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Medical malpractice in Iran: A systematic review
Pouran Raeissi1, Masood Taheri Mirghaed1, Razieh Sepehrian1
1Department of Health Services Administration, School of Health Services Management and Medical Information Sciences, Iran University of Medical Sciences, Tehran, Iran.
Medical Journal of the Islamic Republic of Iran
|January 15, 2020
Summary
Medical malpractice complaints in Iran show that 36% were proven, with most involving gynecologists and stemming from lack of skill or negligence. Improving physician-patient relations and skills can reduce these issues.
Area of Science:
- Medical Law
- Healthcare Quality
- Patient Safety
Background:
- Medical malpractice poses significant risks to patient safety and increases healthcare costs.
- Litigation arising from malpractice claims can be lengthy and burdensome for both patients and physicians.
- Understanding the patterns of malpractice complaints is crucial for improving healthcare delivery.
Purpose of the Study:
- To investigate medical malpractice complaints referred to the Iran Medical Council.
- To identify common causes and specialties involved in malpractice claims.
- To propose solutions for reducing malpractice and enhancing healthcare services.
Main Methods:
- A comprehensive literature search was conducted across multiple databases (Embase, PubMed/MEDLINE, Web of Science, Scopus, Iranian databases) and grey literature.
- Studies published in English or Persian from 1990 to 2018 were included.
- Keywords included 'malpractice,' 'negligence,' 'medical malpractice,' 'physician impairment,' and 'Iran.'
Main Results:
- Out of 3977 complaints, 1455 (36%) were confirmed as medical malpractice.
- Gynecologists faced the most complaints (43%), followed by orthopedic specialists (21.4%).
- Primary causes included lack of skill (30.4%), negligence (29.2%), imprudence (26.3%), and noncompliance with regulations (14.1%).
Conclusions:
- Enhancing physician-patient relationships, upholding medical ethics, and improving medical staff skills are key to preventing malpractice.
- Adherence to medical guidelines and protocols is essential for reducing errors.
- Health policymakers should implement continuing education on medical, ethical, and legal aspects to mitigate malpractice and improve care quality.
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