Gundogmus Umit N, Erdogan Mehmet S, Sehiralti Mine, Kurtas Omer
Kocaeli University Medical School, Department of Forensic Medicine, Turkey.
Ann Saudi Med. 2005 Sep-Oct;25(5):404-8. doi: 10.5144/0256-4947.2005.404.
Medical malpractice claims in Turkey have increased. We evaluated the problem by describing medical malpractice cases assessed by the Higher Health Council between 1993 and 1998. Our recommendations should help to improve care and decrease medical malpractice claims.
We reviewed 997 medical malpractice cases reported to the Higher Health Council between 1993 and 1998 and examined the decisions made by the Higher Health Council. We collected data on demographic characteristics, such as the type of the institution where the defendants worked, type of medical malpractice, and medical outcome.
There were 997 medical malpractice cases reported to the Higher Health Council in the six years between 1993 and 1998. The Higher Health Council decided that 47.7% of the physicians were liable. Malpractice cases were mostly seen in state hospitals (42.4%). Fifty-nine percent of the cases resulted in death. Among actions that led to malpractice lawsuits against all health care workers, including physicians, the most common were negligence, inappropriate treatment, and diagnostic failure.
We think it is necessary to revise the health system and working conditions in hospitals and to develop clinical practice guidelines. We are of the opinion that an emphasis on the use of diagnosis and therapy protocols, standards, post-graduation education, clear and informed patient consent, and improved communication with patients will drastically decrease medical malpractice claims.
土耳其的医疗事故索赔有所增加。我们通过描述1993年至1998年间高等卫生委员会评估的医疗事故案例来评估这一问题。我们的建议应有助于改善医疗护理并减少医疗事故索赔。
我们回顾了1993年至1998年间向高等卫生委员会报告的997起医疗事故案例，并审查了高等卫生委员会做出的决定。我们收集了有关人口统计学特征的数据，如被告工作的机构类型、医疗事故类型和医疗结果。
在1993年至1998年的六年中，有997起医疗事故案例报告给了高等卫生委员会。高等卫生委员会判定47.7%的医生有责任。医疗事故案例大多发生在公立医院（42.4%）。59%的案例导致了死亡。在针对包括医生在内的所有医护人员的医疗事故诉讼中，最常见的行为是疏忽、不当治疗和诊断失误。
我们认为有必要修订医院的卫生系统和工作条件，并制定临床实践指南。我们认为，强调使用诊断和治疗方案、标准、毕业后教育、明确且充分告知患者的同意书以及改善与患者的沟通将大幅减少医疗事故索赔。
