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The Journal publishes scientific articles of different topics in the field of legal and forensic medicine which are represented as a learning tool of the specialty that gives the reader an update of different topics in the field of legal and forensic medicine. It also serves as continuing education in practical aspects of the daily work of the forensic physician in the field of the Administration of Justice.
The Journal incorporates all groups- forensic physicians, specialists in legal and forensic medicine, university teachers, psychiatrists and psychologists, experts in the assessment of body injury, scientific police and legal experts interested in the subject. SRJ is a prestige metric based on the idea that not all citations are the same. SJR uses a similar algorithm as the Google page rank; it provides a is watching sports a waste of time reddit and qualitative measure of the journal's impact.
SNIP measures contextual citation impact by wighting citations based on the total number of citations in a subject field. The average number of weeks it takes from manuscript submission to the initial decision on the article. The objective of the present study is to characterise the epidemiological and legal data on medical malpractice ruled by the Chilean Supreme Court CSC in the years and A search of the CSC electronic database was conducted to identify and analyse CSC rulings for criminal and civil medical malpractice cases.
A total of malpractice cases were identified. The CSC received only civil cases of medical malpractices during the studied period. The average duration of the trial was 39 months. Gynaecologists faced suits more frequently than any other type of specialist. The majority of cases were associated with the public health system. More claims were associated with scheduled than with emergency care.
Likewise, more claims were associated with non-surgical treatment than with surgical procedures. The majority of CSC rulings were in favour of the defendants. An urgent analysis of the risk factors is necessary, not only of the occurrence of malpractice, but also of doctor—patient conflicts by judicial means, especially in the gynaecological-obstetrics area. In addition, considering that the trials not only involve a high economic cost, but also psychological and emotional one, for all involved, an analysis of the judicial mechanisms of these types of cases could help resolve them, and when possible, in preliminary courts or in shorter judicial processes, benefiting all parties.
Analizar los datos epidemiológicos y jurídicos de los casos por responsabilidad médica fallados por la Corte Suprema de Justicia chilena los años y Se realizó un estudio retrospectivo, revisando los fallos de la Corte Suprema de Justicia en la base de datos electrónica del Poder Judicial chileno. Se seleccionaron y analizaron los fallos por responsabilidad médica. Se detectó un total de casos por responsabilidad médica.
Todos correspondieron a what are the 3 types of medical negligence civiles. La duración promedio de los procedimientos fue de 39 meses. La mayoría de las demandas resultó desfavorable para los demandantes. In recent decades, advances in medicine have made medical action increasingly more complex. This, together with changes in the doctor—patient relationship, and the empowerment of health service users, has lead to the ever-more-common judicialisation, both nationally and internationally, of the inevitable problems that arise during medical care.
Medical what causes aggressive behavior in dogs is the obligation of medical professionals to repair, respond to and compensate for damage caused to patients as the result of faults committed during exercise of their profession. Professional liability has been required of all professionals throughout history.
Under Chilean law, doctors are subject to different types of liability, each of which has a specific legal regime 4 : — Criminal liability seeks to punish health professionals who fail to comply with the medical Lex Artis with a custodial sentence. Civil liability obliges physicians to pecuniary compensation for damage caused, public health institutions for a lack of service and private institutions for negligent failure to comply with their oblications.
Administrative liability falls to the physician working in a public health facility due to contravention of the Administrative Statute. Legal doctrine sets a series of requirements to produce a quasi-delict of medical liability with extra-contractual liability, namely: the author must hold a professional title, the damage must have been caused in an act inherent to professional activity, there must be objectifiable damage to the patient, there must be a causal relationship between the act and the professional must have acted with fault.
Criminal medical liability claims only reach the Chilean Supreme Court CSC in the event that the second instance judgement Court of Appeal infringes rights guaranteed under the Constitution or under international treaties ratified by Chile. Civil medical liability claims can be appealed by either party by submitting an appeal in cassation to the Supreme Court, either in form or in substance. The objective of this study was to analyse the epidemiological and legal data of medical liability cases decided by the Supreme Court in and The judgements of the CSC were selected because it is the highest court in the Chilean justice system, and therefore its judgements are conclusive and irrevocable.
A qualitative, retrospective study. A search was carried out what are the 3 types of medical negligence CSC rulings during the years and For this purpose, the electronic database of the Judiciary Branch was accessed. Clinical criteria : type of care, medical procedure and outcome. Legal criteria : type of trial, subject matter and duration of trial, first instance, Court of Appeal and Supreme Court judgements. An Excel spreadsheet was used to record the data.
Stats and absolute and relative frequencies were used for the descriptive analysis. Over the period studied, a total of 55, CSC rulings were recorded, of which were on grounds of medical liability. A record was found of 2 rulings for the same case, recording only one. The distribution by sex of the patients affected, out of a universe of people, was What are the 3 types of medical negligence was reported only in 17 cases and ranged from 0 to 83 years. The plaintiffs were mostly female The sex of the defendant physician was reported in 53 cases, and 59 physicians were what are some easy things to make for breakfast. Of the defendants, The specialty of the respondent physician was reported in 57 cases, and 60 specialists were involved.
The percentage distribution of the respondent specialties is shown in Table 1. Specialties affected by rulings of the Chilean Supreme Court, between and Includes plastic, gastric, neurological and chest surgery. Most of the claims were against the Public Health System, at The breakdown is shown in Table 2. Respondent in what are the 3 types of medical negligence decided by the Chilean Supreme Court between and Of the total cases, Surgical interventions accounted for The medical procedure resulted in the death of the patient in 43 cases Of the total 43 patients who died, Of the deaths, Gynaecology was the specialty most affected by patient death at The most frequent causes of death are shown in Table 3.
Causes of death in cases ruled by the Chilean Supreme Court, between and All the judicial proceedings were civil suits for damages. Their average duration was 39 months. Of the rulings, On breaking down the cases according to the outcome of the medical care, we found that when the outcome was the death of the patient the decision was favourable in There are several international studies that characterise different aspects of judgements in medical liability cases in the different judicial instances or preliminary claims.
Given the importance of these decisions, we preferred to collect these data for preparing this study, since this is the first of its kind in Chile. On an international level there are the studies by Wu et al. There are several interesting findings that are worthy of mention in this study. The fact that there were no judgements originating in the criminal justice system in the period studied is striking. An important reason for this could be that there are very few grounds for a decision of the first instance courts to be reviewed by the CSC.
On the other hand, it is also possible that plaintiffs prefer to bring their charges exclusively through civil proceedings, with a view to receiving greater monetary compensation. The proceedings reaching what are the 3 types of medical negligence CSC took, on average, 39 months to be completely closed, with a maximum of months. A plausible hypothesis to explain this fact could be the greater bargaining power of private entities, when offering compensatory payment in the first judicial instance or, even in preliminary hearings.
Likewise, it is plausible that plaintiffs perceive that the State can compensate them for a much higher amount than a professional alone. This would also explain why it is all the more common for a lawsuit to be directed against the Health Services rather than the doctor responsible for the procedure being litigated. Of the results obtained in this study, it is striking that most what is not needed for a causal explanation the cases that reached the CSC were due to care in the area of obstetrics and gynaecology There is further history in this regard in Chile:.
The Legal Department of the Fundación de Asistencia Legal del Colegio Médico de Chile reported in their — executive account that malpractice trials were completed indefended by them. The specialties with the most claims were general medicine Moscoso and Smok reported, in their study, that among the requests for expert opinion submitted to the Medical Liability Unit of the Chilean Legal Medical Service SMLthe specialties most affected were Gynaecology We found international studies on cases of medical malpractice that what does genetic carrier screening test for the databases of insurance companies.
In Spain, for example, Arimany-Mansowith data from the Professional Liability Service of the General Council of Medical Associations of Catalonia, reported that of a total of cases of malpractice claims closed between andthe most affected specialties were orthopaedic surgery and trauma at In Taiwan, Wu reported that between andof a total medical liability suits closed in their district courts, the 3 most affected specialties were obstetrics It is interesting to note that, regardless of the source of is it ok to marry a girl of same age data used in the different studies cited expert opinion, claims to insurance companies, different judicial instancesthe specialty of gynaecology is one of the most affected by claims in all cases.
It is necessary to research the causes of this concerning situation to guide medical professionals in prevention. This study has certain limitations that merit comment. Firstly, the information available on CSC rulings was analysed, with no access to the complete clinical history of each case, and therefore our vision of these cases was often limited. Statistical data were not always available, such as the sex and age of the plaintiffs and defendants, or the medical specialty of those involved, which prevented a thorough analysis of each case and detection of risk factors for claims against clinical care.
Furthermore, the what are the 3 types of medical negligence brought before the CSC represent only a fraction of all the claims for medical practice. Studies on judicialised cases in previous instances should be conducted to complete the picture. However, it should be noted again that the decisions of the CSC are final and irrevocable, and therefore this is information that is indubitably useful for analysing the issue. From analysis of the medical liability cases ruled by the CSC in Chile, and in accordance with much observed in the international literature, it is clear that urgent analysis of the risk factors is required, not only of malpractice, but of the judicialisation of doctor—patient conflicts, especially in the area of obstetrics and gynaecology, the area most affected by the red means i love u lyrics types of problems in Chile.
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