[Treatment failure from the viewpoint of forensic medicine]. 1997

R Dirnhofer, and D Wyler
Institut für Rechtsmedizin, Bern.

It is the nature of a disease that it may not only improve but also deteriorate even when under medical treatment. Medical treatment thus constitutes a high-risk activity. The great advances in medical diagnosis and treatment in recent years have increased this risk still further. The medical profession is becoming increasingly unsettled and worried about claims of treatment errors, not least because-of the increasing pressure from the public and media. This has wrongly led to the development of "defensive medicine" such as has already started to become established in the USA. The medical expert should stand as a mediator between medicine and law, and thus be in a position to clear up misunderstandings between the two disciplines with their different mind sets. For these reasons, a forensic specialist should be appointed as an expert whenever possible; he may be proposed to the examining judge as an additional expert in the field in question to answer special questions put to him. This article discussed the basis on which an expert medical opinion should be provided in relation to an injury arising as a result of a treatment.

UI MeSH Term Description Entries
D007049 Iatrogenic Disease Any adverse condition in a patient occurring as the result of treatment by a physician, surgeon, or other health professional, especially infections acquired by a patient during the course of treatment. Hospital-Acquired Condition,Condition, Hospital-Acquired,Conditions, Hospital-Acquired,Disease, Iatrogenic,Diseases, Iatrogenic,Hospital Acquired Condition,Hospital-Acquired Conditions,Iatrogenic Diseases
D008318 Malpractice Failure of a professional person, a physician or lawyer, to render proper services through reprehensible ignorance or negligence or through criminal intent, especially when injury or loss follows. (Random House Unabridged Dictionary, 2d ed) Professional Negligence,Negligence,Negligence, Professional,Professional Negligences
D003675 Defensive Medicine The alterations of modes of medical practice, induced by the threat of liability, for the principal purposes of forestalling lawsuits by patients as well as providing good legal defense in the event that such lawsuits are instituted. Defensive Practice,Medicine, Defensive,Defensive Practices
D005104 Expert Testimony Presentation of pertinent data by one with special skill or knowledge representing mastery of a particular subject. Expert Opinion,Expert Witness,Expert Opinions,Expert Testimonies,Expert Witnesses,Opinion, Expert,Testimony, Expert,Witness, Expert,Witnesses, Expert
D005554 Forensic Medicine The application of medical knowledge to questions of law. Legal Medicine,Medicine, Forensic,Medicine, Legal
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D012307 Risk Factors An aspect of personal behavior or lifestyle, environmental exposure, inborn or inherited characteristic, which, based on epidemiological evidence, is known to be associated with a health-related condition considered important to prevent. Health Correlates,Risk Factor Scores,Risk Scores,Social Risk Factors,Population at Risk,Populations at Risk,Correlates, Health,Factor, Risk,Factor, Social Risk,Factors, Social Risk,Risk Factor,Risk Factor Score,Risk Factor, Social,Risk Factors, Social,Risk Score,Score, Risk,Score, Risk Factor,Social Risk Factor
D013557 Switzerland A country in Europe. It is bordered by Austria, France, Italy, Liechtenstein, and Germany. The capital is Bern.
D014481 United States A country in NORTH AMERICA between CANADA and MEXICO.
D017211 Treatment Failure A measure of the quality of health care by assessment of unsuccessful results of management and procedures used in combating disease, in individual cases or series. Failure, Treatment,Failures, Treatment,Treatment Failures

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