Arogundade R A, Omiyi D O
Department of Radiation Biology, Radiotherapy, Radiodiagnosis & Radiography College of Medicine, University of Lagos, Idi-Araba, Lagos, Nigeria.
Niger Postgrad Med J. 2010 Sep;17(3):227-32.
Medical malpractice is a global problem of professional negligence resulting in damage or harm to a patient due to deviation from accepted standards of practice. Radiology service delivery to patients from all the four major medical disciplines and the ever increasing imaging arsenal potentially increase the incidence of adverse events in radiology. It is pertinent therefore, that radiology practitioners become conversant with the regulatory role of the medical malpractice system in the protection of the right of patients.
To document the knowledge base of medical malpractice in current literature in order to arouse the awareness of radiology residency trainees and trainers to this all-important professional practising issue.
Literature materials on medical malpractice in general and Radiology in particular were reviewed. Four illustrative case reports from past experiences were highlighted. Discussion was carried out on the historical perspective, classes, defendant status, legal requirements and prevention of medical malpractice.
Discovery of x-ray in 1895 shifted focus of medical malpractice matters to Radiology. Practically all imaging techniques, including US, CT, MRI have been subject of malpractice lawsuits. Cognitive and perceptual diagnostic errors constitute 70% of malpractice cases against radiologists.
Adequate professional training, informed consent by the patient and improved doctor-patient relationship are basic to standard medical practice.
医疗事故是一个全球性的专业疏忽问题，由于偏离公认的医疗实践标准，导致对患者造成损害或伤害。向所有四个主要医学学科的患者提供放射学服务以及不断增加的成像手段，可能会增加放射学中不良事件的发生率。因此，放射学从业者熟悉医疗事故制度在保护患者权利方面的监管作用是很有必要的。
记录当前文献中医疗事故的知识基础，以提高放射科住院医师培训学员和培训师对这一极其重要的专业实践问题的认识。
回顾了关于一般医疗事故，特别是放射学医疗事故的文献资料。重点介绍了过去经历的四个典型案例报告。对医疗事故的历史背景、类别、被告身份、法律要求及预防进行了讨论。
1895年X射线的发现将医疗事故问题的焦点转移到了放射学上。几乎所有成像技术，包括超声、CT、MRI，都成为了医疗事故诉讼的对象。认知和感知诊断错误占针对放射科医生的医疗事故案件的70%。
充分的专业培训、患者的知情同意以及改善医患关系是规范医疗实践的基础。
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