ABSTRACT
OBJECTIVES@#To synthetically analyse the medical malpractice cases of cardiac death in forensic identification, and to explore the generality and characteristic of cause of death, medical malpractice and assessment of participation degree.@*METHODS@#Totally 52 medical malpractice cases of cardiac death examined in the Xiaoshan Branch Office, Hangzhou Minghao Forensic Judical Appraisal Institute, from January 2015 to April 2018 were collected. The general information of cases, medical institutions and situations of hospital stay, cause of death, medical malpractice and assessment of participation degree were retrospectively analysed.@*RESULTS@#In 52 cases, the male to female ratio was 2.25:1, and most subjects aged >50-60. Cardiac death caused by hypertensive heart disease or coronary heart disease was most common （67.3%）, followed by viral myocarditis and cardiomyopathy （13.5%）. There were 24 cases involved surgery, and the survival time after surgery was from 1 h to 118 d with a 7 d medium value. There were 63 medical institutes involved in these medical malpractices. Medical malpractice presented in most hospitals more or less, and the participation degree was >20%-30%.@*CONCLUSIONS@#Forensic appraisal contributes to determine causes of death, which not only provides scientific evidence for medical malpractice identification, but also improves diagnosis and treatment levels of medical institutions.
Subject(s)
Female , Humans , Male , Middle Aged , Autopsy , Cause of Death , Coronary Disease/mortality , Death , Forensic Medicine , Hypertension/mortality , Malpractice/statistics & numerical data , Retrospective StudiesABSTRACT
OBJECTIVE@#To explore the main problems and ideas in the death cases of medical tangles after trauma.@*METHODS@#Twelve death cases of medical tangles after trauma were selected from a forensic science institute during recent six years. Traumatic conditions, medical malpractices and contribute degree of malpractice were estimated and analyzed.@*RESULTS@#The reasons of trauma included accidents and intentional injury. Among these cases, there were 10 involved in malpractice, of which 7 cases played secondary role.@*CONCLUSION@#Diagnosis, symptom observation and emergency therapy are the important keys for determining the responsibility in death cases of medical tangles after trauma.
Subject(s)
Adult , Aged , Female , Humans , Male , Middle Aged , Young Adult , Cause of Death , Forensic Medicine , Fractures, Bone/pathology , Malpractice , Medical Errors/prevention & control , Retrospective Studies , Wounds and Injuries/pathologyABSTRACT
OBJECTIVE@#To discuss the reasons for the alterations of the conclusions in re-assessment for personal disability in road traffic accidents, work-related accidents and other accidents.@*METHODS@#Forty five cases of re-assessing the personal disability from 2007 to 2009 in our institute were collected and analyzed.@*RESULTS@#The disability grade of 12 cases (26.7%) was altered in re-assessment. The reasons for the alternation included assessment standard items misquoted, assessment time mischosen, injury misdiagnosed and omitted, artificial prostheses mismanaged, injury-disease relationship erroneous judgment and disability grade promoted incorrectly.@*CONCLUSION@#The attention for assessment of disability grade should been paid to correct time for assessment, correct items of identification standard, appropriate medical and forensic technology, and correct understand about all relevant regulations.
Subject(s)
Adolescent , Adult , Aged , Child , Female , Humans , Male , Middle Aged , Young Adult , Accidents, Occupational , Accidents, Traffic , Craniocerebral Trauma/diagnosis , Diagnostic Errors , Disability Evaluation , Expert Testimony , Forensic Pathology , Fractures, Bone/diagnosis , Retrospective Studies , Wounds and Injuries/diagnosisABSTRACT
OBJECTIVE@#To study the injury modes, the injury characteristics, the disability grade assessments and other relative problems in eye injuries after traffic accidents.@*METHODS@#Eighty four ocular disability cases after traffic accidents collected from March 2007 to March 2009 in our institute were retrospectively analyzed. Then to study the ocular disability reasons, the assessment time and methods.@*RESULTS@#The main cause of ocular disability is visual dysfunction, and the other causes for example eyeball missing, injury of eyelid, injury of lacrimal apparatus, traumatic cataract and defect of visual field were rare relatively. Most ocular injuries happened to single eye. The disability grades were often from VII to X.@*CONCLUSION@#The accuracy of visual function expertise could be improved by using some tests and visual electrophysiological measurements. The vision and ophthalmology data before the injury of the wounded who has intrinsical disease should be provided. The assessment time should be delayed for people whose visual function still may change.