Kayipmaz Afsin Emre, Kavalci Cemil, Gulalp Betul, Kocalar Ummu Gulsum, Giray Tufan Akin, Yesilagac Hasan, Ozel Betul Akbuga, Celikel Elif, Karagun Ozlem
Department of Emergency, Baskent University Faculty of Medicine, Ankara, Turkey.
PLoS One. 2015 May 18;10(5):e0127206. doi: 10.1371/journal.pone.0127206. eCollection 2015.
Medicine is a profession that carries certain risks. One risky area of practice is the emergency department. Emergency physicians diagnose and treat a high volume of patients, and are also responsible for preparing reports for forensic cases. In this study, we aim to investigate emergency physicians' legal-administrative problems and reveal their level of understanding on forensic cases.
An electronic questionnaire form was prepared after the approval of an ethical committee. This form was sent to the residents, specialists and academicians of emergency medicine by e-mail. The physicians were asked to fill out the form online. All the gathered data was analyzed. Descriptive statistics were presented as frequency percentages with mean and standard deviation. Chi-square tests were used to compare the groups. Correlation between number of complaint cases and age, sex, career, institution, and duration of service in emergency department were investigated. p<0.05 was considered statistically significant.
294 physicians participated in the questionnaire. According to the questionnaire, 170 of the physicians were reported to the patient communication units due to medical malpractice. Mean number of compliant reports was 3.20±3.5. 29 of the physicians received administrative penalties. 42 of the physicians were judged in the court for medical malpractice. 1 physician was fined 5000 Turkish Liras as a result of these judgments.
We found that the number of complaint reports is negatively correlated with duration of service in emergency medicine and age. There was a significant difference between number of complaint reports and career (p<0.05). The physicians' level of awareness on forensic cases was found to be insufficient. Lack of legislation knowledge may be an important cause of complaint reports concerning emergency physicians, who have a high load of patients. Thus, we think that increasing the frequency of post-graduate education sessions and periodical reviews might be beneficial.
医学是一个存在一定风险的职业。急诊科室是一个高风险的执业领域。急诊医生诊断和治疗大量患者，同时还负责为法医案件编写报告。在本研究中，我们旨在调查急诊医生的法律行政问题，并揭示他们对法医案件的理解水平。
在伦理委员会批准后编制了一份电子问卷。该问卷通过电子邮件发送给急诊医学的住院医师、专科医生和院士。要求医生在线填写问卷。对所有收集到的数据进行分析。描述性统计以频率百分比表示，并给出均值和标准差。采用卡方检验比较各组。调查投诉案件数量与年龄、性别、职业、机构以及在急诊科的服务年限之间的相关性。p<0.05被认为具有统计学意义。
294名医生参与了问卷调查。根据问卷，170名医生因医疗事故被报告至患者沟通部门。投诉报告的平均数量为3.20±3.5。29名医生受到行政处罚。42名医生因医疗事故在法庭受审。其中1名医生因这些判决被罚款5000土耳其里拉。
我们发现投诉报告的数量与急诊医学服务年限和年龄呈负相关。投诉报告数量与职业之间存在显著差异（p<0.05）。发现医生对法医案件的认知水平不足。缺乏立法知识可能是涉及急诊医生投诉报告的一个重要原因，因为急诊医生患者负担重。因此，我们认为增加研究生教育课程的频率和定期复习可能会有所帮助。
