Zykova N A, Ribenson M S
Sud Med Ekspert. 1998 May-Jun;41(3):3-6.
Expert evaluation of the correctness of medical care is one of the most complex problems for experts. A total of 303 expert evaluations of this kind were carried out in the Moscow regional Bureau during the recent 11 years. Expert evaluation of surgical care were the most numerous. The percentage of cases when grave defects of medical care were detected is rather high: 58-88%. The authors consider that a universal scheme of expert evaluation concerning infringement of the law by medical workers is to be developed for forensic medical service of the Russian Federation. They propose a table, which takes account of the type of error (diagnostic, strategic, medical, management), causes of errors (objective or subjective), causes of improper actions of physicians, relationship between death and the error, probability of survival if medical care had been proper, data on bringing an action against the physician, etc.
对医疗护理正确性进行专家评估,对专家而言是最为复杂的问题之一。在最近11年里,莫斯科地区局共进行了303次此类专家评估。其中,对外科护理的专家评估数量最多。检测出医疗护理存在严重缺陷的病例比例相当高:58% - 88%。作者认为,应为俄罗斯联邦法医服务制定一套关于医护人员违法侵权行为的通用专家评估方案。他们提出了一个表格,该表格考虑了错误类型(诊断、策略、医疗、管理)、错误原因(客观或主观)、医生不当行为的原因、死亡与错误之间的关系、若医疗护理得当患者存活的概率、对医生提起诉讼的数据等。