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[对涉嫌医疗差错的案件提供法医学意见。第2部分。涉嫌医疗差错案件中的专家证据——期望、可能性、威胁……]

[Giving medico-legal opinions in cases with suspicion of medical mistake. part 2. Expert evidence in cases with suspicion of medical mistake - expectations, possibilities, threats…].

作者信息

Chowaniec Czesław, Chowaniec Małgorzata, Wilk Mateusz

机构信息

Katedra I Zakład Medycyny Sądowej I Toksykologii Sądowo-Lekarskiej Śląskiego Uniwersytetu Medycznego, Katowice, Polska.

Katedra I Zakład Anatomii Prawidłowej Śląskiego Uniwersytetu Medycznego, Katowice, Polska.

出版信息

Wiad Lek. 2017;70(4):771-777.

Abstract

Problems of medical mistake and therapeutic failure are inextricably linked with realization of medical services. In recent years, mostly by the media and increasing demanding attitude, a rapid increase of initiated cases opened by judicial body in conjunction with medical mistake made by medical staff is observed. Making medico-legal opinions is not easy task and often face many difficulties. These consist of lacks in medical documentation, time rigor, formal tightening and need to create team that consist of both forensic medicine specialist and clinicians, who together shall write complex medico-legal opinion. This article touches the essence of the opinion-making problem in the aspect of medical mistake. It shows specifics of the role of forensic medicine specialist, his challenges and difficulties in creating opinions. The article confronts real possibilities of court experts with expectations of judicial body, outlining new challenges and dangers which court experts have to face.

摘要

医疗失误和治疗失败问题与医疗服务的提供紧密相连。近年来,主要受媒体影响以及公众要求日益提高,司法机构受理的与医务人员医疗失误相关的案件数量迅速增加。出具法医学意见并非易事,常常面临诸多困难。这些困难包括医疗记录缺失、时间紧迫、形式要求严格,以及需要组建由法医学专家和临床医生组成的团队,共同撰写复杂的法医学意见。本文从医疗失误的角度探讨了出具意见这一问题的本质。它展示了法医学专家角色的特殊性、其在出具意见时面临的挑战和困难。本文将法院专家的实际能力与司法机构的期望进行了对比,概述了法院专家必须面对的新挑战和危险。

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