Organization of the quality control service for the forensic medical expert activity at the Saint-Petersburg state budgetary healthcare facility 'Bureau of Forensic Medical Expertise'

In recent years there has been an increase in number of expert evaluation reports on the facts of improper provision of medical care. In the production of these expert evaluation reports, a large amount of objects of examination is provided and doctors-specialists of a narrow specialty are also necessarily involved, this affects the timing of performance of expert examination. All commission expert evaluation reports must contain objective, comprehensive, complete, strictly scientifically substantiated conclusions. A direct causal link between defects in the provision of medical care and an unfavorable outcome was established only if this link was undeniable. The analysis of the performed commission expert evaluation reports made it possible to identify the profile of medical specialties where there is the largest number of defects in the provision of medical care with a direct causal link, as well as factors affecting the duration of performance of expert examination.

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Dynamics and Structure of Expert Panel Examinations in Medical Malpractice Cases in the Krasnodar Krai (2010–2018)

Породенко

Anuprienko

Garkusha³

et al. 2019

Kuban. nauсh. med. vestnik

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Aim. The paper analyses the dynamics and structure of forensic medical examinations conducted by an expert panel in cases involving medical malpractice in the Krasnodar Krai (2010– 2018).Materials and methods. The authors studied the annual reports along with the archived copies of expert panel reports on the cases of medical malpractice submitted in 2010–2018 by the Department for Complex and Expert Panel Examinations (Bureau for Forensic Medical Examination, Krasnodar). The obtained results were processed using Microsoft Excel 2010 and SPSS Statistics Data Editor v.17.0. In this study, the authors employed the following methods: retrospective, comparative and analytical.Results. In 2010–2018, a total of 1,023 expert panel examinations were conducted in cases involving medical malpractice. A steady increase in the number of examinations (from 36 in 2010 to 245 in 2018) is associated with the growing number of citizens complaining about the poor quality of medical care, the interest of judicial and investigation authorities in looking into such offences, etc. A direct cause-and-effect relationship between imperfect and erroneous healthcare delivery and ensuing adverse effects was established in 212 cases, whereas indirect or no relationship was determined in 130 and 644 cases, respectively. The number of examinations pertaining to criminal cases amounted to 29.1%, showing an increase by 3.5 times (from 16 in 2010 to 57 in 2018); while the number of examinations related to civil cases and those conducted during pre-investigation checks came to 18.2% and 52.7%, respectively.Conclusion. The study shows a steady increase in the number of examinations related to medical malpractice (including criminal cases), which reveal a direct cause-and-effect relationship between errors in healthcare delivery and clinical outcomes

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Organization of the quality control service for the forensic medical expert activity at the Saint-Petersburg state budgetary healthcare facility 'Bureau of Forensic Medical Expertise'

Cited by 3 publications

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Dynamics and Structure of Expert Panel Examinations in Medical Malpractice Cases in the Krasnodar Krai (2010–2018)

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