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埃塞俄比亚卫生专业人员伦理联邦委员会对医疗事故索赔的分析及提出的措施:三年诉讼程序回顾

Analysis of medical malpractice clams and measures proposed by the Health Professionals Ethics Federal Committee of Ethiopia: review of the three years proceedings.

作者信息

Wamisho Biruk L, Abeje Mesafint, Feleke Yeweyenhareg, Hiruy Abiy, Getachew Yeneneh

出版信息

Ethiop Med J. 2015 Jan;53 Suppl 1:1-6.

PMID:25816495
Abstract

BACKGROUND

Mediccil malpractice is professional negligence by a healthcare provider in which the treatment provided falls below the starndard and causes injury or death to the patient.

OBJECTIVE

To describe the adverse medical events, claims and decisions taken by the Ethiopian Health Professionals Ethics Committee at the Federal level.

METHODS

A three-year report of the Ethics Committee and relevant documents of proclamations and regulations were reviewed.

RESULTS

Between January 2011 and December 2013, the committee reviewed 60 complaints against health professionals. About one third of the complaints were filed by the patients and/or their families, about 32% by the police or court and the rest were filed by Addis Ababa health bureau, health professionals and other unrelateed observers. Thirty-nine complaints were related to death of the patient and 15 complaints were about disability. Twenty-five of the claims were against Obstetric and Gynecology specialists and 9 were against general surgeons. The committee verified that 14 of the 60 claims hadethical breach and/or negligence (incompetence). The committee took reasonable time to review complaints and respond the concerned authorities.

CONCLUSION

The study showed that of the total claims lower than a quarter (23.3%) were proven beyond the benefit ofdoubt. More than 3/4 (76.7) of the complaints were wrong. Hospitals should lead in preventing patient injury. Creation of more awareness among Obstetrics and Gynecology specialists, General and Orthopaedic Surgeons about medical errors is needed and special training should be given.to those joining these specialities.

摘要

背景

医疗事故是指医疗服务提供者的职业疏忽,即所提供的治疗未达到标准并导致患者受伤或死亡。

目的

描述埃塞俄比亚联邦级卫生专业人员伦理委员会处理的不良医疗事件、索赔及做出的决定。

方法

审查了伦理委员会的一份三年期报告以及相关公告和法规文件。

结果

2011年1月至2013年12月期间,该委员会审查了60起针对卫生专业人员的投诉。约三分之一的投诉由患者和/或其家属提出,约32%由警方或法院提出,其余由亚的斯亚贝巴卫生局、卫生专业人员及其他无关观察员提出。39起投诉与患者死亡有关,15起投诉与残疾有关。25起索赔针对妇产科专家,9起针对普通外科医生。委员会核实60起索赔中有14起存在道德违规和/或疏忽(不胜任)。委员会花了合理时间审查投诉并回复相关当局。

结论

研究表明,在所有索赔中,低于四分之一(23.3%)的索赔被确凿证实。超过四分之三(76.7%)的投诉是无根据的。医院应带头预防患者受伤。需要提高妇产科专家、普通外科医生和骨科医生对医疗差错的认识,并应对加入这些专业的人员进行专门培训。

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