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بررسی فراوانی قصور پزشکان عمومی در شکایات ارجاعی به کمیسیون پزشکی قانونی مرکز تهران از سال 1382 تا سال 1384
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Sayyed Mohsen Rafizadeh Tabai Zavareh1   , Reza Haj Manoochehri , Maryam Nasaji Zavareh |
| 1- , Mohsen_raf1354@yahoo.com |
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Abstract: (38663 Views) |
| 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 (77.8%) and plastic surgery (75%). 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. |
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| Keywords: Negligence, General Practitioners, Tehran Center Commission |
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Full-Text [PDF 218 kb]
(2195 Downloads)
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Type of Article: Research Article |
Subject:
Forensic Medicine
Received: 2008/06/24 | Accepted: 2018/03/29 | ePublished: 2018/03/29
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