To know everything is impossible in this world, to be able to - even more so. Shaky pyramid of civilization and human rescues modern division of labor.
our well-being entrusted electrician uncle Vasya, move it at evening and
confuse wiring - the horror, the whole area will be left without light!
Blundered accountant - a catastrophe, someone deprived of salary. Employee
The registrar can not awake to issue the documents, and then try, prove,
you're not a camel.
All this we have seen time and again, because they do not stumble
Only he who does nothing. But whether the error right people,
whose hands the most valuable - human life? Oversight of the teacher,
of course, unpleasant, and as the heroine said, "Ironically," not at all
less destructive medical missteps. Yet mistakes victim
teachers live among us, and clients often unlucky Aesculapius
go to a better world. Nevertheless, medical errors still
It has not been canceled.
Recently, at the legislative level
there are active discussions about what we need insurance system
patients from medical errors. That is, the patient, to prove that it
relatively speaking, "treated wrong", to be paid
imposing insurance. And doctors, in turn, making small
Financial contributions to the insurance fund, will be protected from exorbitant
financial claims ex-patients. It remains only to make it clear that the
is "treated correctly."
patients often fold their ideas about what is good
and what is bad. This is due to the fact that we have gradually learned to
considered medicine services sphere. The patient, who gave money to the clinic
(Directly or via social insurance office), calculates that for their money
he will receive quality medical care, and it is desirable -
corresponding to his ideas.
Well, that every patient
day for five years gasped, but did not address to the doctor, do not
I am taking prescription tablets and hypertension treated folk
means an alcohol, in his opinion, it does not matter. If the doctor does not
rushed to change the scheme of therapy is not prescribed panacea and does not even appointed
no miraculous treatments, a hundred to one: the patient will run
to complain. And no grandparents near the entrance, and in the tradition of Western
barrator court. Unless, of course, does not realize that medical care as
service is not subject to consumer preferences.
one side of the scale we have a patient who "does not know the materiel" not
diagnosis can read in Latin and raging because the appointed
Treatment did not satisfy his expectations. On the other - a doctor who lives
very professional and correct their views
action compares with the traditions of medicine.
And the only way
equalize the bowl of scales - to try to regulate these foundations (not
the patient is re?). For example, well settled down abroad
strict treatment regimen when the doctor acts as a computer, assigning
strictly according to prescribed therapy instruments. such practices
adhere to the United States from the moment they realized: annually
country because of errors in treatment, at least 7000 people
die, and how many feel worse - do not count. If not
wish to splurge on lawsuits from victims and their
relatives, something must be urgently taken.
the medicine is still in effect for the diagnostic algorithms,
based on the laws of logic. In fact, in medical schools for six years
just do what form the clinical reasoning: an unambiguous,
clear, precise, consistent and evidence-based approach to the diagnosis and
Unfortunately, the medicine - not the Administrative Code,
there are too many deviations from the rules as our vague, so
and American hard.
For example, the patient receives,
suffering from gastritis with complaints of abdominal pain - another
aggravation. More it disturbs nothing but trouble
dreams. Doctor prescribes diagnosis according to the underlying disease,
I mean gastritis. Suddenly, with the patient happens epileptoid
seizure, and only then begin to examine it for pathology
side of the brain. Find a huge inoperable tumor. In
hysterical patient relatives, and they can be understood, but in the current
a situation no one is to blame - the doctor is not the Lord God.
But is it possible in this case, all start talking about the medical error?
Roman law concept of "fault" was related to medical practice and
It called law Aquilia. It also applies to medical errors
inexperience and negligence, and failure to provide assistance.
Empire has sunk into oblivion, and gradually turned into a doctor's right category
unwritten laws. A brilliant surgeon Pirogov, for example, believed that
the doctor must have an inner need to disclose their mistakes,
to warn them of people less knowledgeable.
medical errors attracted constant attention to the bodies and institutions
health, only the Party recklessly used the specificity
medicine, unwinding from scratch "Doctors' Plot and turning people into
white coats in a pawn of the political game.
What he says
modern Russian medical law? It provides for two types of
liability for medical errors: criminal and civil. In the Criminal Code
registered a dozen articles on which activities qualify as a doctor
failure to provide medical care person who is obliged to provide it,
failure to provide information and causing death by negligence
due to improper execution of their professional duties
(Art. 109 h. 2). According to Art. 1064 of the Civil Code, damage
caused to the person shall be compensated in full by the person, his
reasons. And if moral harm, then under Art. 151 of the Civil Code
Russian court will oblige the infringer to pay compensation.
the term "medical error" in the Russian legal documents and
not close. As, however, there is no strictly regulated
responsibility for it - as you already understood, all that does not fit in
the previous laws, in the best case, falls within the scope of other,
the most common items.
And that's not all .. It turns out that a precise definition of medical error there, not only for patients and lawyers. No it, and doctors.
Let us recall the recent sensational case to a newborn Sophia from the Krasnodar Territory,
which had to be amputated arm. She was admitted to the hospital with trivial
whooping cough, and many do not mind to put a dropper. However, the needle
yet broken through the brachial artery, which then formed
a clot, blocking blood flow to the whole right hand.
What is it -
negligence? Carelessness, inexperience? Error? Hardly. After all
Nurses carry out such manipulations hundreds of times. And then, they say, were
New Year holidays, and so the girl did not remove the clot, and appointed
conservative treatment of ... How do you want to operate with the newborn
a child suffering from an infectious disease in the acute period?
a tragic accident, the consequences of which due to the state of the small
the patient could be removed with great difficulty. During the
routine manipulation hand can tremble at absolutely any, only
welder suffer iron pipe, and in the formulation of intravenous
catheter - a living person.
In short, what is meant by
medical error intuitively clear to everyone, but in reality
unknown to anyone. it is practically impossible to protect yourself from it, as well as
You can not insure that I do not know why.
The only thing that
we can advise - do not start the disease, do not pull on a visit to
doctor, tell him about everything that bothers and follow
prescriptions. Checkups, do not trust
charlatans and advertising, not to self-medicate, and then deal with
ailments will be much easier.
Remember, domestic laws
imperfect, and whether they are the best in the world, could not protect us
complications and problems, and no payment will be returned to health.
It would be good even to people who decided to devote himself to medicine, approached
to the choice of profession seriously and deliberately.