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放射学中错误的法律影响。

The legal implications of error in radiology.

作者信息

Olivetti L, Fileni A, De Stefano F, Cazzulani A, Battaglia G, Pescarini L

机构信息

UO di Radiologia, Dipartimento di Diagnostica per Immagini e Alte Tecnologie, Istituti Ospitalieri di Cremona, Viale Concordia 1, 26100 Cremona, Italy.

出版信息

Radiol Med. 2008 Jun;113(4):599-608. doi: 10.1007/s11547-008-0279-0. Epub 2008 Jun 6.

DOI:10.1007/s11547-008-0279-0
PMID:18536873
Abstract

Evaluation of the legal implications of error in radiology and therefore the assessment of criminal and civil liability in the practice of the profession requires an analysis of how the public perception of the right to health has radically changed. This change has initiated a defensive approach to medicine and radiology that tends to be oriented towards precautionary measures, with a proliferation of often unnecessary imaging studies. In radiology, errors of omission or commission are frequent. A critical appraisal of the different types of error in radiology will help practitioners undertake the essential corrective measures. Through analysis of several cases derived from legal or insurance proceedings brought against radiologists, the most common forms of error are described, and their implications for criminal and civil liability are illustrated, although it is emphasised that the existence of an error does not always translate into the presence of malpractice.

摘要

评估放射学中错误的法律影响,进而评估该专业实践中的刑事和民事责任,需要分析公众对健康权的认知是如何发生根本性变化的。这种变化引发了对医学和放射学的防御性态度,这种态度往往倾向于采取预防措施,导致常常不必要的影像学检查大量增加。在放射学中,漏诊或误诊很常见。对放射学中不同类型的错误进行批判性评估将有助于从业者采取必要的纠正措施。通过分析针对放射科医生的法律或保险程序中的几个案例,描述了最常见的错误形式,并说明了它们对刑事和民事责任的影响,不过需要强调的是,存在错误并不总是意味着存在医疗过失。

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本文引用的文献

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A 12-year follow-up study of malpractice claims against radiologists in Italy.对意大利放射科医生医疗事故索赔的一项为期12年的随访研究。
Radiol Med. 2006 Oct;111(7):1009-22. doi: 10.1007/s11547-006-0099-z. Epub 2006 Oct 11.
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Systematic approach to human error in radiology.
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Does litigation influence medical practice? The influence of community radiologists' medical malpractice perceptions and experience on screening mammography.诉讼会影响医疗行为吗?社区放射科医生的医疗事故认知和经验对乳腺钼靶筛查的影响。
过度诊断和过度成像:放射防护的伦理问题。
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Use of contrast media in diagnostic imaging: medico-legal considerations.诊断成像中造影剂的使用:法医学考量
Radiol Med. 2015 Sep;120(9):802-9. doi: 10.1007/s11547-015-0549-6. Epub 2015 Jun 17.
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Spectrum of diagnostic errors in radiology.放射学诊断错误的范围
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