بررسي علل شكايت از متخصصين بيهوشي در سازمان نظام پزشكي تهران از سال 1372-1382

The evaluation of the causes of anesthesiologistʹs legal pursuits in Tehran Medical Consil from 1993 to 2003.

Background & Aim: Anesthesiologists, like other specialists, are subjected to legal pursuit of their country during medical activities. The purpose of this study was to evaluate the causes ofanesthesiologistsʹ legal pursuits. Materials & Methods: This is a retrospective study which the causes of anesthesiologist s legal pursuits with study of 70 files in Tehran Medical Council from 1993 to 2003 were determined and Investigated; the cases were investigated that the ruling of high disciplinary committee was issued about them. Findings: The mean age of the patients (complainants/deaths) was 31.94±20.58 (1.5 to 87 years old). Most of the cases/deaths were below 40 years old (42 cases, 75.360/J. There were 14 cases (20.3%) in group of children (below 15 years old). The most common reasons for complaint were death of the patient (56 cases, 8O0/J followed by neurological complications including paralysis (5 cases, 7.14%). The leading place of the subject of legal pursuits was the hospitals (64 cases, 91.43^ followed by day clinics (4.29%). More than 90% of the events happened during general anesthesia while 5% of them occurred during MAC. About 71, 64% of the events took place in an elective surgery. While most of the cases underwent anesthesia by an anesthesiologist (94%), there were 4 cases (5.97%J of anesthesia by other staff (technician or M.S. of anesthesiology). The primary court verdicts convicted anesthesiologist in 66.18% of the cases and 66.67% of these verdicts were verified by higher-ranked courts. In 43 cases the anesthesiologists were sentenced to pay damages and 2 cases were sentenced to written warning in their records. Averagely the ratio of anesthesiologistsʹ medical misdeed was 43.95%±25.4% (5% to 100%). Conclusion: Most of the cases leading to legal pursuit occur in daily routine anesthesia.