调查2019年上半年整容手术医疗事故的程度：德黑兰法医委员会的一项研究

IF 1.2 4区医学 Q3 MEDICINE, LEGAL

Journal of forensic and legal medicine Pub Date : 2025-06-25 DOI:10.1016/j.jflm.2025.102919

Shayesteh Ashrafi Esfahani , Mehdi Forouzesh , Masoud Ghadipasha , Babak Salahshour , Mohammad-Ali Alimohammadi , Ladan Jafarnejad , Ali Asghar Emami Noudeh , Melika Mahboubi

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引用次数: 0

摘要

对医疗投诉案件的全面审查已被确定为确定导致医疗事故的各种因素的宝贵工具。本综述有助于外科医生预防此类错误，从而确保患者安全。整容手术经常引起对医疗专业人员的大量投诉，强调需要全面了解这一现象，以减轻其影响。方法：本描述性横断面研究调查了2019年前六个月向德黑兰省法医委员会提交的136例患者投诉。使用研究人员设计的调查表对申诉进行了评估，并与法官反对法医委员会意见的最终裁决进行了比较。然后使用SPSS软件25版对收集的数据进行统计分析。结果136例有整容史的患者中，年龄在20 ~ 40岁之间的占62.5%，以女性居多（89%）。在医疗专业人员中，83.8%为男性，43.4%为外科专业。医疗事故最普遍的原因是没有遵守科学和技术标准。根据法院的判决，在鉴定委员会认定的72件渎职案件中，76.4%得到了确认。专科类型、麻醉、主治医师性别与医疗事故发生有显著相关（P≤0.05）。结论研究结果表明，在超过一半的案例中，医生的失职行为被证实，最常见的原因是没有遵守科学和技术标准。这一发现强调了解决这一问题的重要性。

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Investigating the extent of medical malpractice in cosmetic surgeries during the first half of 2019: A Study of the Tehran Forensic Commission

Introduction

A comprehensive review of medical complaint cases has been identified as a valuable tool for identifying the various factors that contribute to medical malpractice. This review has been found to assist surgeons in the prevention of such errors, thereby ensuring patient safety. Cosmetic surgeries frequently elicit a high volume of complaints against medical professionals, underscoring the need for a comprehensive understanding of this phenomenon to mitigate its repercussions.

Methods

This descriptive cross-sectional study examined 136 patient complaints referred to the Tehran Province Forensic Commission during the initial six months of 2019. The complaints were assessed using a researcher-designed questionnaire and compared with the final rulings issued by judges against the opinions of the forensic medical commissions. The collected data were then subjected to statistical analysis using SPSS software, version 25.

Results

The findings indicated that 62.5 % of the 136 patients with a documented history of cosmetic surgery were between the ages of 20 and 40, with a majority being female (89 %). Among the medical professionals, 83.8 % were male, and 43.4 % had surgical specializations. The most prevalent cause of malpractice was the failure to adhere to scientific and technical standards. According to court rulings, 76.4 % of the 72 cases initially deemed malpractice by the forensic commission were confirmed. A substantial correlation was identified between the type of specialty, anesthesia, and the gender of the attending physicians and the occurrence of medical malpractice (P ≤ 0.05).

Conclusion

The results of the study indicate that in over half of the cases, the doctor's malpractice was proven, with the most common cause being the failure to adhere to scientific and technical standards. This finding underscores the importance of addressing this issue.

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来源期刊

Journal of forensic and legal medicine MEDICINE, LEGAL-

CiteScore

2.70

自引率

6.70%

发文量

106

审稿时长

57 days

期刊介绍： The Journal of Forensic and Legal Medicine publishes topical articles on aspects of forensic and legal medicine. Specifically the Journal supports research that explores the medical principles of care and forensic assessment of individuals, whether adult or child, in contact with the judicial system. It is a fully peer-review hybrid journal with a broad international perspective. The Journal accepts submissions of original research, review articles, and pertinent case studies, editorials, and commentaries in relevant areas of Forensic and Legal Medicine, Context of Practice, and Education and Training. The Journal adheres to strict publication ethical guidelines, and actively supports a culture of inclusive and representative publication.