Jung Ji Yun, Kim So Yoon, Kim Dong Gyu, Kim Choong Bai, Chi Kyong-Choun, Kang Won Kyung, Lee Won
Center of Bio & Basic Science R&D Coordination, Korea Institute of S&T Evaluation and Planning (KISTEP), Seoul, Korea.
Department of Medical Law & Ethics, Yonsei University College of Medicine, Seoul, Korea.
Ann Surg Treat Res. 2018 Mar;94(3):113-117. doi: 10.4174/astr.2018.94.3.113. Epub 2018 Feb 28.
The aim of this study is to prepare medical staff in order to prevent medical malpractice litigation through analysis of litigation cases related to the department of surgery in Korea.
A total of 94 litigation cases related to the department of surgery, where a certain amount of payment was ordered to the defendant between 2005 through 2010, were analyzed. We examined time of occurrence, amount claimed and awarded in damages, plaintiff claims, and court opinion.
An average of 3.2 years was spent from the date of the incident occurring to the end of the litigation procedures. The average amount awarded in judgments for damages was 59,708,983 ± 67,307,264 (range, 1,700,000-365,201,482) Korean won. Cases were found involving the following opinion of the court: violation of duty of care (49 cases), violation of informed consent (7 cases), violation of duty of care and informed consent (5 cases), and settlement, reconciliation, and others (32 cases). By analyzing defendants' negligence in court opinions, diagnosis (30.8%) was the most common, followed by post-operation management (27.7%).
Physicians have to conduct treatment and surgery based on exact diagnosis and be careful to observe patients' conditions and symptoms after surgery. It is essential to identify the current status and characteristics of medical litigation for reducing further litigation and improving patient safety. In order to create a safe medical environment, national efforts should be made not only by individuals but also at the national level.
本研究旨在通过分析韩国外科领域的诉讼案件，使医务人员做好预防医疗事故诉讼的准备。
对2005年至2010年间与外科相关的94起诉讼案件进行分析，这些案件中被告被责令支付一定金额的赔偿。我们审查了事故发生时间、索赔金额和赔偿金额、原告的诉求以及法院意见。
从事故发生之日到诉讼程序结束平均耗时3.2年。损害赔偿判决的平均赔偿金额为59,708,983 ± 67,307,264韩元（范围为1,700,000 - 365,201,482韩元）。发现案件涉及以下法院意见：违反注意义务（49起案件）、违反知情同意（7起案件）、违反注意义务和知情同意（5起案件）以及和解、调解等其他情况（32起案件）。通过分析法院意见中被告的过失，诊断（30.8%）是最常见的，其次是术后管理（27.7%）。
医生必须基于准确的诊断进行治疗和手术，并在术后仔细观察患者的病情和症状。识别医疗诉讼的现状和特点对于减少进一步的诉讼以及提高患者安全至关重要。为了营造安全的医疗环境，不仅个人要做出努力，国家层面也应做出努力。
