the greatest number of claims to the correctness of the provision of medical care are made by doctors of surgical specialties, including obstetrician-gynecologists, and, at the same time, inspections for “medical cases”, including profile “obstetrics and gynecology” are complex and time-consuming. The article considers the problem of the unfavorable outcome of medical care in obstetric practice. The questions of etiology, pathogenesis, diagnosis of intrauterine infection (VUI), which largely determines the frequency of perinatal morbidity and mortality, are also analyzed and analyzed questions of the prescription of the pathological process in the amniotic membranes, its role in the formation of fetal death. On a concrete example, expert practice shows how the forensic medical commission, taking into account the data of medical documents, as well as the results of macroscopic and microscopic studies, solves the problem of the immediate cause of antenatal death and establishes the role of intrauterine infection in the death of the fetus, the timing and causes of its formation. The information that is relevant to the practice of forensic medical examinations is presented, which allows us to formulate objective and scientifically substantiated conclusions about the existence of cause-effect relationships between the defects in the provision of medical care and the onset of an unfavorable outcome of medical care in similar cases.

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Section: St Petersburg State Pediatric Medical University Ministry unclassified

Forensic medical evaluation of the role of the formation of ascending amniotic infection in the event of intrauterine fetal death

et al. 2018

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Challenges of expert assessment of injury to health in the case of iatrogenic mastectomy due to erroneous histological verification of an oncological condition

Tolmachev¹,

Артемьева²,

Карев³

et al. 2022

Sud.-med. ekspert.

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Internal Quality Control of Forensic Medical Examinations in Cases Involving Failure to Provide Medical Care

Баринов

Mikheeva

Калинин

et al. 2020

Russian Journal of Forensic Medicine

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The poor quality of expert reports prepared at the stage of preliminary investigation constitutes the main reason for summoning expert witnesses to testify before a court of law and posing numerous questions to them. The same applies to the examinations conducted on case materials, both in the course of criminal and civil proceedings. Тhe lack of internal quality control over forensic medical examinations in cases related to inadequate medical care may compromise the reliability and scientific validity of conclusions. Forensic medical examinations related to the cases of inadequate medical care constitute the primary source of evidence affecting the validity and legitimacy of decisions made by law enforcement agencies about the criminal liability of medical staff. In addition, scientifically unfounded expert conclusions may lead to investigative and judicial errors.Conclusion. Strict internal control over the forensic medical examinations is necessary to ensure that state forensic medical institutions produce expert reports fully compliant with the requirements of Law No. 73-FZ, which naturally should begin with a self-check.

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The Problem of Peer Review of Adverse Outcome of Health Care: Monitoring, the Development and Modern State

Cited by 3 publications

References 2 publications

Forensic medical evaluation of the role of the formation of ascending amniotic infection in the event of intrauterine fetal death

Forensic medical evaluation of the role of the formation of ascending amniotic infection in the event of intrauterine fetal death

Challenges of expert assessment of injury to health in the case of iatrogenic mastectomy due to erroneous histological verification of an oncological condition

Internal Quality Control of Forensic Medical Examinations in Cases Involving Failure to Provide Medical Care

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