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首都城市激光治疗中的医疗过失趋势:一项为期九年的调查。

A trend of Medical Negligence in Laser Therapy in the Capital City: A Nine-Year Survey.

作者信息

Jahani-Sherafat Somayeh, Razzaghi Zahra, Mahdavi Seyed Amirhossein, Forouzesh Mehdi, Emam Hadi Mohammad Ali, Rostami-Nejad Mohammad, Rezaei Tavirani Mostafa, Razzaghi Mohammadreza

机构信息

Laser Application in Medical Sciences Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Legal Medicine Research Center, Iranian Legal Medicine Organization, Tehran, Iran.

出版信息

J Lasers Med Sci. 2022 Jul 2;13:e29. doi: 10.34172/jlms.2022.29. eCollection 2022.

Abstract

The purpose of the present study is to investigate the common causes of injuries, claims, and decisions related to laser therapy medical malpractice during a nine-year survey. The legal documents in the Coroner's Office of Forensic Medicine were investigated in a national database from 2012 to 2020 in Tehran, Iran. The frequency and nature of the cases, including the year of litigation, the location and certificate of the provider, the injury sustained, and the cause of legal action and judgment were collected. Three hundred and eighty-three cases related to injury from laser therapy were registered in the coroner's Office of Forensic Medicine during the study period. The incidence of litigation related to laser surgery showed an increasing trend, with a peak occurrence in 2020. Laser hair removal was the most common (51.2%) litigated procedure. General practice operators (48%) recorded the highest rate of laser-related medical complaints. Lack of skill was the most common reason for failure. Among 383 cases with public decisions, 62.4% of them were fault liability in paid judgment. Medical claims related to laser application are increasing. However, as it is clear, the growth of laser technology and the increasing demand for lasers in medical science require more surveillance to avoid probable injuries and improve patient safety, especially surveillance of the physicians who work outside the scope of their specialty.

摘要

本研究的目的是调查在为期九年的调查中,与激光治疗医疗事故相关的伤害、索赔及决策的常见原因。对伊朗德黑兰2012年至2020年国家数据库中法医办公室的法律文件进行了调查。收集了案件的频率和性质,包括诉讼年份、提供者的地点和资质、所受伤害以及法律诉讼和判决的原因。在研究期间,法医办公室登记了383例与激光治疗伤害相关的案件。与激光手术相关的诉讼发生率呈上升趋势,2020年出现峰值。激光脱毛是最常见的(51.2%)被诉讼程序。全科医生(48%)记录的激光相关医疗投诉率最高。缺乏技能是失败的最常见原因。在383例有公开判决的案件中,62.4%在支付判决中属于过错责任。与激光应用相关的医疗索赔在增加。然而,很明显,激光技术的发展以及医学领域对激光需求的增加需要更多监督,以避免可能的伤害并提高患者安全,特别是对超出其专业范围工作的医生的监督。

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