Doğan Muzaffer Berna, Yükseloğlu Emel Hülya, Doğan Mazlum, Uğraş Seda Diker
Arel University, School of Health Sciences, Department of Nursing, Turkey.
Istanbul University-Cerrahpasa, Institute of Forensic Sciences, Department of Science, Turkey.
J Forensic Leg Med. 2020 Apr;71:101932. doi: 10.1016/j.jflm.2020.101932. Epub 2020 Feb 21.
Complaints about alleged medical malpractice have increased over time in Turkey, as well as other countries around the world. And it is often the subject of debate in health law and medical law. It can be seen that discussions are underway on "standard of care" which is highlighted in the finalization of claims for medical malpractice. In this case, the expert opinion offered to be the key point for the cases. In the expert opinion, there seems to be differences in approach and procedure. However, the period of determination of whether health professionals provide the expected minimum standard of care needs to be analyzed in a standard way. In addition to standard, objective and scientific evaluation of the evidence of liability for the medical malpractice claims by the experts, it is aimed to create an algorithm that will facilitate the evaluation by the judicial authorities. The aim of this research is to provide minimum common denominator which will be the standard approach model for the experts in the evaluation of medical malpractice claims. The Delphi method was used as a tool for the panelists to express their opinions freely without being under the influence of each other and to reveal different ideas. The research conducted with 11 panelists consist of forensic medicine experts, clinicians, and a lawyer between January 2017 and September 2017. This research will impact the forensic science and law community by serving the evaluations of the experts in medical malpractice claims whether evaluations are based on methodological and logical considerations and the scientific validity of the evaluations is objective or not.
在土耳其以及世界其他国家，有关医疗事故指控的投诉呈上升趋势。而且它常常是卫生法和医疗法领域的辩论主题。可以看出，围绕医疗事故索赔最终确定过程中所强调的“护理标准”的讨论正在进行。在这种情况下，专家意见被视为案件的关键要点。在专家意见中，似乎存在方法和程序上的差异。然而，需要以一种标准方式分析确定卫生专业人员是否提供了预期最低护理标准的时间段。除了由专家对医疗事故索赔责任证据进行标准、客观和科学的评估外，旨在创建一种便于司法当局进行评估的算法。本研究的目的是提供最低公分母，作为专家评估医疗事故索赔的标准方法模型。德尔菲法被用作一种工具，使小组成员能够在不受彼此影响的情况下自由表达意见，并揭示不同观点。2017年1月至2017年9月期间，对由法医学专家、临床医生和一名律师组成的11名小组成员进行了这项研究。本研究将通过为医疗事故索赔专家评估提供服务，影响法医学和法律界，无论评估是否基于方法和逻辑考量，以及评估的科学有效性是否客观。
