Journal of Legal MedicinePub Date : 2022-07-01Epub Date: 2023-08-18DOI: 10.1080/01947648.2023.2238564
Chukwudi Victor Odoeme, Dennis Ugwuja, Chigozie Sergius Onah
{"title":"Medical Error Litigation in Nigeria: A Proposal for Change.","authors":"Chukwudi Victor Odoeme, Dennis Ugwuja, Chigozie Sergius Onah","doi":"10.1080/01947648.2023.2238564","DOIUrl":"10.1080/01947648.2023.2238564","url":null,"abstract":"<p><p>Negligence actions are the most important and dynamic of all torts because they are the principal means of compensating victims of accidents, including medical errors. Unfortunately, victims of medical error in Nigeria have not historically been able to enjoy the relief available through negligence suits. This article explores the Nigerian legal and regulatory framework for addressing medical errors and offers suggestions that could help improve such medical error response.</p>","PeriodicalId":44014,"journal":{"name":"Journal of Legal Medicine","volume":" ","pages":"111-121"},"PeriodicalIF":0.4,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10019222","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A Values-Based Approach to Capacity Assessment.","authors":"Jacob M Appel","doi":"10.1080/01947648.2022.2162171","DOIUrl":"https://doi.org/10.1080/01947648.2022.2162171","url":null,"abstract":"<p><p>The dominant approaches to assessing patients for decisional capacity in the clinical setting, the \"four skills\" and \"sliding scale\" models, emerged in the 1970s and 1980s against a backdrop of medical paternalism and reflect their origins in law and forensic psychiatry. They privilege rationality and require the ability to defend one's decisions with knowledge and argument. Unfortunately, these approaches place a heavy burden upon patients who may hold preferences consistent with their underlying values but may not possess the education or reasoning skills necessary to meet the heavy burden imposed by current capacity standards. This article reviews the shortcomings of the dominant models. Then the article proposes a novel value-based approach to capacity assessment that places primary emphasis upon the patient's underlying and longstanding values and the concordance of those values with the patient's current wishes and preferences.</p>","PeriodicalId":44014,"journal":{"name":"Journal of Legal Medicine","volume":"42 1-2","pages":"53-65"},"PeriodicalIF":0.4,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10773103","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Editor's Note.","authors":"Joseph D Piorkowski","doi":"10.1080/01947648.2023.2179848","DOIUrl":"https://doi.org/10.1080/01947648.2023.2179848","url":null,"abstract":"","PeriodicalId":44014,"journal":{"name":"Journal of Legal Medicine","volume":"42 1-2","pages":"1"},"PeriodicalIF":0.4,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10817569","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Procedural Sedation by Non-Anesthesiologists: A Review of Malpractice Litigation.","authors":"Ashley Eltorai","doi":"10.1080/01947648.2023.2174768","DOIUrl":"https://doi.org/10.1080/01947648.2023.2174768","url":null,"abstract":"<p><strong>Introduction: </strong>Medical professionals other than anesthesiologists at times administer sedation for procedures. The aim of this study is to identify the adverse events, and their root causes, resulting in medical malpractice litigation in the United States related to procedural sedation administration by non-anesthesiologists.</p><p><strong>Methods: </strong>Cases containing the phrase \"conscious sedation\" were identified using Anylaw, an online national legal database. Cases were excluded if the primary allegation was not malpractice related to conscious sedation or the listing was a duplicate.</p><p><strong>Results: </strong>Of the 92 cases identified, 25 remained after application of exclusion criteria. The procedure type most commonly involved was dental (56%), followed by gastrointestinal (28%). The remaining procedure types were urology, electrophysiology, otolaryngology, and magnetic resonance imaging (MRI).</p><p><strong>Discussion: </strong>By reviewing malpractice case narratives and outcomes, this study offers insight and opportunities for practice improvement among non-anesthesiologists providing conscious sedation for procedures.</p>","PeriodicalId":44014,"journal":{"name":"Journal of Legal Medicine","volume":"42 1-2","pages":"67-74"},"PeriodicalIF":0.4,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10786437","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Retention of Nevada Medical Graduates: A 6-Year Study","authors":"D. Chan, W. Havins","doi":"10.1080/01947648.2022.2147368","DOIUrl":"https://doi.org/10.1080/01947648.2022.2147368","url":null,"abstract":"","PeriodicalId":44014,"journal":{"name":"Journal of Legal Medicine","volume":"16 1","pages":"217 - 218"},"PeriodicalIF":0.4,"publicationDate":"2021-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82394726","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Medical and Legal Dual Degree: A Survey on Motivations, Time Commitment, Outcomes, and Value","authors":"S. Murphy, L. Wheeler, E. Valencia","doi":"10.1080/01947648.2022.2147369","DOIUrl":"https://doi.org/10.1080/01947648.2022.2147369","url":null,"abstract":"","PeriodicalId":44014,"journal":{"name":"Journal of Legal Medicine","volume":"17 1","pages":"219 - 220"},"PeriodicalIF":0.4,"publicationDate":"2021-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76773116","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"First Filings and False Judgments: Is the First-to-File Rule Jurisdictional and Can a Medical Opinion be \"False\" Under the False Claims Act?","authors":"Cheryl L Anderson","doi":"10.1080/01947648.2022.2087403","DOIUrl":"https://doi.org/10.1080/01947648.2022.2087403","url":null,"abstract":"","PeriodicalId":44014,"journal":{"name":"Journal of Legal Medicine","volume":"41 3-4","pages":"123-138"},"PeriodicalIF":0.4,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10303930","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}