Healthcare Associated infections: European comparative analysis and forensic expertise in compensation systems.

Q2 Medicine

Clinica Terapeutica Pub Date : 2025-03-01 DOI:10.7417/CT.2025.5189

L De Paola, G Napoletano, N Di Fazio, S Marinelli, R Rinaldi

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引用次数: 0

Abstract

Background/objectives: Healthcare-associated infections (HAIs) represent one of the most common and serious complications of healthcare, significantly impacting both clinical outcomes and medicolegal processes. The rising incidence of HAIs has led to increased attention toward compensation mechanisms. In Europe, there are various compensation systems for personal injury, and HAIs can also be considered in the calculation of redressable biological damage.

Methods: This study provides a comparative analysis of compensation systems in selected European countries, focusing specifically on the treatment of HAIs. All studies published between 2013 and 2023 on HAIs and compensation systems have been accounted for, yielding 296 relevant articles, of which 21 met the inclusion criteria. Further literature, data, and additional records were identified through hand searching.

Results: The aim of this review is to explore the most effective compensation systems for HAIs and to emphasize the critical role of forensic expertise in these processes. Notably, no-fault compensation systems emerged as more efficient and cost-effective, offering faster resolution times compared to fault-based models.

Conclusions: In all systems, forensic medical experts play an essential role in assessing cases and determining appropriate compensation.

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医疗保健相关感染：欧洲补偿系统的比较分析和法医专业知识。

背景/目的：医疗保健相关感染（HAIs）是医疗保健中最常见和最严重的并发症之一，对临床结果和医学法律程序都有重大影响。艾滋病发病率的上升引起了对补偿机制的更多关注。在欧洲，有各种各样的人身伤害赔偿制度，在计算可补救的生物损害时也可以考虑人身伤害赔偿。方法：本研究对选定的欧洲国家的薪酬制度进行了比较分析，特别关注HAIs的治疗。2013年至2023年间发表的所有关于HAIs和薪酬制度的研究均已纳入统计，共产生296篇相关文章，其中21篇符合纳入标准。进一步的文献、数据和额外的记录通过手工检索确定。结果：本综述的目的是探索最有效的赔偿制度，并强调法医专业知识在这些过程中的关键作用。值得注意的是，与基于故障的模型相比，无故障补偿系统的效率更高，成本效益更高，提供了更快的解决时间。结论：在所有制度中，法医专家在评估案件和确定适当赔偿方面发挥着至关重要的作用。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Clinica Terapeutica PHARMACOLOGY & PHARMACY-

CiteScore

2.50

自引率

0.00%

发文量

124

审稿时长

6-12 weeks

期刊介绍： La Clinica Terapeutica è una rivista di Clinica e Terapia in Medicina e Chirurgia, fondata nel 1951 dal Prof. Mariano Messini (1901-1980), Direttore dell''Istituto di Idrologia Medica dell''Università di Roma “La Sapienza”. La rivista è pubblicata come “periodico bimestrale” dalla Società Editrice Universo, casa editrice fondata nel 1945 dal Comm. Luigi Pellino. La Clinica Terapeutica è indicizzata su MEDLINE, INDEX MEDICUS, EMBASE/Excerpta Medica.