Aim: This study aimed to present 96 cases evaluated by the 1st Specialization Committee of The Council of Forensic Medicine, which included medical malpractice claims about urologists resulting in death between 2010 and 2015 and to increase the awareness of urologists about medical malpractice claims. Materials and methods: The reports prepared by the 1st Specialization Committee of The Council of Forensic Medicine between 2010–2015 were reviewed retrospectively. All of the cases treated in Urology clinics, alleged medical malpractice, and resulted in death, participated in the study. Results: In this study, 96 cases were included. It was reported that there was medical malpractice in 16 (16.7%) cases. Seventy–six of the patients (79.2%) were female; the most common age range was ≥ 60 years (n:46 47.9%); the mean age was 54,90±19,59 years. Seventy–three (76%) cases were followed up under elective conditions. Complications developed in 20 (20.8%) of the cases during their treatment course. Surgical treatment was applied in 68 (70.8%) patients. Twenty (20.8%) cases were diagnosed with urinary system stone disease and 16 (16.7%) cases with benign prostatic hyperplasia. The committee attributed malpractice to the doctors most frequently due to lack of treatment (n:6, 37.5%). Conclusion: We think that a comprehensive review of the cases with medical malpractice claims will contribute to a better understanding of these cases, the improvement of the medical service provided, and public health.
Aim: Maternal mortality is an important public health issue. In this study, it is aimed to evaluate pregnancy related maternal deaths in a multi-dimensional manner, focusing on not only demographic and clinical characteristics but also autopsy results by including the maternal death cases having autopsy reports. Material and Method: There were 1037 pregnancy related deaths in Turkey, between 2010 and 2014, and 17.3 % (n=180) of them had an autopsy report. Autopsied maternal deaths were evaluated in this sutdy. Data of autopsied pregnancy related deaths were obtained from the nationwide registration system of Woman and Reproductive Health Department of Turkish Ministry of Health and Turkish Ministry of Justice-Council of Forensic Medicine and evaluated retrospectively. Characteristics and cause of maternal deaths autopsied between 2010 and 2014 were evaluated. Age, cause of death, pregnancy state at the time of death, place of birth, mode of delivery, time of death, pregnancy outcomes, place of death, and delay-model were evaluated. Results: In this study, 61.1% (n=110) of all pregnancy related deaths were ≥30 years of age. Direct maternal deaths were 35% (n=63) of the cases, such as hemorrhage 14.5% (n=26), embolus 6.7% (n=12), uterine rupture 5% (n=9), preeclampsia/eclampsia 4.4% (n=8) and others 4.4% (n=8). Indirect maternal deaths were 56.1% (n=101) of the cases, such as cardiovascular disease 37.2% (n=67), infection 7.8% (n=14), cerebrovascular disease 6.7% (n=12), and others 4.4% (n=8). In 8.9% (n=16) of the cases, the cause of death was not determined. Deaths occurred in the postpartum period in 61.1% (n=110) of the cases. Deaths occurred in a healthcare facility in 71.1% (n=128) of the cases. One or more delays were determined in 33.9% (n=61) of the cases. Conclusion: According to the results of the present study, cardiovascular disease related to maternal mortality has been found to be an increasing, important public health concern to consider for maternal health routines. In addition, as a second outcome of this study, we can emphasize that, although, the exact cause of death could not be determined even after autopsy in 16 cases (8.9%), autopsy is still one of the most valuable assessment tools to highlight important possible clinical and administrative improvements to reduce maternal mortality.
ABS TRACT Objective: Physicians have been strongly affected by the stress caused by malpractice lawsuits. This study aims to increase the awareness of physical therapy and rehabilitation physicians about cases with alleged medical malpractice. Material and Methods: Allegations of medical malpractice against physical therapy and rehabilitation physicians were examined retrospectively from the report archives of the First Specialization Board of Council of Forensic Medicine between 01.01.2010 and 31.12.2015. Results: This study included 22 cases: 11 cases (50%) were male, 11 were (50%) female. The mean age was 48.86±22.9 (minimum: 16, maximum: 85), and 40.9% of the cases were 60 years or older. The event that was the subject of the complaint occurred most frequently in the state hospital (n=7, 31.8%) and the private hospital (n=6, 27.3%). One-fourth of the physical therapy and rehabilitation physicians (27.3%) intervened as consultant physicians. Twenty-five physicians (5 residents, 18 specialists, 1 assistant professor, and 1 professor) were charged with malpractice allegations. The most frequent diagnosis was "lumbar disc herniation" (n=5, 22.7%), followed by paraplegia (n=3, 13.6%). While medical malpractice was not found in 21 cases, it was confirmed in only 1 case by the Board. Conclusion: In this study, 95.5% of the physical therapy and rehabilitation physicians were accused of unfair reasons. The new malpractice law needs to be regulated as soon as possible. Until the new law is passed, physicians should analyze the cases with claims of medical malpractice and develop strategies and approaches to prevent these claims.
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