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沙特阿拉伯医疗事故诉讼的现状:年度报告分析

The status of medical malpractice litigations in Saudi Arabia: Analysis of the annual report.

作者信息

Almannie Raed, Almuhaideb Mana, Alyami Fahad, Alkhayyal Abdullah, Binsaleh Saleh

机构信息

Urology Division, Department of Surgery, College of Medicine, King Saud University, Riyadh, Saudi Arabia.

College of Medicine, King Saud University, Riyadh, Saudi Arabia.

出版信息

Saudi J Anaesth. 2021 Apr-Jun;15(2):97-100. doi: 10.4103/sja.SJA_908_20. Epub 2021 Apr 1.

DOI:10.4103/sja.SJA_908_20
PMID:34188624
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8191242/
Abstract

CONTEXT

Medical malpractice is a leading cause of morbidity and mortality worldwide. Analyzing the current number of lawsuits and comparing it to previous years will help assess the status of medical malpractice litigations in Saudi Arabia.

SUBJECTS AND METHODS

A review and analysis of the annual statistics book of the Medico-Legal Committees (MLCs) in Saudi Arabia over the years (1437-1439 H) was conducted.

RESULTS

Over the 3-year study period, the total number of lawsuits was 3,684. The percentage of increase of malpractice lawsuits from 1437 until 1439 Hijri (2016-2018) was 26% (1,097-1,379 lawsuits). Obstetrics and Gynecology consistently had the highest number lawsuits compared to other specialties (25.6%), followed by dentistry (13.5%). Similarly, the rate of compensation after a lawsuit was highest in Obstetrics and Gynecology claims (62.7%), followed by dentistry (60%). The private healthcare sector consistently showed the highest number of lawsuits when compared to other healthcare providers, with a 73% increase over 3 years. The Ministry of Health showed an overall reduction in the number of lawsuits by 6.6% over the course of the study period.

CONCLUSIONS

The number of lawsuits in Saudi Arabia is increasing rapidly. Understanding the reason for this is very important especially given the high rates of lawsuits for certain specialties and healthcare sectors. A root cause analysis cannot be conducted without a detailed reporting system for malpractice lawsuits; the development of which would help in research and the generation of solutions in this field.

摘要

背景

医疗事故是全球发病和死亡的主要原因之一。分析当前的诉讼数量并与往年进行比较,将有助于评估沙特阿拉伯医疗事故诉讼的状况。

对象与方法

对沙特阿拉伯多年来(回历1437 - 1439年)医学法律委员会(MLCs)的年度统计书籍进行了回顾和分析。

结果

在为期3年的研究期内,诉讼总数为3684起。从回历1437年到1439年(2016 - 2018年),医疗事故诉讼的增长百分比为26%(从1097起诉讼增至1379起)。与其他专科相比,妇产科的诉讼数量始终最高(25.6%),其次是牙科(13.5%)。同样,诉讼后的赔偿率在妇产科索赔中最高(62.7%),其次是牙科(60%)。与其他医疗服务提供者相比,私立医疗部门的诉讼数量始终最高,3年内增长了73%。在研究期间,卫生部的诉讼数量总体减少了6.6%。

结论

沙特阿拉伯的诉讼数量正在迅速增加。了解其原因非常重要,尤其是考虑到某些专科和医疗部门的高诉讼率。如果没有针对医疗事故诉讼的详细报告系统,就无法进行根本原因分析;而该系统的开发将有助于该领域的研究和解决方案的产生。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d26e/8191242/b73b71247a39/SJA-15-97-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d26e/8191242/51150b3ccf51/SJA-15-97-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d26e/8191242/91d27008f9ac/SJA-15-97-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d26e/8191242/b73b71247a39/SJA-15-97-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d26e/8191242/51150b3ccf51/SJA-15-97-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d26e/8191242/91d27008f9ac/SJA-15-97-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d26e/8191242/b73b71247a39/SJA-15-97-g003.jpg

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Saudi Med J. 2018 Nov;39(11):1075-1081. doi: 10.15537/smj.2018.11.22854.
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A 12-year analysis of closed medical malpractice claims of the Taiwan civil court: A retrospective study.台湾民事法庭医疗 malpractice 结案索赔的 12 年分析:一项回顾性研究。 (注:malpractice 常见释义为“玩忽职守;渎职;医疗事故” ,这里结合语境可能是指医疗事故相关索赔,但原词在医学专业语境中有特定含义,可能更准确的说法是“医疗过失索赔” ,不过按照要求未做更改。 )
Exploring the perception of safety culture among nurses in Saudi Arabia.
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BMC Nurs. 2024 Jun 19;23(1):412. doi: 10.1186/s12912-024-02077-7.
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