荷兰的骨科手术中涉嫌的不当行为:从医学学科法学中吸取的教训
Netanja I Harlianto1, Zaneta N Harlianto2
1Department of Orthopedic Surgery, University Medical Center Utrecht and Utrecht University, 3508 GA Utrecht, The Netherlands.
Healthcare (Basel, Switzerland)
|December 22, 2023
概括
在荷兰的骨科手术中,医疗失误索赔很少发生,大多数病例涉及错误的治疗或诊断. 这项研究分析了过去15年的158项判决,以告知患者护理质量.
科学领域:
- 医疗法 法律 医疗法
- 整形外科手术 整形外科手术
- 患者安全 患者安全
背景情况:
- 整形外科手术是一种高风险的医学专业,容易受到医疗不当索赔.
- 在过去15年中,评估荷兰骨科手术中涉嫌不当治疗的频率至关重要.
研究的目的:
- 确定荷兰骨科手术中医疗失误索赔的发生率.
- 分析这些指控的类型,涉及的子专业以及这些案件的结果.
主要方法:
- 系统搜索荷兰医疗纪律法院数据库 (2009年1月 - 2023年7月).
- 提取案例数据,包括指控和结果.
- 分析了158个与骨科手术有关的判决.
主要成果:
- 确定了158个判决,平均每年10.5,主要针对专家 (96%).
- 错误的治疗/诊断是最常见的指控 (67.7%),膝盖,部和脚子专业最常涉及.
- 6%的案件是有根据的,导致警告和责备等制裁;上诉在很大程度上被拒绝.
结论:
- 在荷兰,对骨科外科医生的医疗失误案件的发生率相对较低.
- 了解这些指控可以提高医生的问责制,提高患者护理质量.
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