medical malpratice
DESCRIPTION
medical litigationsTRANSCRIPT
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MEDICAL LITIGATIONS; the next unforeseen crisis
Dr AHMED ZAKI- MD,MRCOGHead of OB/GYN Department
Chairman of scientific committeeMember of JCI accreditation committee
Dr Bakhsh Hospital, Jeddah
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Health Facilities
Main Health Providers
HEALTH SYSTEM IN SAUDI ARABIA
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Sources of Medical Litigations
1
2
34
Medical Staff
Patients & Relatives
Media
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Why do Patients Sue their Why do Patients Sue their Doctors?Doctors?
• Injury or death• Anger• Child with bad future• Poor communication• High charges• Intimidation (relatives, media, lawyers)• revenge• Seeking compensation
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MONEY
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angerNo respect
Subs
tand
ard
care
no inform
ed consent
Undefendable case
NO COMMUNICATION
UNPROFESSIONAL ATTITUDES
LACK OF ADHERENCE TO GUIDELINES
NEGLIGANCE
POOR RECORDS
MEDICAL STAFF
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Forgetfulness and medical malpractice
The operation was successful. We found a scissors inside your tummy. But we do not know whether we forgot it or you swallowed it
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I have bad news & good news for you. The bad news is a lost my watch inside your tummy while I was doing your operation & good news is I have another one exactly the same
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Media
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Who Gets Sued Most
• Anesthesiologists
• Obstetricians
• Emergency Medical Docs
• Surgeons
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• We have to admit that there is a difference between medical errors and recognized complication
• How long does it take to decide?
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Why litigations crisis
• Increasing number
• Delay in decision
• Pressure on staff
• Financial burden
• descrimination
• Hospitals are full of staff sued
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Litigations as a Barrier to Litigations as a Barrier to patients’ carepatients’ care
• Physicians overestimate the risk of Physicians overestimate the risk of being suedbeing sued
• Less likely to report errors as a resultLess likely to report errors as a result
• Routinely practice defensive medicineRoutinely practice defensive medicine
• Exhaustion of financeExhaustion of finance
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Bad News
Be careful, your patient can be a potential enemy
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*Image via Bing
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*Image via Bing
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Perspective
• Medical sectors do not have the same standards but treated with the same law
• No rapid decision to diff. between errors & complications.
• Discrimination
• Overwhelming fear of litigations that compromises patients care
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• There is an over exaggeration of compensation in some cases
• The media is putting high pressure on medical staff as well as patients
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Be careful, patients care is at risk
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In an atmosphere of litigations:
Unless we………
Medical litigations will be the soon-coming future crisis and this will compromise patients’ care
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