Frequency and Causes of Complaints against Emergency Medicine Specialists in Forensic Medicine Files; a Cross- Sectional Study.

Introduction: Complaints against physicians have increased in recent years and one of the specialties facing a relatively high rate of complaints is emergency medicine. Therefore, the present study was designed with the aim of evaluating the frequency and causes of complaints against emergency medic...

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Publicado en:Archives of Academic Emergency Medicine Vol. 7; no. 1; pp. 1 - 6
Autores principales: Alimohammadi, Hossein, Hatamabadi, Hamidreza, Khodayari, Azita, Azimi, Mahmood Doukhtehchi Zadeh
Formato: research tables/charts Journal Article
Publicado: Shahid Beheshti University of Medical Sciences 2019
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Frequency and Causes of Complaints against Emergency Medicine Specialists in Forensic Medicine Files; a Cross- Sectional Study.
      aug:
        au:
          Alimohammadi, Hossein
          Hatamabadi, Hamidreza
          Khodayari, Azita
          Azimi, Mahmood Doukhtehchi Zadeh
        affil: Emergency Department, Imam Hossein Hospital, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran
      sug:
        subj:
          Physicians, Emergency
          Forensic Medicine
          Professional Discipline
          Malpractice
          Physician-Patient Relations
          Human
          Cross Sectional Studies
          Iran
          Job Experience
          Sex Factors
          Treatment Errors
          Patient Satisfaction
          Descriptive Statistics
          Socioeconomic Factors
          T-Tests
          Data Analysis Software
          Chi Square Test
          Male
          Female
          Adult
          Middle Age
          Aged
          Patient Attitudes
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Aged: 65+ years
          Male
          Female
      ab: Introduction: Complaints against physicians have increased in recent years and one of the specialties facing a relatively high rate of complaints is emergency medicine. Therefore, the present study was designed with the aim of evaluating the frequency and causes of complaints against emergency medicine specialists in forensic medicine cases. Methods: In the present cross-sectional study, all the existing files in two forensic medicine centers, Tehran, Iran, from 2012 to 2015, in which complaints were filed against emergency medicine specialists, either alone or along with other physicians, were evaluated via census sampling method and their required data were extracted and recorded via a pre-designed checklist. Results: 151 cases of medical complaints were filed against emergency medicine specialists during the study period. 85 (53.6%) complaints were filed following death of the patients and 66 (43.7%) were filed following an injury or disability. Multiple trauma, stomach ache, and altered level of consciousness were the most common chief complaints among young and old patients upon their ED visit. In 104 (68.9%) cases, the emergency medicine specialists were finally proved innocent. No significant correlation was found between the probability of proving innocent and the physician's experience (p = 0.92), physician's sex (p = 0.27), age range of the patient (p = 0.193), or the shift in which the patient had visited the ED (p = 0.32). The rate of proving innocent was significantly higher in complaints against governmental hospitals compared to non-governmental ones (73.6% vs. 61.9%; p= 0.004) and teaching hospitals compared to non-teaching ones (75.8% vs. 54.9%; p = 0.26). Conclusion: In about 70% of medical complaint cases against emergency medicine specialists, the in charge physician was proved innocent. No significant correlation was found between the probability of proving innocent and physician's experience, the physician's sex, the patient's age range, or the shift in which the patient had presented to the ED.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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