Bruguera M, Arimany J, Bruguera R, Barberia E, Ferrer F, Sala J, Pujol Robinat A, Medallo Muñiz J
Servicio de Responsabilidad Profesional del Consejo de Colegios de Médicos de Cataluña, Barcelona, España.
Rev Clin Esp. 2012 Apr;212(4):198-205. doi: 10.1016/j.rce.2011.12.018. Epub 2012 Mar 6.
Claims due to presumed medical malpractice are increasing in all developed countries and many of them have no basis. To prevent legal complaints, the physicians should know the reasons why complaints are made by their patients and adopt the adequate preventive measures. In the case of a complaint, it is essential to follow the guidelines that allow for adequate legal defense and the action of the physician before the judge that inspires confidence and credibility. The risk of the claims can be reduced with adequate information to the patient, the following of the clinical guidelines, control of the risk factors and adoption of verification lists in each invasive procedure. In case of complication or serious adverse effect, explanations should be given to the patient and family and it should be reported to the facility where one works and to the insurance company. If the physician received a claim, he/she should report it to the insurance compare so that it can name a lawyer responsible for the legal defense who will advise the physician regarding the appearance in court before the judge.
在所有发达国家，因医疗事故引发的索赔案件都在增加，其中许多并无依据。为防止法律投诉，医生应了解患者投诉的原因，并采取适当的预防措施。在投诉发生时，遵循相关准则至关重要，这些准则能确保在法官面前进行充分的法律辩护以及医生采取能激发信心和可信度的行动。通过向患者提供充分信息、遵循临床指南、控制风险因素以及在每次侵入性操作中采用核查清单，可以降低索赔风险。万一出现并发症或严重不良反应，应向患者及其家属作出解释，并向所在机构和保险公司报告。如果医生收到索赔，应向保险公司报告，以便其指定负责法律辩护的律师，该律师将就出庭面对法官的事宜为医生提供建议。
