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[2000 - 2005年卡托维兹西里西亚医科大学法医学系资料中节假日发生医疗差错的风险]

[The risk of medical error occurrence on holidays in the material of the Forensic Medicine Department, Medical University of Silesia, Katowice, in the years 2000-2005].

作者信息

Chowaniec Czesław, Chowaniec Małgorzata, Nowak Agnieszka, Jabłoński Christian

机构信息

Katedry i Zakładu Medycyny Sadowej Slaskiej Akademii Medycznej w Katowicach.

出版信息

Arch Med Sadowej Kryminol. 2007 Jan-Mar;57(1):95-100.

Abstract

The issue of medical error is relatively often discussed at forensic congresses or conferences. The authors carried out a medico-legal analysis of records of proceedings related to the appraisal of medical procedures investigated in the Forensic Medicine Department, Medical University of Silesia, Katowice, in the years 2000-2005. In 88 cases, where expert teams from the Department recognized medical errors to have been committed, 90% of such errors were demonstrated to have occurred on weekends and holidays. The majority of errors were associated with the decision-making process or diagnostic management and committed in hospital admission rooms or the so-called operative departments (orthopedic surgery, general surgery, gynecology, obstetrics). Evaluating the above presented cases, the authors drew attention to factors affecting the risk of medical error and the most common causes of inappropriate patient management.

摘要

医疗差错问题在法医大会或会议上相对经常被讨论。作者对2000年至2005年期间在卡托维兹西里西亚医科大学法医学系调查的医疗程序评估相关诉讼记录进行了法医学分析。在该系专家团队认定存在医疗差错的88例案件中,90%的此类差错被证明发生在周末和节假日。大多数差错与决策过程或诊断管理相关,发生在医院入院室或所谓的手术科室(骨科手术、普通外科、妇科、产科)。在评估上述案例时,作者提请注意影响医疗差错风险的因素以及患者管理不当的最常见原因。

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