Medical Errors in Clinical Practice  of Physicians in Ternopil Region (Ukraine)

Franchuk, V. V.

doi:10.11603/ijmmr.2413-6077.2016.2.7029

Cited by 3 publications

(4 citation statements)

References 2 publications

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“…Каждый десятый случай -неправильные профессиональные действия средних медицинских работников: фельдшеров, медицинских сестер и акушерок. Опубликован топ-лист наиболее рискованных в Украине врачебных специальностей в плане совершения ошибок во время исполнения профессиональных обязанностей и последующих юридических последствий таких действий или бездействия [13]. Возглавляют его врачи анестезиологи-реаниматологи (33,2%), далее идут акушеры-гинекологи (23,9%), тера-певты (21,0%), хирурги (16,9%) и педиатры (9,3%).…”

Section: результаты и обсуждениеunclassified

The forensic medical aspects of the inappropriate medical care in the modern-day Ukraine

Franchuk¹

2018

Sud.-med. ekspert.

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Despite the fact that the ever growing relevance of the problem of the inappropriate medical care was long ago brought to the worldwide attention, it has not been practically addressed in the Ukraine since the country gained independence in 1991. The objective of the present study was to consider the specific features of expert examination of the cases of inappropriate medical care as exemplified by the materials of the legal actions and lawsuits instituted against healthcare specialists violating their occupational duties. The results of forensic medical examination by the local Bureaux of forensic medical expertise concerning the 350 so-called malpractice suits instituted in the Ternopol, Zhitomir, and Chernovtsy regions during the period from 207 to 2016 were available for the analysis. The facts of inadequate and inappropriate medical care were documented in 245 (72.0%) cases. The frequency of diagnostic and therapeutic errors amounted to 29.7% and 26.9% respectively while the improper formulation of the medical documentation was recorded in 21.3% of the cases. The cases of poor organization of the diagnostic and treatment process accounted for 14.6% of the total whereas the improper behaviour of the medical personnel was reported in 7.5% of all the known cases of provision of the healthcare services. It is concluded that in the majority of the cases, the citizens of the modern-day Ukraine receive the inappropriate (insufficient and untimely) medical care. Over 80% of the cases of the inappropriate medical care currently provided in the country can be accounted for by the objective reasons, with each fifths case being due to the violation of professional responsibilities by the healthcare providers.

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Section: результаты и обсуждениеunclassified

The forensic medical aspects of the inappropriate medical care in the modern-day Ukraine

Franchuk¹

2018

Sud.-med. ekspert.

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“…Серед них: в амбулаторіях чи поліклініках -14 випадків (48,3%), в каретах швидкої медичної допомоги -4 (13,8%), у фельдшерсько-акушерських пунктах -2 (6,9%). Переважання недоліків у професійній діяльності середніх медичних працівників саме на до госпітальному етапі, відрізняє «сестринські помилки» від «лікарських», які (що було констатовано нами раніше (V. Franchuk, (2016)), навпаки, частіше трапляються на госпітальному етапі надання медичної допомоги [6].…”

Section: результати дослідження та їх обговоренняunclassified

“…Таким чином, надання середнім медичним персоналом медичної допомоги з дефектами зумовлено як об'єктивними, так і суб'єктивними причинами практично в однаковій мірі. З іншого боку, як ми вже встановили раніше (V. Franchuk, (2016)), причинами помилкових дій лікарів, навпаки, є переважно об'єктивні чинники, і лише кожна п'ята лікарська справа зумовлена причинами суб'єктивними [6]. Отже, хибність у професійних діях середнього медперсоналу виникає не стільки від причин, які не можливо було передбачити, а, значною мірою, через особистісні якості медсестри або фельдшера -внаслідок невисокого рівня їх медичних знань або не кваліфікованості їх професійних умінь.…”

Section: результати дослідження та їх обговоренняunclassified

Forensic-medical evaluation of improper medical care, provided by the nursing personnel

Franchuk¹,

Melnik²,

Zozulia³

2017

СМЕ

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A retrospective review of all alleged medical malpractice cases between 2007 and 2016 handled at Ternopil, Zhytomir and Chernivtsi Regional Bureaus of Forensic medical Examination, was performed. Peculiarities of improper medical care provided by nursing staff were studied on the base of the reports of Commission Forensic medical Examination. Lacks of health care provision committed by nurses were detected in 11,7% of the cases. The study showed that unjustifiable medical care occurred as usual in policlinics and ambulatories. 8 types of nursing mistakes were determined. Unintentional medical care was confirmed by forensic medical expert commission as a rule in diagnostics, medical procedures or medical treatment. Insufficient or incomplete medical care provided by nursing personnel seemed more frequently. Nursing errors were caused by subjective reasons in almost 44,8% of the alleged medical malpractice cases. All these reasons were stipulated by poor quality of medical staff. Dereliction of duty by the nursing personnel that was strongly connected with causal relationship between the damage claimed by the patient and unskilful medical care was revealed in 13,8% of the cases.

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“…Na medicina humana estudos demonstram que erros de diagnóstico e terapêuticos, somam grande parte das demandas judiciais contra médicos (FRANCHUK, 2017) e ainda que as reclamações estão concentradas em recorrentes especialidades, tais como cirurgiões, mais especificamente, cirurgiões plásticos, cirurgiões ortopedistas, anestesiologistas (FRANCHUK, 2017;SEABURY et al, 2013) Independente do erro decorrente de ação individual ou sistemática, identificar sua origem, para poder preveni-lo e aumentar a segurança do paciente é de suma importância (WAESCHLE; BAUER; SCHMIDT, 2015).…”

Section: Mahatma Gandhiunclassified

>b<Análise de perícias por erro médico-veterinário e sua relevância para sentence>/b<

Souza¹

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Dedico a Deus, pois é Ele a fonte de tudo. Amada família, meu maior presente nessa vida, minha base sólida e fiéis incentivadores. Vocês forjaram minha moral, minha maneira de enxergar o mundo, me fortaleceram nos momentos incertos e continuam me dando forças para eu me tornar o melhor que posso ser. Buscarei honrar nossa família a cada passo que eu der, e certamente dedicarei a vocês as benesses das minhas vitórias, pois sempre será por vocês e para vocês. Dedico a vocês este trabalho e todo meu amor.A você, mãe, por toda abnegação ao longo de tantos anos e por todo cuidado. O seu estímulo, seu amor e suas orientações, me fizeram chegar até aqui e me fazem querer ir além. Te amo e a ti dedico.A você, Ale, amado irmão, que desde o meu nascimento me pega pela mão e me guia pela vida, protege e zela por mim. Que sorte a minha ter você nessa jornada. Te amo e a ti dedico.A você, tia, que ainda me guarda em seu enorme coração como uma pequena menina, mas que acredita no meu potencial e me faz ser mais positiva.Te amo e a ti dedico.Dedico também aos animais, especialmente Nala e Kiara, minhas filhas caninas, que me rememoram meu propósito: falar e lutar pelos animais, para tornar o mundo um lugar melhor por todos aqueles que não se expressam em palavras, mas que sentem as dores e alegrias da vida assim como nós. SOUZA, C.N.A. Análise de perícias por erro médico-veterinário e sua relevância para sentença. [Expert testimonies in veterinary medical error cases and its relevance to court decisions]. 2022. 99 p. Tese (Doutorado em Ciênicas)

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Medical Errors in Clinical Practice of Physicians in Ternopil Region (Ukraine)

Cited by 3 publications

References 2 publications

The forensic medical aspects of the inappropriate medical care in the modern-day Ukraine

The forensic medical aspects of the inappropriate medical care in the modern-day Ukraine

Forensic-medical evaluation of improper medical care, provided by the nursing personnel

>b<Análise de perícias por erro médico-veterinário e sua relevância para sentence>/b<

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