D'Anna Tommaso, Argo Antonina, Albano Giuseppe Davide, Puntarello Maria, Rizzo Chiara, Guadagnino Daniela, Zerbo Stefania
Policlinic Hospital, University of Palermo, Via del Vespro 129, 90127 Palermo, Italy.
Department of Health Promotion, Mother and Child Care, Internal Medicine and Medical Specialties, Section of Legal Medicine, University of Palermo, 90127 Palermo, Italy.
Healthcare (Basel). 2023 Feb 11;11(4):539. doi: 10.3390/healthcare11040539.
Residences for elderly and sick people, self-sufficient or dependent, are varied. To date, the liability profiles of these structures are not clearly delineated, and increasingly often, their operating and organization criteria are entrusted to subnational, regional, or local regulations. Among the various deficits, there is the keeping of a complete and detailed documentation/diary of the patient, the lack of which can generate medico-legal problems. In this paper, we present three cases of guests in residences for a dependent person brought to the attention of the Institute of Forensic Medicine of the University Hospital of Palermo due to criminal proceedings, where the lack of existing documentation in the structure and, in some cases, the behavior of the professionals working there, led the evaluator to deduce the organization's culpability.
老年人和病人的住所,无论是自给自足还是需要照料的,种类繁多。迄今为止,这些机构的责任状况尚未明确界定,而且其运营和组织标准越来越多地委托给国家以下、地区或地方法规。在各种不足之处中,存在着缺乏完整详细的患者文档/日志的问题,而这可能会引发法医学问题。在本文中,我们介绍了三起发生在需要照料者住所的住客案例,这些案例因刑事诉讼被提交至巴勒莫大学医院法医学研究所,在这些案例中,机构中现有文档的缺失,以及在某些情况下那里工作人员的行为,致使评估人员推断该机构存在过错。