Introduction: Literature is limited on quantified acute stress reaction, the impact of event scale on medical staff when facing medical malpractice (MMP), and how to individually care for staff.
Methods: We analyzed data in the Taichung Veterans General Hospital from October 2015 to December 2017, using the Stanford Acute Stress Reaction Questionnaire (SASRQ), the Impact of Event Scale-Revised (IES-R), and the medical malpractice stress syndrome (MMSS).
Results And Discussion: Of all 98 participants, most (78.8%) were women. Most MMPs (74.5%) did not involve injury to patients, and most staff (85.7%) indicated receiving help from the hospital. The internal-consistency evaluations of the three questionnaires showed good validity and reliability. The highest score of IES-R was the construct of intrusion (30.1); the most severe construct of SASRQ was "Marked symptoms of anxiety or increased arousal," and the most were having mental and mild physical symptoms for MMES. A higher total IES-R was associated with younger age (<40 y/o), and more severe injury on patients (mortality). Those who indicated receiving very much help from the hospital were those having significantly lower SASRQ sores. Our study highlighted that hospital authorities should regularly follow up on staff's response to MMP. With timely interventions, vicious cycles of bad feelings can be avoided, especially in young, non-doctor, and non-administrative staff.
The laws of medical malpractice have historically differed in significant ways from general liability laws. Until the mid-twentieth century, physician liability in the United States was limited to cases in which the doctor and patient had an established professional relationship. In the 1970s, courts and legislatures began carving out exceptions when patients posed an imminent threat to identifiable third parties.
This study aimed to define the criteria for legal assessment of medical care violations. Today, medical incidents, particularly medical care violations, are not systematized and have no legal definitions. This complicates their legal assessment and does not allow for the necessary effectiveness of legal regulation of relations in the healthcare sector.
Objective: Ensuring uniformity of forensic medical expertise in cases related to the improper provision of medical care; reducing the load on public forensic expert institutions by reducing the number of repeated examinations; raising the authority of forensic medical expertise service via introducing a unified approach to assessing the presence and nature of cause and effect relationship.
Material And Methods: The authors provide expert and court practice examples to show fundamental differences in forensic medical assessment of causal relations of improper provision of medical care with an adverse outcome. A focus is given to the court's assessment of expert opinions in a criminal process.
Medical errors are common and often lead to feelings of self-doubt, helplessness, and guilt. Society thinks of physicians as healers, and physicians who see their role as offering a cure will always feel as if they haven't done enough. This article discusses five steps in the management of medical and surgical error: (1) care for the patient and family, (2) report to appropriate sources, (3) review the incident, (4) manage legal issues, and (5) engage in self-care.
Purpose: the aim of the present study is to analyse the composition of the currently available topical antiseptic products and the related scientific evidence, and to discuss the implications of their use in the prevention of endophthtalmitis.
Methods: products available on the market until February 2024 were considered. Information provided on the illustration leaflet of each product were analysed.
