沙特阿拉伯一家教学医院的法医学案例特征及法医学报告中的错误
Characteristics of Medico-Legal Cases and Errors in Medico-Legal Reports at a Teaching Hospital in Saudi Arabia.
作者信息
Madadin Mohammed, Alqarzaie Abdullah A, Alzahrani Rashed S, Alzahrani Faisal F, Alqarzea Saleh M, Alhajri Khalid M, Al Jumaan Mohammed A
机构信息
College of Medicine, King Fahad Hospital of the University, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia.
Department of Emergency Medicine, College of Medicine, King Fahad Hospital of the University, Imam Abdulrahman Bin Faisal University, Dammam, Eastern Province, Saudi Arabia.
出版信息
Open Access Emerg Med. 2021 Dec 2;13:521-526. doi: 10.2147/OAEM.S341893. eCollection 2021.
INTRODUCTION
A medico-legal case (MLC) involves any injury or medical condition in which law enforcement agencies investigate and fix the responsibility regarding of an injury or medical condition. Incorrect or incomplete medico-legal reports (MLRs) may trigger a pause or delay in legal proceedings and patients' rights could be violated. The aim of this study is to describe the characteristics of MLCs and to identify errors in the MLRs.
MATERIALS AND METHODS
This retrospective, descriptive study was conducted in a teaching hospital in the Eastern Province of Saudi Arabia. In total, 418 MLRs furnished during a 6-month period and reviewed for characteristics of MLCs and identification of errors.
RESULTS
A total of 418 MLRs were included in the present study. Fights or physical assault and battery formed the major proportion of MLCs amounting to 83% of MLCs. Blunt injury was the dominant type of injury in most of the cases (81.8%). In relation to errors in MLRs, no MLR in the present study were without errors.
CONCLUSION
Fights or physical assault and battery formed the major proportion of MLCs. Multiple errors were identified in the MLRs furnished by the physicians. Writing MLRs must follow standardized guidelines as it has a bearing on legal proceedings and patients' rights. We recommend training for physicians in writing MLRs in the interest of proper administration of justice.
引言
医疗法律案件（MLC）涉及任何伤害或医疗状况，在此类案件中执法机构会对伤害或医疗状况展开调查并确定责任归属。不正确或不完整的医疗法律报告（MLR）可能会导致法律程序暂停或延迟，患者权利也可能受到侵犯。本研究的目的是描述医疗法律案件的特征，并找出医疗法律报告中的错误。
材料与方法
本回顾性描述性研究在沙特阿拉伯东部省份的一家教学医院开展。总共收集了在6个月期间内提供的418份医疗法律报告，并对医疗法律案件的特征进行审查以及找出其中的错误。
结果
本研究共纳入418份医疗法律报告。打架斗殴或人身攻击与殴打构成了医疗法律案件的主要部分，占医疗法律案件的83%。在大多数病例中（81.8%），钝器伤是主要的损伤类型。关于医疗法律报告中的错误，本研究中没有一份报告没有错误。
结论
打架斗殴或人身攻击与殴打构成了医疗法律案件的主要部分。医生提供的医疗法律报告中存在多处错误。撰写医疗法律报告必须遵循标准化指南，因为这关系到法律程序和患者权利。为了公正执法，我们建议对医生进行撰写医疗法律报告方面的培训。
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