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加纳医疗事故案例的模式和结果:系统内容分析。

Pattern and outcomes of medical malpractice cases in Ghana: a systematic content analysis.

机构信息

School of Nursing, The Hong Kong Polytechnic University, Kowloon, Hong Kong SAR.

Department of Nursing, Faculty of Health and Medical Sciences, Presbyterian University College, Ghana.

出版信息

Ghana Med J. 2022 Dec;56(4):322-330. doi: 10.4314/gmj.v56i4.11.

Abstract

OBJECTIVES

Medical malpractice complaints are apparently on the rise in Ghana. Though it has been suggested that medico-legal training programmes should emphasise the kinds of legal problems that healthcare staff encounter most frequently in practice, no comprehensive study currently analyses the pattern and outcomes of existing case laws.

DESIGN

Systematic content analysis.

DATA SOURCES

Medical malpractice case laws sourced from Ghanaian legal repositories, media platforms and other grey literature sources.

RESULTS

Nine case laws were retained. Most of the cases (n=7) involved negligence. Emerging patterns of cases are complex, including patients' access to their medical records, practising without a license/ out of scope, refusal to treat, and the development of complications following surgical interventions. Obstetrics & Gynaecology, Surgery, and Paediatrics were the main clinical specialties involved in the malpractice cases identified.

CONCLUSIONS

The pattern of the cases suggests that all medical specialties are potentially at risk, although most of the cases emerged from Obstetrics & Gynaecology, Surgery, and Paediatrics. Medico-legal training for healthcare staff should emphasise the duty of care and adherence to the Ghana Health Service Patient Charter.

FUNDING

None declared.

摘要

目的

在加纳,医疗事故投诉显然呈上升趋势。尽管有人建议医疗法律培训计划应重点强调医疗保健人员在实践中最常遇到的法律问题,但目前尚无综合研究分析现有判例法的模式和结果。

设计

系统内容分析。

资料来源

从加纳法律存储库、媒体平台和其他灰色文献来源获取医疗事故判例法。

结果

保留了 9 个判例法。大多数案件(n=7)涉及疏忽。案件的出现模式复杂,包括患者获取病历、无证行医/超出范围、拒绝治疗以及手术干预后并发症的发展。妇产科、外科和儿科是确定的医疗事故案件中的主要临床专业。

结论

这些案例的模式表明,所有医疗专业都存在潜在风险,尽管大多数案例来自妇产科、外科和儿科。医疗保健人员的医疗法律培训应强调注意义务和遵守加纳卫生服务患者宪章。

经费

无。

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