Study of medico-legal case management in tertiary Care Hospital.

Article 21 of the constitution guarantees protection of life and liberty to every citizen as well as non-citizens. Right to health care and medical assistance is integral to the right to life and the state has a constitutional obligation to provide health facilities. Failure of a government and other hospital to provide a patient timely medical treatment results in violation of the patient‘s right to life. The study comprising about medicolegal case (MLC) management, awareness and prevalent practices among the health care professionals especially among those who directly or indirectly involve with treatment of patients. As for awareness is concern regarding especially regarding procedural awareness, the documentation and various other medico-legal issues were studied in detail. Contrary to the popular belief that doctors who deals with the extreme situation of life but suffer some kind of medicolegal phobia in his work except few especially those who are in feeling of government immunity have genuine or in-genuine boldness in dealing with medicolegal cases.

Role of informed consent.

These days, complete information with regard to surgery is required to be given to the patient so that the patient becomes aware of the procedure which is sought to be followed by the Surgeon. It should not be presumed that a patient may not / need not know the procedure or is incapable of understanding the medical terms and, therefore, there is no use in explaining them. There cannot be a presumption that all patients are ignorant about their anatomy or the adverse effects or benefits of surgery, and, in any case, those days are over. Hence, properly informed written consent before operation is the necessity. It is difficult for the Court to accept contention of the doctor that because the general consent is taken, he can perform the operation in the way he likes. General consent is – while operating if some difficulty or any contemplated difficulty arises, then he can adopt such further or alternative operative measures or treatment to save the life of the patient or for patient’s benefit. But, that would not give surgeon any discretion to do whatever surgeon chooses. This would also be against the medical ethics, and the purpose for which express consent is obtained. If oral consent was obtained before two days of the operation, at least some notes would have been made and that is not produced on record.

Sexual harassment of women current scenario of Indian Hospitals.

Sexual Harassment of women at work place is prevalent throughout the globe. India is no exception to this evil based on gender discrimination especially in health care set ups, is a grave form of human rights violation of a almost half of the human folk. Although the Hon’ble Apex Court of India has ruled in 1997 regarding the implementation of guidelines to prevent sexual harassment of women at work place, but without effective implementation, results in violation of human rights of working women as well as service consumers in Indian hospitals. The Bill on this issue is also pending in the Parliament for its nod since 2005. This paper deals with current scenario of Sexual Harassment of Women in Indian Hospitals, the Supreme Court of India’s views, Brief dissuasion of New Bill on the issue, so that persons involved in this noble profession can be made aware of their duties and rights to prevent human rights violations involved with this issue.

Manual de acreditacion para hospitales / Accreditation manual for hospitals

La JCAH presenta su version en espanol de las normas para hospitales, basada en el Accreditation Manual for Hospitals (AMH). Esta version expone como los profesionales del campo del cuidado de la sualud tendran la oportunidad de utilizar las normas profesionales contenidas en este manual, como pautas para suministrar servicios de calidad en el campo del cuidado de salud. Abarca temas como: Derechos y responsabilidades de los pacientes; politica y procedimientos administreativos generales y las normas aplicables a los diferentes servicios de atencion de los hospitales.