Siracusa M, Scuri S, Grappasonni I, Petrelli F
School of Medicinal and Health Products Sciences, University of Camerino, Camerino, Italy.
Ann Ig. 2019 Sep-Oct;31(5):496-506. doi: 10.7416/ai.2019.2310.
Healthcare acquired infections (HAIs) represent a significant burden for hospitalized patients in terms of mortality, morbidity, length of stay and costs. Also cause medical liability and medical malpractice litigation.
Specific keywords combinations were analitically searched in PubMed and Scopus databases. Publications concerning medical liability, medical malpractice and litigation issues were reviewed.
The authors outlined the healthcare workers and healthcare settings mandatory duties in consideration of the Italian law. In case of infections occurred in hospital environment the patients must demonstrate the guilty nature of the physicians and healthcare settings, the existence of a harm and causal connection. Physicians and healthcare facilities defence is mainly based on demonstration that protocols and aseptic measures were adopted scrupulously applying the up to date scientific knowledge.
HAI are a complex issue which need a multitask strategy and a surveillance system to control the phenomenon and help physicians and healthcare facilities to reduce malpractice litigation.
医疗保健相关感染（HAIs）在死亡率、发病率、住院时间和费用方面给住院患者带来了重大负担。还会引发医疗责任和医疗事故诉讼。
在PubMed和Scopus数据库中对特定关键词组合进行分析性检索。对有关医疗责任、医疗事故和诉讼问题的出版物进行了综述。
作者根据意大利法律概述了医护人员和医疗机构的法定义务。在医院环境中发生感染的情况下，患者必须证明医生和医疗机构存在过错、存在损害以及因果关系。医生和医疗机构的辩护主要基于证明已严格按照最新科学知识采用了相关规程和无菌措施。
医疗保健相关感染是一个复杂的问题，需要采取多任务策略和监测系统来控制这一现象，并帮助医生和医疗机构减少医疗事故诉讼。
