بررسي موارد قصور پزشكي منجر به فوت مطرح شده در جلسات كميسيون پزشكي سازمان پزشكي قانوني كشور از ابتداي سال 1374 لغايت 1378

ASSESSMENT OF MEDICAL NEGLIGENCE LEADING TO DEATH IN LEGAL MEDICINE ORGANIZATION SESSIONS BETWEEN 1995 AND 1999

Background: Medical negligence is one of the most important legal problems in medicine and most of the physicians know little about the problem. We determined the prevalance of medical negligence leading to death. Methods: This study was performed in legal medicine organization between 1995 and 1999. Variables included: age, gender, hospitals, high risk procedures, type of negligence and specialty of the physicians. Results: A total of 2307 files were reviewed. There were 884 complaints against medical groups and in 326 of them the patients were died. Of 326 files, in 173 cases, some negligence had been shown. The most frequent complaints were against physicians and then against hospital administrators. The complaints were more common in six courses included: Anesthesiology, general surgery, gynecology, internal medicine, general practition and neurosurgery respectively. Conclusion: Carelessness was the most common type of negligence and the physicians did not follow the govermental rules in the second rank. The most common type of carelessness included: carelessness in getting history and physical examination by the physicians and not to follow the govermental rules by hospital administrators. However, the most complaints were against medical groups, the most neglects happened by hospital administrators.