Investigation of the precedents on medical dispute in anesthesiology

麻醉科医疗纠纷先例调查

• 批准号: 14571430
• 负责人: NOSAKA Shuichi
• 金额: $ 2.24万
• 依托单位: SHIGA UNIVERSITY OF MEDICAL SCIENCE
• 依托单位国家: 日本
• 项目类别: Grant-in-Aid for Scientific Research (C)
• 财政年份: 2002
• 资助国家: 日本
• 起止时间: 2002 至 2004
• 项目状态: 已结题
• 来源: https://kaken.nii.ac.jp/en/grant/KAKENHI-PROJECT-14571430/
• 关键词: anesthesia; medical dispute; criminal suit; precedent; literature; medical record; 救急; 蘇生; 刑事訴訟; 添付文書

We investigated outcomes of medical malpractice disputes in anesthesiology. Legal rulings from trials concluded before 2002 were collected from law journals comprising 94 criminal cases related to anesthesiology and drug therapy. Results indicated no increase in criminal cases when compared with civil cases. The rate of imputability for medical providers was high, and sentences for physicians were heavier than for other occupations. Sentences for accidental infliction of injury were not necessarily lighter than for accidental homicide. Pharmaceutical drug labels were used as indicators of medical standards. It is important for medical providers to clarify the distribution of responsibility and systematize the check-process to prevent recurrence of errors. International consistency is also necessary for the revision of drug labels. Previous studies of recent cases related to anesthesiology have revealed that the judiciary often inquires into specialization, CPR mastery, and observance o … More f nerve block adaptation regulations. This study also examined medical chart entries that included anesthesia records. Since chart entries serve as evidence in court, a chronological record of precise facts along with consistency with other recorded entries are indispensable. Unrecorded measurements and medical treatments can be interpreted as not having been conducted. Postscripts also should be more highly considered than time/date entries and supplementary justifications. In terms of medical records and medical dispute references, American literature related to anesthesiology was superior to that of Japan ; it was more concrete and thus more efficient in preventing recurrence. This may be due to a higher incidence of medical disputes in the U.S. than in Japan, creating a greater necessity for better medical literature. We hope that Japanese medical records will reach a comparative level of detail in the future. Further research is needed on judicial outcomes regarding how explanatory notes are provided to patients and how chart entries should be written. Less

我们调查了麻醉科医疗事故纠纷的结果。2002年以前结束的审判的法律的裁决是从法律期刊中收集的，包括94个与麻醉学和药物治疗有关的刑事案件。结果显示，与民事案件相比，刑事案件没有增加。医疗服务提供者的责任率很高，医生的判刑比其他职业重。对意外伤害的判刑不一定比意外杀人轻。药品标签被用作医疗标准的指标。医疗服务提供者必须明确责任分配，并使检查过程系统化，以防止再次发生错误。药品标签的修订也需要国际一致性。以前对最近与麻醉学有关的案件的研究表明，司法部门经常询问专业化，心肺复苏术的掌握和对麻醉学的遵守。 ...更多信息 f神经阻滞适应性调节。这项研究还检查了包括麻醉记录在内的医疗图表条目。由于图表条目在法庭上作为证据，因此按时间顺序记录的精确事实沿着与其他记录条目一致是必不可少的。未记录的测量和医疗可被解释为没有进行。后记也应该比时间/日期条目和补充理由更受重视。在病历和医疗纠纷参考文献方面，美国的麻醉学相关文献优于日本的麻醉学相关文献上级，更具体，因此在预防复发方面更有效。这可能是由于美国的医疗纠纷发生率高于日本，因此更需要更好的医学文献。我们希望日本的医疗记录将来能达到比较详细的水平。需要对如何向患者提供解释性说明以及如何撰写图表条目的司法结果进行进一步研究。少

项目成果

患者および患側確認に関する刑事訴訟判例の検討

审查有关识别患者和受影响方的刑事判例

• 发表时间: 2004
• 期刊: 日本臨床麻酔学会誌 24
• 作者: 木内淳子

ペインクリニック医療訴訟判例に関する考察

对疼痛诊所医疗诉讼先例的思考

• 发表时间: 2004
• 期刊: 日本臨床麻酔学会誌 24
• 作者: 嶋田 文彦

ペインクリニック医事訴訟判例に関する考察

对疼痛诊所医疗诉讼先例的思考

• 发表时间: 2004
• 期刊: 日本臨床麻酔学会誌 24・9
• 作者: 嶋田文彦;野坂修一
• 通讯作者: 野坂修一

Law suits in anesthetic malpractice

麻醉事故诉讼

• 发表时间: 2005
• 期刊: Journal of japan society for clinical anesthesia 25
• 作者: A.;Kiuchi;T.;Abe;Y.;Matsumura;S.;Nosaka;S.;Maeda
• 通讯作者: Maeda

木内淳子, 阪上学, 松村陽子, 藤田泰宣, 野坂修一, 天方義邦, 西克治: "麻酔科領域における医療事故の刑事訴訟判例について"日本臨床麻酔学会誌. 22・10. 371-379 (2002)

Junko Kiuchi、Manabu Sakagami、Yoko Matsumura、Yasunobu Fujita、Shuichi Nosaka、Yoshikuni Amakata、Katsuji Nishi：“关于麻醉领域医疗事故刑事诉讼的先例”日本临床麻醉学会杂志 22・10。 -379 (2002)