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[학술저널]

급성 충수염과 관련된 의료 소송

  • 학술저널

급성 충수염과 관련된 의료 소송

판례 중심의 의료법학적 접근

Medicolegal Consideration of Acute Appendicitis: Based on Judicial Precedents

배현아(이화여자대학교) 노현(이화여자대학교) 장혜영(순천향대학교병원) 정구영(이화여자대학교)

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초록

Purpose: We wanted to describe the characteristics of the malpractice claims related to acute appendicitis and to identify medico-legal problems and potential preventability of such claims.
Methods: A retrospective study was performed by reviewing the records at websites that furnishes judicial precedents. The records on closed malpractice claims involving acute appendicitis were abstracted from the files that were available for analysis. The records were reviewed and analyzed to determine the causes of the lawsuits, the preand post-operative diagnoses, the comorbid conditions of the patient, the causes of death or post-operative complications, the results of the lawsuits and the factors associated with a successful defense.
Results: Twelve closed claims involving acute appendicitis were founded in the malpractice data. Two claims were Supreme Court decisions and ten were district court decisions. The causes of lawsuit were categorized as follows: delay in diagnosis or operation, mistakes during operation, inappropriate management of postoperative complications and problems related to general anesthesia. 3 claims were assigned to each of the 4 particular causes of lawsuits. The most common causes of death were abscess with peritonitis and sepsis, and ten of which resulted in indemnity payments.
Conclusion: Appropriate explanation and attention in the diagnosis/progress of appendicitis, getting an informed consent from the patient, the patients’ comorbid conditions, early decision making in diagnosis/operation and proper care in the operation were critical for preventing lawsuits related to acute appendicitis.

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참고문헌(14)

  • 1.

    , , http:, , www.lawnb.com, lawinfo, case, case_main.asp?c_id=10001001

  • 2.

    , , Ministry of legislation

  • 3.

    윤지영 , 2004 , 복부 초음파를 이용한 급성 충수염 진단의 유용성 , 대한외과학회지 66 (06) : 503 ~ 507

  • 4.

    Bird S. , 2004 , Failure to diagnose: appendicitis , Aust Fam Physician 33 : 1025 ~ 1026

  • 5.

    Chung CH , 2000 , Delays by patients, emergency physicians, and surgeons in the management of acute appendicitis: retrospective study , Hong Kong Med J 6 : 254 ~ 259

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