Barinov E H, Kalinin R E, Kovalev A V
A.I. Yevdokimov Moscow State University of Medicine and Dentistry, Moscow, Russia.
Peoples' Friendship University of Russia, Moscow, Russia.
Sud Med Ekspert. 2023;66(5):5-10. doi: 10.17116/sudmed2023660515.
Article is devoted to the problem of production and legal evaluation of repeated commission (complex) forensic medical examinations based on materials of «medical» practices, related to facts of health care delivery adverse outcomes, in criminal and civil proceedings. Reasons of re-examination assignment, theoretical and applied aspects of this procedural institute in evidence in cases of iatrogenic crimes and unqualified health care delivery were considered. The authors pay particular attention to deficiency of legal base and practical approaches to the re-examination assignment and its results' evaluation, and suggest ways to improve the forensic medical and law enforcement activity in this category of cases. The examples from practice, illustrating the content and nature of the re-examination's problem in «medical» cases, were given, the ways to improve the quality of expert work and judicial practice were emphasized, and measures, that will improve the situation in short term, were identified.
本文致力于基于“医疗”实践材料，在刑事和民事诉讼中对与医疗保健不良后果事实相关的重复进行（复杂）法医鉴定的制作及法律评估问题。考虑了重新鉴定委托的原因，以及该程序制度在医源性犯罪和不合格医疗保健案件证据方面的理论和应用方面。作者特别关注重新鉴定委托及其结果评估的法律依据和实践方法的不足，并提出了改善此类案件中法医和执法活动的方法。给出了实践中的例子，说明了“医疗”案件中重新鉴定问题的内容和性质，强调了提高专家工作质量和司法实践的方法，并确定了在短期内将改善这种状况的措施。
