Factors Associated with Medico-Legal Events Resulting from Attempted Suicide by Patients in Care: Facteurs associés aux événements médico-légaux résultant de tentatives de suicide de patients en soins.

IF 3.8 3区 医学 Q2 PSYCHIATRY
Rana Aslanova, Sharman J Robertson, Kate Barbosa, Elaine G Rose, Catherine Bernard, Jacqueline H Fortier, Gary E Garber
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引用次数: 0

Abstract

Objectives: This study provides an overview of the key medico-legal issues associated with attempted or completed suicide in Canada. Specifically, we identify factors that were criticized and found to contribute to medico-legal risk in these cases.

Methods: A national repository was retrospectively searched for cases involving patients who attempted or completed suicide while under the care of a physician. The study included cases closed at the Canadian Medical Protective Association between 2013 and 2023. The study involved in- and outpatients who attempted or completed suicide. The frequencies and proportions of patient safety events and medico-legal risks for physicians were calculated by exploring factors that contributed to each incident.

Results: A total of 378 cases were identified, involving 460 physicians. The majority of patients in these cases experienced a healthcare-related harm (224/378, 59%). Psychiatrists were involved in 61% (231/378) of cases. The most common reasons for patient/family complaints were deficient assessments, diagnostic errors, and communication breakdowns with the patient or their family. The most common contributing factors identified by peer experts were deficient assessments of a suicidal patient and inadequate documentation.

Conclusions: This study addressed the gap in the published literature of healthcare-related contributing risk factors associated with a patient safety incident from Canadian medico-legal cases. The most common omissions identified by peer experts were comprehensive assessment and clear documentation. Physicians treating suicidal patients may reduce their medico-legal risk by completing and documenting thorough and timely suicide risk assessments.

与正在接受治疗的患者自杀未遂导致的医疗-法律事件相关的因素:与正在接受治疗的患者自杀未遂导致的医疗-法律事件相关的因素。
目的本研究概述了加拿大与自杀未遂或自杀未遂相关的关键医学法律问题。具体而言,我们确定了在这些情况下被批评和发现有助于医疗法律风险的因素。方法回顾性检索国家资料库中在医生指导下企图或完成自杀的病例。该研究包括2013年至2023年加拿大医疗保护协会结案的病例。这项研究涉及试图自杀或已经自杀的住院和门诊病人。通过探索导致每个事件的因素,计算出患者安全事件和医生医疗法律风险的频率和比例。结果共发现病例378例,涉及医师460名。在这些病例中,大多数患者经历了与医疗保健相关的伤害(224/ 378,59 %)。61%(231/378)的病例涉及精神科医生。患者/家属投诉的最常见原因是评估不足、诊断错误以及与患者或其家属沟通不畅。同行专家确定的最常见的影响因素是对自杀患者的评估不足和文件不充分。结论:本研究弥补了加拿大医疗法律案例中与患者安全事件相关的医疗相关危险因素的文献缺口。同行专家发现的最常见的疏漏是全面的评估和明确的文件。治疗有自杀倾向的病人的医生可以通过完成并记录彻底和及时的自杀风险评估来降低他们的医疗法律风险。
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
CiteScore
7.00
自引率
2.50%
发文量
69
审稿时长
6-12 weeks
期刊介绍: Established in 1956, The Canadian Journal of Psychiatry (The CJP) has been keeping psychiatrists up-to-date on the latest research for nearly 60 years. The CJP provides a forum for psychiatry and mental health professionals to share their findings with researchers and clinicians. The CJP includes peer-reviewed scientific articles analyzing ongoing developments in Canadian and international psychiatry.
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