医疗事故与不良事件之区别:个案报告及文献复习

Damaskos Christos, D. Mantas, Spartalis Eleftherios
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引用次数: 0

摘要

背景/目的:外科手术可能会导致意想不到的结果,而这些结果大多是由于医学实践中的风险造成的。我们的目的是找出医疗事故和不良事件之间的区别。病例介绍:一位年轻的男性患者在腹腔镜胆囊切除术后经历了一连串的不良事件,尽管他接受了最终的治疗,但一种未知的广泛的动脉粥样硬化性冠状动脉疾病导致了致命的左心室坏死,这是由于广泛的心肌梗死。结果:患者家属因误以为是医疗事故导致死亡,对外科医生提起诉讼。结论:循证医学不应成为防御手段,因为并非所有令人不快的事件都是由于医疗事故或疏忽造成的。
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The Difference Between Malpractice and Adverse Event: Report of a Case and Review of the Literature
Background/Aim: The practice of surgery may lead to unexpected results and most such results come due to risk in the practice of medicine. Our aim is to identify the difference between malpractice and adverse event. Case Presentation: A young male patient who experienced a cascade of adverse events after a laparoscopic cholecystectomy and even though he had the ultimate treatment an unknown and extensive atherosclerotic coronary arteries disease had led to a fatal left ventricular corruption due to an extensive myocardial infarction. Results: The relatives of the patient filed a lawsuit against the surgeon due to the perception that death was caused by malpractice. Conclusion: Evidence-based medicine should not become defensive, since not every unpleasant event is due to malpractice or negligence.
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