在医院,养老院和护理机构的连续杀人和连续杀人企图
Reinhard Dettmeyer1, Henning Saß, Leila Malolepszy
1Engaged as an expert witness appointed by the public prosecutor and/or the court in the case N.H.; Institute for Forensic Medicine, Justus Liebig University Giessen (JLU), University Hospital Gießen & Marburg; Department of Psychiatry, Psychotherapy, and Psychosomatic Medicine, University Hospital RWTH Aachen; Institute for Forensic Medicine, Hanover Medical School (MHH).
医疗保健专业人员针对弱势患者的连环杀戮很少发生,但往往没有被发现. 关键指标包括药物库存不规则和不明原因的患者死亡,需要立即调查.
科学领域:
- 医学伦理 医学伦理
- 法医病理学 法医病理学
- 犯罪学 犯罪学
背景情况:
- 医疗保健专业人员的连环杀人很少发生,但很难发现.
- 易受伤害的患者,特别是老年人和患有多种并发症的患者,风险最高.
- 事者往往表现出特定的个性特征,使得未经检测的杀人事件可以在最小的证据下进行.
研究的目的:
- 审查医疗保健机构中连续杀人事件和连续杀人未遂事件的频率,性质和情况.
- 为了识别有风险的患者群体,常见的杀人方法和事者的特征.
- 强调识别和对患者死亡和药物管理中可疑模式采取行动的重要性.
主要方法:
- 一个对已发表病例描述的选择性文献综述.
- 包括专著,医学数据库,专业期刊,一般媒体和互联网来源.
- 专注于来自欧洲和英语国家的案例.
主要成果:
- 多病症,护理依赖和护理依赖的个人是主要的受害者.
- 犯罪者通常是长期的医疗保健工作者,单独行动,注射药物是最常见的方法.
- 诸如药品库存不规则,工作人员不规则的行为和死亡集群等警告信号经常被忽视或采取行动太慢.
结论:
- 可疑的模式,包括药物库存差异,使用过的注射器,员工行为变化和意外死亡集群,需要进行彻底调查.
- 早期检测和干预对于预防医疗保健机构中的连环杀人事件至关重要.
- 内部死亡率统计可以揭示弱势患者群体中意外死亡的集群.
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