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Paper Information

Journal:   SCIENTIFIC JOURNAL OF FORENSIC MEDICINE   FALL 2007 , Volume 13 , Number 3 (47); Page(s) 152 To 157.
 
Paper: 

ASSESSMENT OF MEDICAL NEGLIGENCE OF GENERAL PHYSICIANS IN SUES REFERRING TO TEHRAN CENTER COMMISSION BETWEEN 2003 -2005

 
 
Author(s):  RAFIZADEH TABAEI ZAVAREH S.M.*, HAJ MANOUCHEHRI R., NASAJI ZAVAREH M.
 
* COMMISSION OF TEHRAN LEGAL MEDICINE CENTER
 
Abstract: 
Background & Aim: The main reason that necessitated the research study was the increase in the number of complaints lodged against medical personnel in particular general practitioners (as the largest and most important group of physicians) in recent years as well as the increase of high-risk treatment measures taken by this group. The study aimed at establishing mechanisms to decrease the level of general practitioners' negligence and teaching such mechanisms to this group of physicians.
Materials and Methods: The study was carried out by study of complaints referred to the Forensic Medicine Commission of Tehran Center and statistical analysis of information gathered.
Findings: The most common type of general practitioners 'negligence related to lack of proficiency and the highest rate of negligence recorded ranged between 1-10%. 87.3% of the general practitioners against whom a complaint had been lodged were male and the rest were female. The percentage of negligence among male physicians was more than that among the female group. The most cases of complaint against general practitioners related to medical treatment at the office and the least at public hospitals. The highest percentage of negligence had occurred at private hospitals, while the lowest percentage related to public hospitals. The highest percentage of complaints concerned medical treatment by general practitioners in the field of cardiovascular diseases (15.5%), while the highest percentage of negligence related to the fields of dermatology (77.8o% and plastic surgery (75o%. Among all the complaints, the patient died in 49.1% of the cases.
Conclusion: Based on the research results, general practitioners should:
First, pay more attention when preparing medical histories, performing complete clinical examination and referring the patient on time to a specialist and a more equipped medical center;
Second, avoid high-risk medical treatments such as injection of aesthetic gel, performing aesthetic surgeries and spinal cord injections; Third, in cases With Probability of cardiac ischemia, proceed with more examinations and avoid releasing the patient soon.
It was also determined that the Ministry of Health and Medical Education should exercise more supervision on aesthetic surgeries and skin laser therapies conducted by general practitioners especially at their offices.
 
Keyword(s): NEGLIGENCE, GENERAL PRACTITIONERS, TEHRAN CENTER COMMISSION
 
References: 
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