Medical Error – Should it be a Criminal Offence?

IF 0.1 Q4 LAW MEDICINE AND LAW Pub Date : 2018-04-25 DOI:10.18690/978-961-286-335-7.2
M. Šepec
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引用次数: 9

Abstract

Medicine is a risky profession where medical professionals have a duty to do anything in their power to help their patients. However, what if a doctor makes a grievous mistake that leads to the death but could have been avoided? Are moral responsibility and apology to patients’ family enough? Should we impose sanctions (civil or criminal) on the doctor who negligently caused the patients’ death? To answer this questions, we present arguments against criminalisation of medical error, where the strongest arguments are uncertainty of medical standards, counterproductive criminalisation seen in defensive medicine, using criminal law as the last resort, and the argument of doctor’s immunity. On the other hand, arguments for criminalisation are obvious negligent treatment with serious consequences, general prevention of future negligent conduct, sanitation of a medical system gone wrong, and the argument of privileged criminal offence. Our conclusion is that criminal law repression of medical malpractice or medical error is justified, however only in the most obvious cases of undisputed negligence or carelessness of a doctor, where his inappropriate conduct has led to a serious deterioration of health of a patient, which could have easily been avoided, if a doctor respected the practice and rules of medical science and profession.
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医疗失误——应该算作刑事犯罪吗?
医学是一个有风险的职业,医务人员有责任尽其所能帮助病人。然而,如果医生犯了一个严重的错误,导致了本可以避免的死亡,该怎么办?道德责任和对患者家属的道歉就足够了吗?我们是否应该对过失导致病人死亡的医生施加(民事或刑事)制裁?为了回答这个问题,我们提出反对将医疗错误定为刑事犯罪的论点,其中最有力的论点是医疗标准的不确定性、防御性医疗中出现的适得其反的刑事犯罪、将刑法作为最后手段以及医生豁免权的论点。另一方面,罪刑化的论点是明显的过失治疗造成的严重后果,对未来过失行为的一般预防,医疗系统的卫生问题,以及特权刑事犯罪的论点。我们的结论是,刑法对医疗事故或医疗错误的压制是合理的,但只有在医生无可争议的疏忽或粗心的最明显的情况下,他的不当行为导致病人的健康严重恶化,如果医生尊重医学和专业的惯例和规则,这种情况是很容易避免的。
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