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ORIJINAL ARAŞTIRMA

Fizik Tedavi ve Rehabilitasyon Hekimlerine Yönelik Tıbbi Uygulama Hatası İddiaları
Medical Malpractice Claims Against Physical Therapy and Rehabilitation Physicians
Received Date : 10 Jan 2022
Accepted Date : 30 May 2022
Available Online : 13 Jun 2022
Doi: 10.31609/jpmrs.2022-88094 - Makale Dili: EN
J PMR Sci. 2022;25(3):293-8
ÖZET
Amaç: Hekimler, malpraktis davalarının neden olduğu stresten güçlü bir şekilde etkilenmektedir. Bu çalışmada, fizik tedavi ve rehabilitasyon hekimlerinin tıbbi uygulama hata iddiası olan vakalar hakkında farkındalıklarının artırılması amaçlanmıştır. Gereç ve Yöntemler: 01.01.2010- 31.12.2015 tarihleri arasında Adli Tıp Kurumu Birinci İhtisas Kurulu rapor arşivlerinden fizik tedavi ve rehabilitasyon hekimlerinin suçlandığı tıbbi uygulama hatası iddiaları olan olgular retrospektif olarak incelendi. Bulgular: Bu çalışmaya 22 olgu dâhil edildi: 11 (%50) olgu erkek, 11 (%50) olgu kadındı. Yaş ortalaması 48,86±22,9 (minimum: 16, maksimum: 85) olup, olguların %40,9’u 60 yaş ve üzerindeydi. Şikâyete konu olay en sık devlet hastanesinde (n=7, %31,8) ve özel hastanede (n=6, %27,3) meydana geldi. Fizik tedavi ve rehabilitasyon hekimlerinin 1/4’ü (%27,3) konsültan hekim olarak müdahale etmiştir. Yirmi beş hekim (5 asistan, 18 uzman, 1 yardımcı doçent ve 1 profesör) malpraktis iddiasıyla suçlandı. En sık tanı “lomber disk herniasyonu” (n=5, %22,7) idi ve bunu parapleji (n=3, %13,6) izledi. Yirmi bir olguda tıbbi uygulama hatası tespit edilmezken, sadece 1 olguda kurul tarafından malpraktis teyit edildi. Sonuç: Bu çalışmada fizik tedavi ve rehabilitasyon hekimlerinin %95,5’i haksız sebeplerle suçlanmıştır. Yeni malpraktis yasasının bir an önce düzenlenmesi gerekmektedir. Yeni yasa çıkana kadar hekimlerin tıbbi uygulama hata iddiası olan olguları iyi analiz etmesi ve bu iddiaları engellemeye yönelik stratejiler geliştirmesi gereklidir.
ABSTRACT
Objective: Physicians have been strongly affected by the stress caused by malpractice lawsuits. This study aims to increase the awareness of physical therapy and rehabilitation physicians about cases with alleged medical malpractice. Material and Methods: Allegations of medical malpractice against physical therapy and rehabilitation physicians were examined retrospectively from the report archives of the First Specialization Board of Council of Forensic Medicine between 01.01.2010 and 31.12.2015. Results: This study included 22 cases: 11 cases (50%) were male, 11 were (50%) female. The mean age was 48.86±22.9 (minimum: 16, maximum: 85), and 40.9% of the cases were 60 years or older. The event that was the subject of the complaint occurred most frequently in the state hospital (n=7, 31.8%) and the private hospital (n=6, 27.3%). One-fourth of the physical therapy and rehabilitation physicians (27.3%) intervened as consultant physicians. Twenty-five physicians (5 residents, 18 specialists, 1 assistant professor, and 1 professor) were charged with malpractice allegations. The most frequent diagnosis was “lumbar disc herniation” (n=5, 22.7%), followed by paraplegia (n=3, 13.6%). While medical malpractice was not found in 21 cases, it was confirmed in only 1 case by the Board. Conclusion: In this study, 95.5% of the physical therapy and rehabilitation physicians were accused of unfair reasons. The new malpractice law needs to be regulated as soon as possible. Until the new law is passed, physicians should analyze the cases with claims of medical malpractice and develop strategies and approaches to prevent these claims.
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