Knoll James, Gerbasi Joan
New Hampshire Department of Corrections, Division of Forensic and Medical Services, 105 Pleasant Street, 4th Floor, Concord, NH 03302, USA.
J Am Acad Psychiatry Law. 2006;34(2):215-23.
Forensic psychiatrists, acting as expert witnesses, must be able to perform objective analyses of psychiatric malpractice cases. Accurate malpractice case analysis requires careful attention to relevant legal concepts and consideration of potential biasing influences. If forensic psychiatrists are to avoid a reliance on "experts policing experts," individual forensic psychiatrists must be fully prepared to police themselves by recognizing and avoiding certain errors in malpractice case analysis. Any effort to improve objectivity must include a clear understanding of the confounding variables. In this article, the authors discuss some potential impediments to objective analysis of malpractice cases such as the use of the wrong standard, causation, hindsight bias, and contributory negligence.
法医精神病学家作为专家证人，必须能够对医疗事故案件进行客观分析。准确的医疗事故案件分析需要仔细关注相关法律概念，并考虑潜在的偏见影响。如果法医精神病学家要避免依赖“专家监督专家”，那么个别法医精神病学家必须充分准备好自我监督，识别并避免在医疗事故案件分析中出现某些错误。任何提高客观性的努力都必须包括对混杂变量的清晰理解。在本文中，作者讨论了一些对医疗事故案件进行客观分析的潜在障碍，例如使用错误的标准、因果关系、事后偏见和共同过失。
