基于比亚韦斯托克医科大学法医学系收集的案例材料对救护车服务中医疗事故的法医学评估
[Medico-legal assessment of medical malpractice in ambulance service based on the casework material collected at the Department of Forensic Medicine, Medical University of Białystok].
作者信息
Ptaszyńska-Sarosiek Iwona, Niemcunowicz-Janica Anna, Janica Jerzy, Dopierała Tomasz, Załuski Janusz, Wardaszka Zofia
机构信息
Zakład Medycyny Sadowej Akademii Medycznej w Białymstoku, ul. Kilińskiego 1, 15-230 Białystok.
出版信息
Ann Acad Med Stetin. 2007;53 Suppl 2:33-5; discussion 35.
INTRODUCTION
Emergency medical personnel is particularly concerned about medical malpractice. The objective of the paper was the analysis of casework material assessed at the Department of Forensic Medicine, Medical University of Bialystok in the years 2001-2006 for medical malpractice by ambulance service staff.
MATERIAL AND METHODS
A total of 80 opinions assessing improper treatment and diagnostic procedures and the problem of withdrawal and organizational malfunction was reviewed.
RESULTS
Medical malpractice was concluded in 38 (47.5%) cases analysed. In 22 cases malpractice of ambulance staff resulted in patients' demise. Most of cases included improper diagnosis of patient's condition. Predominantly, misdiagnosed cases were related to circulatory, nervous and respiratory malfunctions. Diagnostic errors caused by young and inexperienced medical doctors accounted for most of malpractice in the material analysed.
CONCLUSIONS
It is concluded, that medical doctors are inadequately prepared to differential diagnostics of pathologies. Errors caused by ambulance dispatchers included denials of service in life threatening cases.
引言
急救医务人员特别关注医疗事故。本文的目的是分析2001年至2006年期间在比亚韦斯托克医科大学法医学系评估的救护服务人员医疗事故的案例材料。
材料与方法
共审查了80份评估不当治疗和诊断程序以及撤离和组织故障问题的意见。
结果
在所分析的38例（47.5%）病例中认定存在医疗事故。在22例中，救护人员的医疗事故导致患者死亡。大多数病例包括对患者病情的不当诊断。主要地，误诊病例与循环、神经和呼吸功能障碍有关。在分析的材料中，年轻且缺乏经验的医生造成的诊断错误占医疗事故的大部分。
结论
得出的结论是，医生对病理的鉴别诊断准备不足。救护车调度员造成的错误包括在危及生命的情况下拒绝服务。
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