Rognum T O, Vege A
Rettsmedisinsk institutt, Rikshospitalet, Oslo.
Tidsskr Nor Laegeforen. 1997 Aug 30;117(20):2969-73.
According to Norwegian law, cases where medical diagnostic procedures or treatment may have caused death shall be reported to the police. During the period 1993-1995, an autopsy was performed at the Institute of Forensic Medicine, Oslo, in 76 cases of such deaths in hospital. In only one case did the police investigation result in a sentence for malpractice. The chief county medical officers react more often; in 16% of the cases, hospital procedures were criticised, or the hospitals were advised to improve hospital routines, and another 14% of the cases were reported to the Norwegian Board of Health. Thus, as expected, the chief county medical officers react more often with criticism than the police do with accusation. The appearance of the police in the hospital often implies a serious conflict of cultures. There are good arguments for specialists in forensic medicine acting as intermediaries between the health service and the judicial system.
根据挪威法律,医疗诊断程序或治疗可能导致死亡的案件应向警方报告。在1993年至1995年期间,奥斯陆法医学研究所对76例医院内此类死亡病例进行了尸检。警方调查仅在1例案件中导致了医疗事故判决。郡首席医疗官的反应更为频繁;在16%的案件中,医院程序受到批评,或建议医院改进医院常规,另有14%的案件报告给了挪威卫生委员会。因此,正如预期的那样,郡首席医疗官的批评反应比警方的指控更为频繁。警方出现在医院往往意味着严重的文化冲突。有充分的理由让法医学专家充当卫生服务机构和司法系统之间的中间人。