Serinken Mustafa, Türkçüer Ibrahim, Acar Kemalettin, Ozen Mert
Department of Emergency Medicine, Pamukkale University Faculty of Medicine, Denizli, Turkey.
Ulus Travma Acil Cerrahi Derg. 2011 Jan;17(1):23-8. doi: 10.5505/tjtes.2011.78989.
Doctors working in emergency services often fulfill the task of preparing judicial reports. For a number of reasons, these reports have undesirable mistakes that become problematic in subsequent judicial processes. This study aimed to evaluate the judicial reports that were prepared over a certain period at a university hospital with regard to any mistakes or deficiencies.
The distribution of the judicial reports prepared between 01 June 2005 and 30 June 2009 in the emergency service of a University Research and Training Hospital was determined with respect to the types of cases, and their contents were studied for mistakes, deficiencies and legibility. Out of 3499 visits to the emergency service during the specified period, 3219 judicial reports that were accessible were considered in the evaluation.
It was determined that the most frequent types of cases were traffic accidents and injuries by sharp and penetrating instruments. Furthermore, many mistakes were made frequently regarding the presence of life-threatening conditions, and personal identification information and times of the event and examination were often incomplete.
The fact that the doctors largely failed to prepare precise reports and tended to write unsatisfactory reports even for cases with adequate information and findings was attributed to their insufficient training in this area. At the same time, mistakes in life-threatening situations and in treatment by using simple medical interventions stem from lack of training and sensibility. Pre- and post-graduate forensic medicine education must be considered highly important, and periodic on-the-job training must be organized, creating a better awareness among doctors regarding their legal responsibilities.
从事急诊服务的医生经常承担撰写司法报告的任务。由于多种原因，这些报告存在不良错误，在后续司法程序中会引发问题。本研究旨在评估某大学医院在特定时期内撰写的司法报告是否存在错误或缺陷。
确定了2005年6月1日至2009年6月30日期间在某大学研究与培训医院急诊服务部门撰写的司法报告在病例类型方面的分布情况，并研究了报告内容中的错误、缺陷和清晰度。在指定时期内急诊服务部门的3499次就诊中，评估时考虑了可获取的3219份司法报告。
确定最常见的病例类型是交通事故以及锐器和穿透性器械造成的伤害。此外，在危及生命情况的描述方面经常出现许多错误，个人身份识别信息以及事件和检查时间往往不完整。
医生在很大程度上未能撰写精确的报告，甚至对于有充分信息和检查结果的病例也倾向于写出令人不满意的报告，这一事实归因于他们在该领域的培训不足。同时，在危及生命的情况以及使用简单医疗干预进行治疗方面的错误源于缺乏培训和敏感性。必须高度重视本科和研究生阶段的法医学教育，并组织定期在职培训，提高医生对其法律责任的认识。
