@2024 Afarand., IRAN
ISSN: 1027-1457 Scientific Journal of Forensic Medicine 2019;25(2):71-75
ISSN: 1027-1457 Scientific Journal of Forensic Medicine 2019;25(2):71-75
Evaluation of Anesthesia Malpractice Files Referred to the Isfahan Legal Medical Center in 2009-2015
ARTICLE INFO
Article Type
Descriptive & Survey StudyAuthors
Kashavarz B. (*1)Emsha Sahand S. (1)
Eslaminia E. (1)
Keshavarz S. (2)
(*1) Isfahan Forensic Medicine Organization, Isfahan, Iran
(2) Clinical Psychology Department, Educational Sciences Faculty, Zanjan University of Medical Sciences, Zanjan, Iran
Correspondence
Address: Isfahan Forensic Medicine Organization, Feiz Square, Isfahan, Iran. Postal Code: 8165875735Phone: +98 (31) 36619501
Fax: +98 (31) 6616310
Article History
Received: January 30, 2019Accepted: April 29, 2019
ePublished: June 20, 2019
ABSTRACT
Aims
Today with increasing the number of surgeries and their variety, malpractice complaints against anesthesia care team are increased. The aim of this study was to recognize the causes and effective factors in injuries lead to the anesthesia malpractice.
Information & Methods This cross-sectional descriptive-analytical study was carried out on the files of malpractice complains against the anesthesia care team in the Isfahan Legal Medical Center in 2009-2015. The subjects were analyzed through descriptive statistic using SPSS 23 software.
Findings 60 files related to the anesthesia field were investigated which in 28 files (46.7%) malpractice of anesthesia care team were confirmed and in all records, the anesthesiologist was the culprit. Anesthesia method in 73.3% of cases was general anesthesia and most of the surgical procedures (86.7%) were elective surgeries. In 38 cases, the result was the death of the patients and autopsy were performed in 29 cases (76.2%). The mechanism of injury in 29 cases (48.3%) was respiratory system disorders.
Conclusion Depending on the specific conditions in the operating rooms, visits of patients by anesthesiologist before surgery, performing required tests and advice, perception in determining the anesthesia method especially in elective surgery, pay attention to the patient's respiratory system function during surgery, anesthesia and in recovery status is very necessary to reduce the anesthesia errors. As well as it is necessary to have an autopsy of the corpse in the case of a patient's death or impairment in order to identify the culprit easily.
Information & Methods This cross-sectional descriptive-analytical study was carried out on the files of malpractice complains against the anesthesia care team in the Isfahan Legal Medical Center in 2009-2015. The subjects were analyzed through descriptive statistic using SPSS 23 software.
Findings 60 files related to the anesthesia field were investigated which in 28 files (46.7%) malpractice of anesthesia care team were confirmed and in all records, the anesthesiologist was the culprit. Anesthesia method in 73.3% of cases was general anesthesia and most of the surgical procedures (86.7%) were elective surgeries. In 38 cases, the result was the death of the patients and autopsy were performed in 29 cases (76.2%). The mechanism of injury in 29 cases (48.3%) was respiratory system disorders.
Conclusion Depending on the specific conditions in the operating rooms, visits of patients by anesthesiologist before surgery, performing required tests and advice, perception in determining the anesthesia method especially in elective surgery, pay attention to the patient's respiratory system function during surgery, anesthesia and in recovery status is very necessary to reduce the anesthesia errors. As well as it is necessary to have an autopsy of the corpse in the case of a patient's death or impairment in order to identify the culprit easily.
CITATION LINKS
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[8]Gee DJ, Watson AA. Lecture notes of forensic medicine. 5th Edition. Hoboken: Blackwell Scientific; 1989.
[9]Lee LA, Posner KL, Domino KB, Caplan RA, Cheney FW. Injuries associated with regional anesthesia in the 1980s and 1990s: A closed claims analysis. Anesthesiology. 2004;101(1):143-52.
[10]Gheshlaghi F, Montazeri K, Montazeri G. Evaluation of five years claims against anesthesia care team in legal medical center and anesthetics team in Isfahan. J Iran Soc Anaesthesiol Intensive Care. 2009;30(62):49-56. [Persian]
[11]Toufighi H, Shirzad J, Ghadipasha M. Assessment of medical negligence leading to death in legal medicine organization sessions between 1995 and 1999. Sci J Forensic Med. 2002;8(27):5-8. [Persian]
[2]Ozdemir MH, Cekin N, Can IO, Hilal A. Malpractice and system of expertise in anaesthetic procedures in Turkey. Forensic Sci Int. 2005;153(2-3):161-7.
[3]Beckmann LA. The influence of the current medicolegal climate on New South Wales anaesthetic practice. Anaesth Intensive Care. 2005;33(6):762-7.
[4]Gannon K. Mortality associated with anaesthesia. a case review study. Anaesthesia. 1991;46(11):962-6.
[5]Bastani M, Hejazi A, Zarenejad M, Shahriary Sh, Sahmeddini MA. Malpractice cases of anesthesiology leading to death or impairment referring to Shiraz forensic medicine commissions during 2006-2011. Razi J Med Sci. 2014;21(122):61-7. [Persian]
[6]Mahfouzi A, Taghadosinezhad F, Abedi Khourasgani H. A 6 years study on anaesthesiologist's medical malpractice cases referred to Tehran medicolegal commission (1994-2000). Sci J Forensic Med. 2002;8(26):4-10. [Persian]
[7]Wheeler SJ, Wheeler DW. Medication errors in anaesthesia and critical care. Anaesthesia. 2005;60(3):257-73.
[8]Gee DJ, Watson AA. Lecture notes of forensic medicine. 5th Edition. Hoboken: Blackwell Scientific; 1989.
[9]Lee LA, Posner KL, Domino KB, Caplan RA, Cheney FW. Injuries associated with regional anesthesia in the 1980s and 1990s: A closed claims analysis. Anesthesiology. 2004;101(1):143-52.
[10]Gheshlaghi F, Montazeri K, Montazeri G. Evaluation of five years claims against anesthesia care team in legal medical center and anesthetics team in Isfahan. J Iran Soc Anaesthesiol Intensive Care. 2009;30(62):49-56. [Persian]
[11]Toufighi H, Shirzad J, Ghadipasha M. Assessment of medical negligence leading to death in legal medicine organization sessions between 1995 and 1999. Sci J Forensic Med. 2002;8(27):5-8. [Persian]