Saratov JOURNAL of Medical and Scientific Research

Characteristics of cases with poor outcomes of rendering medical care to children in six regions of the Russian Federation

Year: 2017, volume 13 Issue: №1 Pages: 010-013
Heading: Forensic medicine Article type: Original article
Authors: Erofeev S.V., Kupryushin A.S., Efimov А.А., vishnyakova Zh.S., Semina M.N.
Organization: Bureau of Forensic Medical Examination of the Ivanovo Region, Ivanovo State Medical Academy, Penza State University, Saratov State Medical University
Summary:

Objective: to determine the characteristics of the outcome of the improper care for children, established during the commission of forensic examinations. Material and Methods. The material of this study was commission a forensic medical examination of the archives department of complex expertise of the Bureaus of Forensic Medicine of Moscow; the Moscow, Penza, Samara and Ulyanovsk regions, and the Republic of Mordovia, conducted from 1996 to 2006. The method of this study was a statistical database processing using Excel software application package. Results. The article presents the results of the analysis of 279 forensic medical examinations conducted by committees in the Bureaus of Forensic Medical Examination of Moscow; the Moscow, Penza, Samara and Ulyanovsk regions, and the Republic of Mordovia from 1996 to 2006. The examinations were conducted in connection with poor outcomes of rendering medical care to children. Conclusion. The number of conducted examinations correlates with the population of the region. The parents of the children affected by poor treatment mostly demand the medical staff to be prosecuted and more often make legal claims to the quality of emergency medical care; dissatisfaction with the quality of medical care is more often expressed by the parents of children under 3 years old. Legal claims are more often made against obstetricians-gynecologists, pediatricians, surgeons, infectious disease specialists and anesthesiologists-resuscitators. If the conclusion of the forensic medical examination committee on the nature of the pathological process coincides with the final clinical diagnosis, the provided medical care often turns out to be adequate; in cases of inadequate medical care the risks of moderate and grievous bodily harm as well as the patient's death are high.

Bibliography:
1. Barinov EKh, Romodanovskiy PO, Cherkalina EN. Professional errors in neonatal practice related to blood transfusion. Medical Law 2014; (6): 54-56
2. Muzdybaev ВМ, Romodanovskiy PO, Cherkalina EN, Barinov EKh. Importance of medical documentation while conducting forensic medical examinations by committees in criminal and civil cases of defects in rendering medical care to newborn children. Medical Law 2010; (4): 45-48
3. Kovalev AV, Martem'yanova ДА. On the classification of the failure to render medical assistance to the patient. Sud-Med Eksp 2015; (2): 4-8
4. Cherkalina EN. Expert evaluation of professional errors and defects in rendering medical care in neonatology: PhD abstract. M., 2009; 24 p.
5. Kupryushin AS. Reporting poor outcomes of pediatric practice in media. Head-Doctor: Economy and Law 2013; (1): 47-49
6. Sergeev YuD, Erofeev SV. The problem of providing inadequate medical care: methodology of study and importance. Medical Law 2003; (1): 4-6
7. Sergeev YuD, Erofeev SV. Adverse outcomes of medical care. M., 2001; 288 p.
8. Baranov АА, Valiullina SA, Vaganov NN, Karpukhin EV. The basis for optimizing medical care provided to children in hospitals. Voprosy sovremennoy pediatrii 2006; 15 (3): 7-9
9. Sarkisyan ВА, Shapkina NB, Novoselov VP latrogenic diseases in the forensic practice. Siberian medical journal (Tomsk) 2010; 25 (4-1): 137-141.

AttachmentSize
2017_01_010-013.pdf268.48 KB

No votes yet