Tattoli Lucia, Dell'Erba Alessandro, Ferorelli Davide, Gasbarro Annarita, Solarino Biagio
S.C. Medicina Legale U - Azienda Ospedaliero-Universitaria Città della Salute e della Scienza di Torino, 10126 Torino, Italy.
Institute of Legal Medicine Department of Medicine (DIM), School of Medicine, University of Bari A. Moro, 70124 Bari, Italy.
Antibiotics (Basel). 2019 Oct 28;8(4):199. doi: 10.3390/antibiotics8040199.
Sepsis is a leading cause of morbidity and mortality worldwide. It is defined as the presence of a Systemic Inflammatory Response Syndrome, and it represents a significant burden for the healthcare system. This is particularly true when it is diagnosed in the setting of nosocomial infections, which are usually a matter of concern with regard to medical liability being correlated with increasing economic costs and people's loss of trust in healthcare. Hence, the Italian governance promotes the clinical risk management with the aim of improving the quality and safety of healthcare services. In this context, the role of medico-legal experts working in a hospital setting is fundamental for performing autopsy to diagnose sepsis and link it with possible nosocomial infections. On the other hand, medico-legal experts are party to the clinical risk management assessment, and deal with malpractice cases and therefore contribute to formulating clinical guidelines and procedures for improving patient safety and healthcare providers' work practices. Due to this scenario, the authors here discuss the role of medico-legal experts in Italy, focusing on sepsis and nosocomial infections.
脓毒症是全球发病和死亡的主要原因。它被定义为存在全身炎症反应综合征，对医疗系统构成重大负担。当在医院感染的情况下被诊断出时尤其如此，医院感染通常涉及医疗责任问题，与经济成本增加和人们对医疗保健的信任丧失相关。因此，意大利政府推动临床风险管理，旨在提高医疗服务的质量和安全性。在这种背景下，在医院环境中工作的法医学专家对于进行尸检以诊断脓毒症并将其与可能的医院感染联系起来至关重要。另一方面，法医学专家参与临床风险管理评估，处理医疗事故案件，因此有助于制定临床指南和程序，以提高患者安全和医疗服务提供者的工作实践。鉴于这种情况，本文作者讨论了意大利法医学专家的作用，重点是脓毒症和医院感染。
