employee
The article presents an analysis of the activities of the Bureau of Forensic Medical Examination of St. Petersburg for the production of examinations in cases of adverse outcomes of medical care. It has been established that over the past 5 years, against the background of the continued growth in the total number of commission examinations, the number of examinations of adverse outcomes of medical care has decreased (mainly due to examinations in criminal cases). Defects in the provision of medical care were determined in 2 out of 3 cases, and more often by examinations in civil cases. A direct causal relationship between defects in the provision of medical care and an unfavorable outcome for human health and life was established in 5% of cases. Attention is drawn to the significant differences in the established qualitative and quantitative indicators in comparison with other regions and departments of the country, which requires the unification of the methodology for the production of such examinations.
medical cases, defect of medical care, causal relationship, forensic medical examination, uniform medical care
1. Bastrykin A.I. Protivodeystviya prestupleniyam, sovershaemym medicinskimi rabotnikami: problemy i puti ih resheniya. Vestnik Akademii sledstvennogo komiteta Rossiyskoy Federacii. 2017. № 1. S. 1-14.
2. Bozhchenko A.P. Problemy i nedostatki ekspertnogo ustanovleniya prichinnoy svyazi // Medicinskoe pravo. 2020. № 4. S. 44-49.
3. Bozhchenko A.P. Professional'no-dolzhnostnye prestupleniya medicinskih rabotnikov: statistika i sravnitel'nyy analiz. Medicinskoe pravo. 2020. № 2. S. 17-23.
4. Kolkutin V.V., Hrustaleva Yu.A., Bozhchenko A.P. Sovremennye problemy ustanovleniya priznakov prichinno-sledstvennyh svyazey v sudebno-medicinskoy teorii i praktike // Al'manah sudebnoy mediciny. 2011. № 12 (20). 24-27.
5. Loban I.E., Isakov V.D. O ponyatiyah yatrogeniya i defekt medicinskoy pomoschi. Ugolovnaya otvetstvennost' medicinskih rabotnikov: mat. Vseross. nauchn.-prakt. kruglogo stola. SPb, 2017. S. 101-105.
6. Spiridonov A.A., Anisimov A.A. Voprosy ekspertam pri naznachenii komissionnyh sudebno-medicinskih ekspertiz po faktam neblagopriyatnyh ishodov okazaniya medicinskoy pomoschi // Sudebno-medicinskaya ekspertiza. 2020. № 6. S. 4-8.
7. Tyagunov D.V. Sudebno-medicinskaya harakteristika defektov, voznikshih pri okazanii medicinskoy pomoschi (po materialam sudebno-medicinskih komissionnyh ekspertiz): Avtoref. … diss. kand. med. nauk. M., 2010. 27 s.
8. Shmarov L.A. Tanatologicheskaya ocenka struktur prodolgovatogo mozga pri smerti ot gemorragicheskogo shoka v razlichnye sroki postmortal'nogo perioda // Sudebno-medicinskaya ekspertiza. 2020. № 3. S. 8-12.
