Medical errors, medical negligence and defensive medicine: A narrative review

Miziara, Ivan Dieb; Miziara, Carmen Silvia Molleis Galego

doi:10.1016/j.clinsp.2022.100053

Cited by 10 publications

(3 citation statements)

References 28 publications

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“…In this context, many physicians may prefer to commit the appropriate means, and admit a patient to ICU, thereby avoiding potential loss-of-opportunity to the patient, and possible legal repercussions for themselves, even if there is the possibility that this will later be deemed to have been “non-beneficial”. A recent narrative review of medical errors, medical negligence and defensive medicine found that inadequate availability of patient information was a leading cause of medical error, and concluded that the essential attitude to avoid medical liability is a good and ethical medical practice with the proper use of technology, based on knowledge of scientific evidence and ethical principles of medicine for the benefit of patients [ 28 ]. We would add that that this attitude should also be based on adequate knowledge of the patient’s medical history, personal values and goals of care, to ensure the best decisions are made for each patient.…”

Section: Discussionmentioning

confidence: 99%

Non-beneficial admission to the intensive care unit: A nationwide survey of practices

et al. 2023

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Introduction In a nationwide survey of practices, we sought to define the criteria, circumstances and consequences of non-beneficial admissions to the intensive care unit (ICU), with a view to proposing measures to avoid such situations. Methods ICU physicians from a French research in ethics network participated in an online survey. The first part recorded age, sex, and years’ experience of the participants. In the second part, there were 8 to 12 proposals on each of 4 main domains: (1) What criteria could be used to qualify an ICU stay as non-beneficial? (2) What circumstances result in the admission of a patient whose ICU stay may later be deemed non-beneficial? (3) What are the consequences of a non-beneficial stay in the ICU? (4) What measures could be implemented to avoid admissions that later come to be considered as non-beneficial? Responses were on a 5-point Likert scale ranging from “Strongly disagree” to “Strongly agree”. Results Among 164 physicians contacted, 154 (94%) responded. The majority cited several criteria used to qualify a stay as non-beneficial. Similarly, >80% cited several possible circumstances that could result in non-beneficial admissions, including lack of knowledge of the case and the patient’s history, and failure to anticipate acute deterioration. Possible consequences of non-beneficial stays included stress and anxiety for the patient/family, misunderstandings and conflict. Discussing the utility of possible ICU admission in the framework of the patient’s overall healthcare goals was hailed as a means to prevent non-beneficial admissions. Conclusion The results of this survey suggest that joint discussions should take place during the patient’s healthcare trajectory, before the acute need for ICU arises, with a view to limiting or avoiding ICU stays that may later come to be deemed “non-beneficial”.

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Section: Discussionmentioning

confidence: 99%

Non-beneficial admission to the intensive care unit: A nationwide survey of practices

et al. 2023

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“…In addition, there has been a trend toward overdiagnosing patients and performing unnecessary operations on patients, both of which have the potential to cause patients harm. In addition, there has been a trend toward performing unnecessary operations on patients ( 30 ). Patients experience mental calmness as a result of this approach to providing the highest level of care.…”

Section: History Of Medical Errorsmentioning

confidence: 99%

“…As a consequence of this, the purpose of this narrative review is to investigate and describe the connection between medical mistakes, medical negligence, and defensive medicine, as well as to suggest a few practices and mentalities that can be utilized to steer clear of both the errors and the practice of defensive medicine. In addition, the purpose of this review is to investigate and describe the connection between medical mistakes, medical negligence, and defensive medicine ( 30 ).…”

Section: History Of Medical Errorsmentioning

confidence: 99%

The Impacts of Applications of Criminal Law on Medical Practice

Gharaibeh

2022

Med Arch

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Background: Human health is the single most asset that any one person can and need to have it as qualitative as.. Despite this, however, there are occasions when things go wrong in practice and the patients wind up getting hurt while they are receiving treatment at the healthcare facility Obtaining and maintaining a good health are the goals of individuals and communities, which require having good medical systems. In rare cases, malpractice of medical systems may occur, a matter that affects patients and health providers. Objective: The main objectives of the present study were to review the literature for medical malpractice and how the application of criminal law impacts the medical practice. Methods: This is descriptive review based on the related studies published in scientific literature and deposited in on-line indexed databases. Results and Discussion: Main findings of the study showed that medical errors are likely to increase overtime. Malpractice is likely to take place as if good intention to do the best. Activation of criminal law against medical malpractice may put stress on medical staff, and may be a triggering factor for improving services submitted to the patients. Conclusion: Activation of criminal law against medical errors places stress on medical community from one side, and may be a triggering factor for improving services from another side.

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Experiences of physicians on defensive medicine: a qualitative study from Türkiye

Baskici,

Dagdevir

2024

International Journal of Healthcare Management

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Medical errors, medical negligence and defensive medicine: A narrative review

Cited by 10 publications

References 28 publications

Non-beneficial admission to the intensive care unit: A nationwide survey of practices

Non-beneficial admission to the intensive care unit: A nationwide survey of practices

The Impacts of Applications of Criminal Law on Medical Practice

Experiences of physicians on defensive medicine: a qualitative study from Türkiye

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