[Home ] [Archive]   [ فارسی ]  
:: Volume 25, Issue 2 (2019) ::
Iran J Forensic Med 2019, 25(2): 71-75 Back to browse issues page
Evaluation of Anesthesia Malpractice Files Referred to the Isfahan Legal Medical Center in 2009-2015
B. Kashavarz *1, S. Emsha Sahand2, E. Eslaminia2, S. Keshavarz3
1- Isfahan Forensic Medicine Organization, Isfahan, Iran , keshavarzi@yahoo.com
2- Isfahan Forensic Medicine Organization, Isfahan, Iran
3- Clinical Psychology Department, Educational Sciences Faculty, Zanjan University of Medical Sciences, Zanjan, Iran
Abstract:   (645 Views)
Aims: Today with increasing the number of surgeries and their variety, malpractice complaints against are increased. The aim of this study was to recognize the causes and effective factors in injuries lead to the anesthesia malpractice.
Instruments and 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 before surgery, performing required tests and advice, perception in determining the anesthesia in elective surgery, pay attention to the patient's respiratory system function during surgery, anesthesia and in recovery status 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.
Keywords: Anesthesiologist, Malpractice, Medical errors, Legal medicine, Autopsy
Full-Text [PDF 633 kb]   (153 Downloads)    
Article Type: Original Research |
Received: 2019/01/30 | Accepted: 2019/06/23 | Published: 2019/12/2
* Corresponding Author Address: Isfahan Forensic Medicine Organization, Feiz Square, Isfahan, Iran
English Expanded Abstract [HTML 14 KB]  (10 Download)
1. Rasouli S. Prevalence of anesthetic injuries in claims referred to Tabriz medical council (1995 to 2000). Sci J Forensic Med. 2003;9(29):18-21. [Persian] [Link]
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. [Link] [DOI:10.1016/j.forsciint.2004.08.016]
3. Beckmann LA. The influence of the current medicolegal climate on New South Wales anaesthetic practice. Anaesth Intensive Care. 2005;33(6):762-7. [Link] [DOI:10.1177/0310057X0503300610]
4. Gannon K. Mortality associated with anaesthesia. a case review study. Anaesthesia. 1991;46(11):962-6. [Link] [DOI:10.1111/j.1365-2044.1991.tb09859.x]
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] [Link]
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] [Link]
7. Wheeler SJ, Wheeler DW. Medication errors in anaesthesia and critical care. Anaesthesia. 2005;60(3):257-73. [Link] [DOI:10.1111/j.1365-2044.2004.04062.x]
8. Gee DJ, Watson AA. Lecture notes of forensic medicine. 5th Edition. Hoboken: Blackwell Scientific; 1989. [Link]
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. [Link] [DOI:10.1097/00000542-200407000-00023]
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] [Link]
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] [Link]
Send email to the article author

XML   Persian Abstract   Print

Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

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 (2) :71-75
URL: http://sjfm.ir/article-1-1002-en.html

Volume 25, Issue 2 (2019) Back to browse issues page
مجله پزشکی قانونی ایران Iranian Journal of Forensic Medicine
Persian site map - English site map - Created in 0.06 seconds with 30 queries by YEKTAWEB 4050