Medical legal assessment of medical care for tick-borne encephalitis with lethal outcome

• Main Authors: V A Spiridonov, L G Aleksandrova, V A Kalyanov, R R Latfullina
• Format: Article
• Language: Russian
• Published: ECO-vector 2018-08-01
• Series: Kazanskij Medicinskij Žurnal
• Subjects: судебно-медицинская экспертиза; правовое регулирование; дефекты лечения; медицинская помощь; клещевой энцефалит; летальный исход при клещевом энцефалите; ответственность медицинских работников
• Online Access: https://journals.eco-vector.com/kazanmedj/article/view/9212
• ISSN: 0368-4814; 2587-9359

Aim. Study of regulatory and legal base according to the criminal case file submitted for expert and medico-legal assessment of a case of failure of health care in tick-borne viral encephalitis in an endemic zone. Methods. During the research, the expert and legal analysis was performed to establish the cause-and-effect relationship between health workers’ actions and lethal outcome of tick-borne viral encephalitis on the basis of standard and legal acts of the Russian Federation. Special authors’ attention was paid to the assessment of influence of quality of preventive measures organization concerning this viral infection. Results. Features and possible defects were studied and revealed not only at a stage of diagnosis and treatment of patients with tick-borne encephalitis, but also when taking preventive measures, taking into account the operating standard and legal base. Based on the research results the algorithm of actions during an expert legal assessment of efficiency of health care in similar cases was offered. Conclusion. The correct expert assessment of the revealed defects of health care is possible if overcoming all complexity of interpretation of epidemiological, clinical, laboratory and morphological data.