Huseyin DEMİR, Cuma CAKMAK, Levent Bekir KİDAK

A research on examination of medical errors through court judgments

Aim: Medical errors are one of the most important and chronic problems of health care systems. In this study, medical error cases decided by the Supreme Court were examined.Material and Methods: The work is retrospective, descriptive and analytical, and it is limited to civil court decisions on a suit for error. Sixty court decisions that were randomly selected in the study were obtained via www.yargitay.gov.tr and www.kazanci.com.tr. The decisions were examined in detail by researchers.Results: According to the research result, it is understood that the medical errors mostly occur in gynecology and obstetrics and general surgery branches. Treatment errors are the most important cause of medical errors. Material and moral damage ranks first, and death ranks the second due to medical errors. It has been revealed that the predominant responsibilities of medical errors are on physicians in large part. The two most common causes of medical errors are the choice of the wrong treatment method and surgical errors.Conclusion: In the light of the analyzes, it is seen that medical errors are largely human-induced factors. Therefore, establishing mechanism to minimize medical errors, increasing the level of awareness of medical staff about medical errors, to minimize wrong treatment method and surgical errors thought to be effective strategies to prevent medical errors.

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Flotta D, Rizza P, Bianco A, Pileggi C, Pavia M. Patient safety and medical errors: knowledge, attitudes and behavior among Italian hospital physicians. Int J Qual Health Care 2012;24(3):258-65.
Avcı K, Aktan T. Bir sistem sorunu olarak tıbbi hatalar ve hasta Güvenliği. Düzce Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi 2015;5(2):48-54.
Conerly C. strategies to increase reporting of near misses and adverse events. J Nurs Care Qual 2007;22(2):102-6.
Karsh BT, Escoto HK, Beasley WJ, Holden JR. Toward a theoretical approach to medical error reporting system research and design. Appl Ergon 2006;37(3):283-95.
Beasley WJ, Escoto HK, Karsh BT. Design elements for a primary care medical error reporting system. WMJ 2004;103(1):56-9.
Mayo MA, Duncan D. Nurse perception of medication errors. What we need to know for patient safety. J Nurs Care Qual 2004;19(3):209-17.
Lawton R, Parker D. Barriers to incident reporting in a healthcare systems. Qual Saf Health Care 2002;11(1):15-8.
Zohar D, Livne Y, Orly TG, Admi H, Donchin Y. Healthcare climate: a framework for measuring and improving patient safety. Crit Care Med 2007;35(5):1312-7.
Naveh E, Katz-Navon T, Stern Z. Treatment errors in healthcare: a safety climate approach. Manage Sci 2005;51(6):948-60.
Reason J. Human error: models and management. BMJ 2000;320(7237):768-70.
İntepeler SŞ, Dursun M.Tıbbi hatalar ve tıbbi hata bildirim sistemleri. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi 2012;15(2):129-35.
Tümer AR. 1995-2000 yıllarında yüksek sağlık şurası’na gelen genel cerrahi vakalarının malpraktis açısından incelenmesi. Ulusal Cerrahi Dergisi 2003;19(1):11-6.
Leape LL, Brennan TA, Laird N, Lawthers AG, Localio AR, Barnes BA, et al. The nature of adverse event in hospitalized patients results of the harvard medical practice study II. e N Eng J Med 1991;324(6):377-84
Smith M, Groenewegen PP, Timmermans DR, Wal G, Wagner C. The nature and causes of unintended events reported at ten emergency departments. BMJ Emergency Medicine 2009;9(16):1-11.
Şahin AZ, Özdemir KF. Hemsirelerin tıbbi hata yapma egilimlerinin ıncelenmesi. Hemşirelikte Eğitim ve Araştırma Dergisi 2015;12(3):210-4.
Can Öİ, Özkara E, Can M. Yargıtayda karara bağlanan tıbbi uygulama hatası dosyalarının değerlendirilmesi. DEÜ Tıp Fakültesi Dergisi 2011;25(2):69-76.
Giraldo P, Sato L, Sala M, Comas M, Dywer K, Castells X. A retrospective review of medical errors adjudicated in court between 2002 and 2012 in Spain. Int J Qual in Health Care 2016;28 (1):33-9.
Alemdar DK, Aktaş YY. Medical error types and causes made by nurses in Turkey. TAF Prev Med Bull 2013;12(3):307-14.
de Vries EN, Ramrattran MA, Smorenburg SM, Gouma DJ, Boermeester MA. The incidence and nature of in-hospital adverse events: a systematic review. Qual Saf Health Care 2008;17(3):216-23.
Studdert DM, Mello MM, Gawande AA, Gandhi TK, Kachalia A, Yoon C, et al. Claims, errors, and compensation payments in medical malpractice litigation. N Engl J of Med 2006;354(19):2024-33.
Ertem G, Oksel E, Akbıyık A. Hatalı tıbbi uygulamalar (malpraktis) ile ilgili retrospektif bir inceleme. Dirim Tıp Gazetesi 2009;84(1):1-10.
Bagnara S, Parlangeli O, Tartaglia, R. Are hospitals becoming high reliability organizations? Appl Ergon 2010;41(5):713-8.
Hakeri, H. Hasta ile hekim arasındaki ilişkinin hukuksal niteliği, hatalı tıbbi uygulama ve tazminat sorumluluğu. İçinde: Tıp Hukuku. 6. Baskı. Seçkin Yayıncılık, Ankara, 2013;237-96.
Türk Tabipler Birliği (TBB) Hekimlik Meslek Etiği Kuralları. Turk Kardiyol Dern Ars 2009;37(3):4s6-50.
Akalın, EH. Tıbbi hatalar: nedir, nasıl önlenebilir? Ankem Dergisi 2001;15(3):244-46.
Tıbbi Deontoloji Nizamnamesi. Resmi gazete tarihi: 19.2.1960, No: 10436.
Kalra, J. Medical errors: an introduction to concepts. Clinical Biochem 2004;37(12):1043-51.
Institute of Medicine. Committee on Quality of Health Care in America. To Err is Human: Building A Safer Health System. National Academy Press, Washington, 1999. p. 1-287.