Dentists ; legislation & jurisprudence ; Humans ; Legislation as Topic ; Malpractice ; legislation & jurisprudence ; Medical Errors ; legislation & jurisprudence

OBJECTIVE: To found the quantifiable index of "The severe degree of negligence" in describing the general severity degree of medical malpractice or medical dispute. METHODS: "The severe degree of negligence" can be calculated by the way of multiplying the coefficient of medical malpractice's grade by the coefficient of responsibility degree. RESULTS: There are 15 grades of "The severe degree of negligence" through calculation, from the severest degree of 1 to the lightest degree of 20. CONCLUSION "The severe degree of negligence" can give an order of severe degree to different grade and different responsibility of medical malpractice. According to this order, the operation of medical malpractice and medical dispute settle will be easier and more rationality.
Expert Testimony/legislation & jurisprudence* ; Forensic Medicine ; Humans ; Liability, Legal ; Malpractice/legislation & jurisprudence* ; Medical Errors/legislation & jurisprudence*

Autopsy ; legislation & jurisprudence ; standards ; Cause of Death ; Dissent and Disputes ; Forensic Pathology ; Humans ; Malpractice ; legislation & jurisprudence ; Medical Errors ; legislation & jurisprudence

OBJECTIVE: To explore the cause of mistakes in medical tangles involving patient's death, and to analyze its key points in judicial appraisal. METHODS: Total 24 cases involving patient's death and multiple identifications were respectively analyzed and summarized based on common situations, distribution of departments, degree of responsibility and mistake analysis. RESULTS: It was showed that those medical tangles mostly originated from technical aspects, such as neglecting of latent symptoms, oversimplified management in clinical reception, poor cooperation between departments, and hesitation in confronting unexpected emergencies. In addition, some institutional mistakes, such as the performance of disclosure duty, opportunity of referral course, and deficiency of basal medical equipments, were the other aspects that caused these medical tangles. CONCLUSION The results mentioned above could provide some clues for the judicial appraisal of the similar medical tangles, and be helpful for avoiding their occurrence in future.
Adolescent ; Adult ; Cause of Death ; Child ; Expert Testimony/legislation & jurisprudence* ; Female ; Forensic Pathology ; Hospital Administration ; Humans ; Male ; Malpractice/legislation & jurisprudence* ; Medical Errors/prevention & control* ; Middle Aged ; Retrospective Studies ; Young Adult

OBJECTIVE: To explore the general characteristics of medical negligence in surgery in order to provide the reference for forensic practices. METHODS: One hundred and twelve cases of medical negligence in surgical department were retrospectively analyzed in Fada Institute of Forensic Medicine and Science from 2008 to 2010. RESULTS: The common types of medical negligence cases in the surgery were improper operation procedure (28.57%), failure of consent (26.79%), and inadequate monitoring (22.32%). The results of complications included disability or functional impairment (61.61%), death (31.25%) and transient impairment with no obvious adverse reactions (7.14%). The most common roles played by the medical negligence cases were minor role (26.79%), equal role (19.64%), and slight role (14.29%). CONCLUSION Significant attention should be paid to the operation procedure, consent, and monitoring. It should be cautious to not make assessment on involvement degree of medical negligence.
Cause of Death ; China ; Diagnostic Errors/statistics & numerical data* ; Expert Testimony/legislation & jurisprudence* ; Female ; Forensic Medicine ; Humans ; Informed Consent ; Intraoperative Complications/mortality* ; Male ; Malpractice/statistics & numerical data* ; Medical Errors/statistics & numerical data* ; Retrospective Studies ; Surgical Procedures, Operative

OBJECTIVE: To analyze cause of medical accidents and actuality of technical identification in medical tangle. METHODS: 32 cases (17 death, 15 survive) of medical tangle by technical identification (according to sex, age, mostly diseases, sequel) and identified results (whether or not mistake, cause and effect connection, duty degree) have been studied. RESULTS: 13 cases of 32 medical accidents have been determined.19 cases have been attributed to no medical accidents. Causes of medical accidents were most due to negligence of sense of duty. CONCLUSION The incidence rate of medical accidents can be decreased by strengthen colligated stuff of medical affairs personnal. We suggest that our state bring out more perfect legislation of autopsy in order to gain positive effect of technical identification in medical tangle. The medical mistake among grade of medical accidents should be added so that justice of identification could be improved.
Accidents/mortality* ; Adolescent ; Adult ; Aged ; Aged, 80 and over ; Autopsy/legislation & jurisprudence* ; Cause of Death ; Child ; Child, Preschool ; Expert Testimony/methods* ; Female ; Forensic Medicine ; Humans ; Infant ; Male ; Malpractice/statistics & numerical data* ; Medical Errors/statistics & numerical data* ; Middle Aged ; Retrospective Studies ; Young Adult

OBJECTIVE: To investigate the basic principles and important rules of forensic identification of adverse drug events and to accumulate basic data and to provide references for forensic identification of similar cases. METHODS: Thirty-three cases of adverse drug events in our forensic identification files were retrospectively reviewed, analyzed, and summarized. RESULTS: There were 27 live and 6 dead victims included in this study. Our study showed a gradually increasing numbers of adverse drug cases in forensic identification year by year with a slight female predominance (20/33 cases, 60.6%). Of the 33 victims, nearly two-thirds (21/33, 63.6%) were due to hospital errors including only one case of drug overdose (1/21, 4.8%), whereas the rest were not related to the hospital errors. Eight cases (8/33, 24.2%) were caused by illegal medical practitioners due to improper use of medication. CONCLUSION Investigators need to pay more attention to the characteristics and complexities of adverse drug events on a case by case basis encountered in increasing numbers of more and more such forensic identification.
Adult ; Drug-Related Side Effects and Adverse Reactions ; Expert Testimony ; Female ; Forensic Medicine ; Health Services Administration/legislation & jurisprudence* ; Humans ; Male ; Malpractice/statistics & numerical data* ; Medical Errors/prevention & control* ; Middle Aged ; Retrospective Studies ; Risk Factors ; Sex Distribution ; Young Adult