Samarkandi Abdulhamid
Anaesthesia Dept., King Khalid Univ. Hosp., King Saud Univ., Riyad, KSA.
Middle East J Anaesthesiol. 2006 Feb;18(4):693-706.
The aim of this paper is to reveal the anesthesia malpractice claims that were referred to the National Medico-Legal Committee (MLC) in Riyadh KSA, in order to evaluate the magnitude and underlying factors of its medico-legal litigations.
The official records-including incidence, location, and final resolution of each claim-of all anesthesia-related medico-legal malpractice claims over the period attending from 1420-1424H (1999-2003 AD), were critically analysed.
A total 1765 cases were referred to the various MLC over the five-year period. An increasing trend of the total number of yearly claims was observed with a sharp increase between 1422-1424H (2001-2003 AD). The private sectors and Ministry of Health services both contributed 90% of the total number of claims. Of the total number of claims, referred anesthesia-related malpractice claims consisted of 76 cases (3.8%) of which legal action against anesthesiologists was taken in 7 cases (9.1%).
Of the anesthesia litigation claims, 9.1% resulted in positive legal action. More than one anesthesiologist may be involved for a given claim, and anesthesiologist may share partial responsibility with the surgeon in claims primarily targeting surgery or an incident of resuscitation. It is concluded that adherence to the standards of medical practice, is by far, the best policy to avoid or reduce the incidence of litigation.
本文旨在揭示提交给沙特阿拉伯利雅得国家医学法律委员会（MLC）的麻醉医疗事故索赔情况，以评估其医学法律诉讼的规模和潜在因素。
对1420 - 1424H（公元1999 - 2003年）期间所有与麻醉相关的医学法律医疗事故索赔的官方记录，包括每项索赔的发生率、地点和最终解决方案，进行了严格分析。
在五年期间，共有1765起案件提交给了不同的MLC。观察到年度索赔总数呈上升趋势，在1422 - 1424H（公元2001 - 2003年）期间急剧增加。私营部门和卫生部的服务机构贡献了索赔总数的90%。在索赔总数中，涉及麻醉相关的医疗事故索赔有76起（3.8%），其中7起（9.1%）对麻醉医生采取了法律行动。
在麻醉诉讼索赔中，9.1%导致了积极的法律行动。对于某一特定索赔可能涉及不止一名麻醉医生，并且在主要针对手术或复苏事件的索赔中，麻醉医生可能与外科医生分担部分责任。得出的结论是，遵守医疗实践标准是迄今为止避免或减少诉讼发生率的最佳策略。
