Esfahani Shayesteh Ashrafi, Forouzesh Mehdi, Ghadipasha Masoud, Salahshour Babak, Alimohammadi Mohammad-Ali, Jafarnejad Ladan, Emami Noudeh Ali Asghar, Mahboubi Melika
Department of Forensic Medicine, Legal Medicine Research Center, Legal Medicine Organization, Tehran, Iran.
Department of Forensic Medicine, Legal Medicine Research Center, Legal Medicine Organization, Tehran, Iran.
J Forensic Leg Med. 2025 Jun 25;115:102919. doi: 10.1016/j.jflm.2025.102919.
A comprehensive review of medical complaint cases has been identified as a valuable tool for identifying the various factors that contribute to medical malpractice. This review has been found to assist surgeons in the prevention of such errors, thereby ensuring patient safety. Cosmetic surgeries frequently elicit a high volume of complaints against medical professionals, underscoring the need for a comprehensive understanding of this phenomenon to mitigate its repercussions.
This descriptive cross-sectional study examined 136 patient complaints referred to the Tehran Province Forensic Commission during the initial six months of 2019. The complaints were assessed using a researcher-designed questionnaire and compared with the final rulings issued by judges against the opinions of the forensic medical commissions. The collected data were then subjected to statistical analysis using SPSS software, version 25.
The findings indicated that 62.5 % of the 136 patients with a documented history of cosmetic surgery were between the ages of 20 and 40, with a majority being female (89 %). Among the medical professionals, 83.8 % were male, and 43.4 % had surgical specializations. The most prevalent cause of malpractice was the failure to adhere to scientific and technical standards. According to court rulings, 76.4 % of the 72 cases initially deemed malpractice by the forensic commission were confirmed. A substantial correlation was identified between the type of specialty, anesthesia, and the gender of the attending physicians and the occurrence of medical malpractice (P ≤ 0.05).
The results of the study indicate that in over half of the cases, the doctor's malpractice was proven, with the most common cause being the failure to adhere to scientific and technical standards. This finding underscores the importance of addressing this issue.
对医疗投诉案例进行全面审查已被视为识别导致医疗事故的各种因素的宝贵工具。已发现这种审查有助于外科医生预防此类错误，从而确保患者安全。整形手术经常引发大量针对医疗专业人员的投诉，这凸显了全面了解这一现象以减轻其影响的必要性。
这项描述性横断面研究调查了2019年头六个月提交给德黑兰省法医委员会的136例患者投诉。使用研究人员设计的问卷对投诉进行评估，并与法官针对法医委员会意见作出的最终裁决进行比较。然后使用SPSS 25版软件对收集的数据进行统计分析。
研究结果表明，136例有整形手术记录的患者中，62.5%年龄在20至40岁之间，大多数为女性（89%）。在医疗专业人员中，83.8%为男性，43.4%有外科专业。医疗事故最常见的原因是未遵守科学和技术标准。根据法庭裁决，法医委员会最初认定为医疗事故的72例案件中，76.4%得到确认。专科类型、麻醉方式以及主治医生性别与医疗事故的发生之间存在显著相关性（P≤0.05）。
研究结果表明，在超过半数的案例中，医生的医疗事故得到证实，最常见的原因是未遵守科学和技术标准。这一发现凸显了解决这一问题的重要性。
