Characteristics of cases with poor outcomes of rendering medical care to children in six regions of the Russian Federation

<p>Objective: to determine the characteristics of the outcome of the improper care for children, established during the commission of forensic examinations. Material and Methods. The material of this study was commission a forensic medical examination of the archives department of complex expe...

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Main Authors: Erofeev S.V., Kupryushin A.S., Efimov А.А., vishnyakova Zh.S., Semina M.N.
Format: Article
Language:Russian
Published: Saratov State Medical University 2017-03-01
Series:Саратовский научно-медицинский журнал
Subjects:
Online Access:http://www.ssmj.ru/system/files/2017_01_010-013.pdf
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spelling doaj-561b97c020c740b996e388c6153962262021-07-02T04:17:48ZrusSaratov State Medical UniversityСаратовский научно-медицинский журнал2076-25182017-03-011310100134555Characteristics of cases with poor outcomes of rendering medical care to children in six regions of the Russian FederationErofeev S.V.0Kupryushin A.S.1Efimov А.А.2vishnyakova Zh.S.3Semina M.N.4Saratov State Medical UniversitySaratov State Medical UniversitySaratov State Medical UniversitySaratov State Medical UniversitySaratov State Medical University<p>Objective: to determine the characteristics of the outcome of the improper care for children, established during the commission of forensic examinations. Material and Methods. The material of this study was commission a forensic medical examination of the archives department of complex expertise of the Bureaus of Forensic Medicine of Moscow; the Moscow, Penza, Samara and Ulyanovsk regions, and the Republic of Mordovia, conducted from 1996 to 2006. The method of this study was a statistical database processing using Excel software application package. Results. The article presents the results of the analysis of 279 forensic medical examinations conducted by committees in the Bureaus of Forensic Medical Examination of Moscow; the Moscow, Penza, Samara and Ulyanovsk regions, and the Republic of Mordovia from 1996 to 2006. The examinations were conducted in connection with poor outcomes of rendering medical care to children. Conclusion. The number of conducted examinations correlates with the population of the region. The parents of the children affected by poor treatment mostly demand the medical staff to be prosecuted and more often make legal claims to the quality of emergency medical care; dissatisfaction with the quality of medical care is more often expressed by the parents of children under 3 years old. Legal claims are more often made against obstetricians-gynecologists, pediatricians, surgeons, infectious disease specialists and anesthesiologists-resuscitators. If the conclusion of the forensic medical examination committee on the nature of the pathological process coincides with the final clinical diagnosis, the provided medical care often turns out to be adequate; in cases of inadequate medical care the risks of moderate and grievous bodily harm as well as the patient's death are high.</p>http://www.ssmj.ru/system/files/2017_01_010-013.pdfchildrenforensic medical examination conducted by a committeemedical carepoor outcome
collection DOAJ
language Russian
format Article
sources DOAJ
author Erofeev S.V.
Kupryushin A.S.
Efimov А.А.
vishnyakova Zh.S.
Semina M.N.
spellingShingle Erofeev S.V.
Kupryushin A.S.
Efimov А.А.
vishnyakova Zh.S.
Semina M.N.
Characteristics of cases with poor outcomes of rendering medical care to children in six regions of the Russian Federation
Саратовский научно-медицинский журнал
children
forensic medical examination conducted by a committee
medical care
poor outcome
author_facet Erofeev S.V.
Kupryushin A.S.
Efimov А.А.
vishnyakova Zh.S.
Semina M.N.
author_sort Erofeev S.V.
title Characteristics of cases with poor outcomes of rendering medical care to children in six regions of the Russian Federation
title_short Characteristics of cases with poor outcomes of rendering medical care to children in six regions of the Russian Federation
title_full Characteristics of cases with poor outcomes of rendering medical care to children in six regions of the Russian Federation
title_fullStr Characteristics of cases with poor outcomes of rendering medical care to children in six regions of the Russian Federation
title_full_unstemmed Characteristics of cases with poor outcomes of rendering medical care to children in six regions of the Russian Federation
title_sort characteristics of cases with poor outcomes of rendering medical care to children in six regions of the russian federation
publisher Saratov State Medical University
series Саратовский научно-медицинский журнал
issn 2076-2518
publishDate 2017-03-01
description <p>Objective: to determine the characteristics of the outcome of the improper care for children, established during the commission of forensic examinations. Material and Methods. The material of this study was commission a forensic medical examination of the archives department of complex expertise of the Bureaus of Forensic Medicine of Moscow; the Moscow, Penza, Samara and Ulyanovsk regions, and the Republic of Mordovia, conducted from 1996 to 2006. The method of this study was a statistical database processing using Excel software application package. Results. The article presents the results of the analysis of 279 forensic medical examinations conducted by committees in the Bureaus of Forensic Medical Examination of Moscow; the Moscow, Penza, Samara and Ulyanovsk regions, and the Republic of Mordovia from 1996 to 2006. The examinations were conducted in connection with poor outcomes of rendering medical care to children. Conclusion. The number of conducted examinations correlates with the population of the region. The parents of the children affected by poor treatment mostly demand the medical staff to be prosecuted and more often make legal claims to the quality of emergency medical care; dissatisfaction with the quality of medical care is more often expressed by the parents of children under 3 years old. Legal claims are more often made against obstetricians-gynecologists, pediatricians, surgeons, infectious disease specialists and anesthesiologists-resuscitators. If the conclusion of the forensic medical examination committee on the nature of the pathological process coincides with the final clinical diagnosis, the provided medical care often turns out to be adequate; in cases of inadequate medical care the risks of moderate and grievous bodily harm as well as the patient's death are high.</p>
topic children
forensic medical examination conducted by a committee
medical care
poor outcome
url http://www.ssmj.ru/system/files/2017_01_010-013.pdf
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