Seyed Shahabedin Sadr , Mohammad Hassan Ghadyani , Shokroallah Avish , Tayeb Ramim ,
Volume 72, Issue 5 (8-2014)
Abstract
Background: Identify the causes of complaints and contributing factors may reduce medical litigation. The aim of this study was to assess the cases of complaints in the field of psychiatric.
Methods: This study was done in retrospective cross-sectional study method. We inves-tigated 27 cases of medical malpractice in the field of psychiatry that registered in higher disciplinary board of the Medical Council of Iran, from 2001 to 2010. We calcu-lated the absolute and relative frequency of variables after collecting all data and calculated the difference between malpractice and exculpation cases based on physicians profile by Pearson's chi-squared test and Fisher’s exact test. P< 0.05 was considered as statistically significant difference.
Results: The 24 people who died and their families protested against psychiatrist were enrolled in this study. Demographic information and other characteristics of the cases were collected. All participants had been men. Seventeen of 24 cases (70.84%) were in 30-50 year old group and seven of 24 cases (29.16%) were in > 50 year old group. The most common types of negligence were related to disregarding of governmental provi-sions (40%). The age, expertise and place of medical activities were variables that dif-ferent significantly between negligence and non-negligence groups (P< 0.05). The re-sults of the study showed eight cases of 24 cases (33%) in the lower board, nine cases of 24 cases (37.5%) in the appeals board and eight cases of 24 cases (33%) in the higher disciplinary board were acquitted.
Conclusion: Based on the study findings, it appears that age, expertise and activity place are factors that can be effective in reducing malpractice in psychiatry.
Navid Kalani, Naser Hatami, Mohammad Zarenezhad, Alireza Doroudchi , Mahdi Foroughian, Esmaeil Raeyat Doost ,
Volume 79, Issue 5 (8-2021)
Abstract
Background: Medical malpractice is a serious problem in the health care system. This study aimed to review the medical negligence in Iran.
Methods: Based on the PRISMA checklist, a search for scientific records was done separately by two researchers. All the articles that had selection criteria were evaluated in terms of methodological quality. Medical malpractice was assessed in four main divisions including negligence, Lack of skill, Carelessness and non-compliance with government regulations). The bias test was performed using the Egger’s test. Revman software was used to analyze the data.
Results: In the present study, 25 studies that examined the country's medical malpractice from April 1994 to March 2018 were included in the meta-analysis. Negligence has been implicated in 1,105 cases of the 2,068 claims. Lack of skill in 255 out of 2068 cases, 432 cases of carelessness and 244 cases of non-compliance with government regulations Were recorded the results of the meta-analysis showed that OR negligence was 0.76 (CI 95%: 0.66-0.87), lack of skill was 0.61 (CI 95%: 0.49-0.76), carelessness was 0.62 (CI 95%: 0.50-0.76) and non-compliance with government regulations was 0.66 (95% CI: 0.60-0.73). In the review of the confirmed negligence ratio of the registered complaint files, only 19 studies mentioned this ratio. The results of the meta-analysis of these 19 studies showed that the OR ratio of the confirmed negligence of complaints was 0.6 (95% CI: 0.41-0.86). From all claims, General surgeons had OR of confirmed medical malpractices, equal to 0.47 (CI 95%: 0.37-0.60), gynecologists with OR equal to 0.49 (CI 95%: 0.36-0.66), general practitioners with OR equal to 0.43 (CI 95%: 0.30-0.63) and orthopedic specialists with an OR of 0.44 (CI 95%: 0.32-0.61).
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Conclusion: The results of this study help to understand the current position of medical negligence studies in the country to identify the cause of the malpractice and develop new studies for the future.
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