Journal of Emergency Health Care
Formerly known as: International Journal of Medical Investigation
Volume 12, Issue 3 (10-2023)
J Emerg Health Care 2023, 12(3): 208-217 |
Back to browse issues page
Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
Doroudchi A, Hosseininezhad H, Zarenezhad M, Jahromi M S S, Deylami M, Rahmanian E et al . Analysing The Causes Of Complaints From Anaesthesiologists Referred To The Forensic Medicine Of Fars Province. J Emerg Health Care 2023; 12 (3) :208-217
URL: http://intjmi.com/article-1-1046-en.html
URL: http://intjmi.com/article-1-1046-en.html
Alireza Doroudchi * 
, Homayoun Hosseininezhad , Mohammad Zarenezhad , Mohammad Sadegh Sanie Jahromi , Mansour Deylami , Elahe Rahmanian , Navid Kalani
, Homayoun Hosseininezhad , Mohammad Zarenezhad , Mohammad Sadegh Sanie Jahromi , Mansour Deylami , Elahe Rahmanian , Navid Kalani
MD, Legal Medicine Research Center, Legal Medicine Organization, Tehran, Iran.
Abstract: (1101 Views)
Background: Medical malpractice is a major issue in the healthcare system and can result in patient harm and higher medical expenses. Unfortunately, incidents of medical malpractice have been on the rise. To address this issue, a study was conducted to identify the reasons behind complaints made by anaesthesiologists referred to forensic medicine in Fars province.
Method: This study was a retrospective cross-sectional descriptive study. The cases related to the medical malpractice of anaesthesiologists in the General Department of Forensic Medicine of Fars Province during the years 2006-2017 were reviewed. Demographic information including (age, gender, education level, year of filing complaint, type of commission, initial investigation in the medical system, percentage of malpractice, representation in the case, autopsy result, type of anaesthesia used, complaint, time of anaesthesia malpractice, surgical fields of the case Complaints, malpractice cases, underlying disease of the patient, physical condition of the plaintiff after the malpractice incident, motivation for the complaint, causes of anaesthesia leading to death, cases leading to malpractice, malpractice cases of the anaesthesiologist).
Results: Out of all the cases, 46 of them (54.1%) had female plaintiffs, while 25 cases (29.8%) involved plaintiffs who were under 20 years old. Additionally, 33 of the cases (39.3%) involved plaintiffs without a diploma, and the highest number of complaints were from the year 2015, with 24 complaints (27.6%). The majority of complainants in these cases, 26 people (30.6%), were related to anaesthesiologists, and the highest number of complaints were related to obstetrics and gynaecology, with 16 cases (21.1%). When it comes to anaesthesiologist malpractice, 6 cases (19.4%) were due to carelessness, 23 cases (74.2%) were due to negligence, and 2 cases (6.5%) were due to a lack of skills of the anaesthesiologist.
Conclusion: Based on the results of this study, it is evident that anaesthesia is a critically important and risky field within medicine. By analysing the complaints highlighted in this study, it has been determined that anaesthesia personnel should receive training in teaching hospitals. This training should cover the administration of airways, roads, and how to work with young patients. By doing so, they can apply their skills with greater accuracy and precision, leading to higher levels of satisfaction and fewer complaints.
Method: This study was a retrospective cross-sectional descriptive study. The cases related to the medical malpractice of anaesthesiologists in the General Department of Forensic Medicine of Fars Province during the years 2006-2017 were reviewed. Demographic information including (age, gender, education level, year of filing complaint, type of commission, initial investigation in the medical system, percentage of malpractice, representation in the case, autopsy result, type of anaesthesia used, complaint, time of anaesthesia malpractice, surgical fields of the case Complaints, malpractice cases, underlying disease of the patient, physical condition of the plaintiff after the malpractice incident, motivation for the complaint, causes of anaesthesia leading to death, cases leading to malpractice, malpractice cases of the anaesthesiologist).
Results: Out of all the cases, 46 of them (54.1%) had female plaintiffs, while 25 cases (29.8%) involved plaintiffs who were under 20 years old. Additionally, 33 of the cases (39.3%) involved plaintiffs without a diploma, and the highest number of complaints were from the year 2015, with 24 complaints (27.6%). The majority of complainants in these cases, 26 people (30.6%), were related to anaesthesiologists, and the highest number of complaints were related to obstetrics and gynaecology, with 16 cases (21.1%). When it comes to anaesthesiologist malpractice, 6 cases (19.4%) were due to carelessness, 23 cases (74.2%) were due to negligence, and 2 cases (6.5%) were due to a lack of skills of the anaesthesiologist.
Conclusion: Based on the results of this study, it is evident that anaesthesia is a critically important and risky field within medicine. By analysing the complaints highlighted in this study, it has been determined that anaesthesia personnel should receive training in teaching hospitals. This training should cover the administration of airways, roads, and how to work with young patients. By doing so, they can apply their skills with greater accuracy and precision, leading to higher levels of satisfaction and fewer complaints.
References
1. 1. Akhlaghi M, Tofighi Zare H, Samadi F. Complaints of medical malpractice in the field of obstetrics and gynecology referred to the Medical Commission of the Forensic Medicine Organization of the country during 2010 and 2011; Causes and methods of prevention. Iranian Journal of Forensic Medicine. 2001; 10(34): 70-74.
2. Mahfouzi A, Zamani R. The evaluation of the causes of anesthesiologist’s legal pursuits in Tehran Medical Consil from 1993 to 2003. Iran J Forensic Med 2007; 13 (2) :98-101
3. Gannon K. Mortality associated with anesthesia, A Case review study. Foren Med 1997; 46: 962-966.
4. Haghighi A, Zami M, Mahdavi M, Norozi A. Investigating the causes of patient's complaint against the attending physician in the patients of Tehran Medical System Organization. Scientific Journal of the Medical System of the Islamic Republic of Iran, 1999. Iran J Forensic Med. 1999; 18(4): 295-303.
5. National Patient Safety Foundation. Patient Safety: Your Role in Making Healthcare Safer. Chicago, IL:National Patient Safety Foundation, 2002.
6. The Kaiser Family Foundation/ Agency for Healthcare Research and Quality. National Survey on Americans as Health Care Consumers: An Update onthe Role of Quality Information. Dec 2000.
7. Burroughs TE, Waterman AD, Gallagher TH, Waterman B, Jeffe DB, Dunagan WC, et al. Patients’concerns about medical errors during hospitalization. JtComm J Qual Patient Saf. 2007;33(1):5-14
8. Hickson GB, Clayton EW, Githens PB, Sloan FA. Factors that prompted families to file medical malpractice claims following perinatal injuries. JAMA.1992; 267(10):1359-63.
9. Levinson w, Roter DL, Mullooly JP, Dull VT, Frankel RM. Physician-patient communication: the relationship with malpractice claims among primary care physicians and surgeons. JAMA.1997; 277(7):553-9.
10. Haghshenas MR, Amiri AA, Vahidshahi K, ShyckRezaeeM, Rahmani N, Pourhossen M, et al. The frequency of malpractice lawsuits referred to forensic medicine department and medical council. J Mazandaran Univ Med Sci. 2012;22(86):244-51.
11. Ozdemir MH, Cekin N, Can L, Hilal A .Malpractice and system of expertise in anesthetic procedures in Turkey Forensic Sci Int. 2005;153(2-3):161-7.
12. Zand S, IbrahimiFakhar H. The survey on medical faults in emergency care in head injury patients refer to ValeeAsr Hospital. Sci J of forensic Med. . 2007;14(2):85-91. Persian.
13. Lee LA, Posner KL, Domino KB, Caplan RA, Chency FW. Injuries associated with regional anesthesia in the 1980 and 1990: a closed claims analysis. Anesthesiology. 2004 Jul; 101(1):143-52.
14. Sanghera IS, Franklin BD, Dhillon S. The attitudes and beliefs of healthcare professionals on the causes and reporting of medication errors in a UK Intensive care unit. Journal compilation The Association of Anaesthetists of Great Britain and Ireland. 2007; 62:53-61.
15. Zavareh M. The survey on medical faults frequency in general practitioners referred to Tehran Forensic Medicine organization during 2003-5. Sci J of forensic Med. 2007;13(3):152-7.
16. Shadabi Z, Moin A, Davati A. Skin and cosmetic complaint files in Tehran Medical Council: 2014-2019. J Dermatol Cosmet. 2021;11(4):268-81.
17. Kazemi S. Structural Factors Underlying Medical Malpractice: From the Perspective of Social Science Experts and Medical Specialists. Journal of Qualitative Research in Health Sciences. 2021;10(3):168-76.
18. Ismaili Shahroudi Moqaddam Z, Saberi Isfeedvajani M. Medical Malpractice: A Preventable or Inevitable Issue. Iran J Forensic Med 2021; 27 (3) :138-140
19. Beckmann L. The influence of the current medicolegal climate on New South Wales anaesthetic practice. Anaesthesia and intensive care. 2005;33(6):762.
20. Bastani M, Hejazi A, Zarenejad M, Shahriary S, Sahmeddini MA. Malpractice cases of anesthesiology leading to death or impairment referring to Shiraz forensic medicine commissions during 2006-2011. Razi Journal of Medical Sciences. 2014;21(122):61-7.
21. Kashavarz B, Emsha Sahand S, Eslaminia E, Keshavarz S. Evaluation of Anesthesia Malpractice Files Referred to the Isfahan Legal Medical Center in 2009-2015. Iran J Forensic Med 2019; 25 (1) :71-75
22. Howie WO. Anesthesia-related lawsuits in Maryland: CRNA and anesthesiologist claims. AANA journal. 1998;66:394-7.
23. Gheshlaghi F, Montazeri K, Montazeri G. A five-year review of the complaints raised against the anesthesia staff at the Forensic Medicine in Isfahan. Journal of irainian Society of anesthesioplogy & intensive care. 2007; 30(62): 49-56.
24. Mahfouzi A, Zamani R. The evaluation of the causes of anesthesiologist’s legal pursuits in Tehran Medical Consil from 1993 to 2003. IJFM. 2007;13(2):98-101.
25. Lee LA, Posner KL, Domino KB, Caplan RA, Cheney FW. Injuries Associated with Regional Anesthesia in the 1980s and 1990sA Closed Claims Analysis. Anesthesiology: The Journal of the American Society of Anesthesiologists. 2004;101(1):143-52.
26. Tofighi H, Shirzad J, Ghadi Pasha M. Survey on medical errors reduced to death referred the commission of national legal medicine center from 1995 to 1999. Forensic Med. 2002;8(27):5-8.
27. Bazaz Benisi Z, Saadatmand M, Hassanzadeh M, Khosravi M. Frequency and Causes of Medical Malpractice in the Field of Gynecology and Midwifery Referred to the General Directorate of Legal Medicine in Qom Province, Iran. Iran J Forensic Med 2021; 27 (2) :115-126.
28. Tadayon M, Kamiab , F, Afshari P, Keikhahi B, Vahabi Shekarloo T, Haghighizadeh M H. Malpractice Claims against Gynecology and Midwifery Staff in Medical Council and Forensic Centre in Khosezstan Province and Related Factors, 2006-2012. J Mazandaran Univ Med Sci 2016; 25 (132) :320-323.
29. Zarenezhad, M., Javdani, F., Hatami, N., Dorodchi, A., Kalani, N., Alborzi, M. Evaluation of medical errors in obstetrics and gynecology wards: A Descriptive cross-sectional study between 2002 and 2018 in Jahrom city. Medical journal of Mashhad university of medical sciences, 2021; 64(1): 2299-2307.
30. Azimi K, Poorbakhtiar M, Taghizadeh Z, Soltani K, Ghadipasha M, Daneshparvar H. A Survey on Various Types of Medical Malpractice in Relation With Pregnancy and Delivery, Referred to Relevant Commissions of the Iranian Legal Medicine Organization. Iran J Forensic Med 2017; 23 (2) :132-141.
31. Mohammadi SM, Babaei D. Examining malpractices and violations of obstetrics and gynecology medical team during 5 years 2011-2015 with emphasis in Yasouj city. International Congress of Civil Rights. 2017;1-16.
32. Shadmehr, A., Doroudchi, A., Zarenezhad, M., Zareie, Z., Kalani, N., & Taheri, L. (2022). Evaluation of the Complaints of Inpatients’ Falling Down Referred to Fars Province General Administration of Forensic Medicine from 2013 to 2019. Iranian Journal of Emergency Medicine, 9(1), e4.
33. Doroudchi, A., Zarenezhad, M., Kalani, N., Ranjbar, F., Hatami, N., & Rayat Dost, E. (2021). Evaluation of Medical negligence of Emergency Department specialists referred to Forensic Medicine in Fars Province from 2012 to 2019. Iranian Journal of Emergency Medicine, 8(1), e26.
| Rights and permissions | |
 |
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |