ORIJINAL ARAŞTIRMA
Fizik Tedavi ve Rehabilitasyon Hekimlerine Yönelik Tıbbi Uygulama Hatası İddiaları
Medical Malpractice Claims Against Physical Therapy and Rehabilitation Physicians
Received Date : 10 Jan 2022
Accepted Date : 30 May 2022
Available Online : 13 Jun 2022
Erdem HÖSÜKLERa, Bilgin HÖSÜKLERb, İbrahim ÜZÜNc
aDepartment of Forensic Medicine, Bolu Abant İzzet Baysal University Faculty of Medicine, Bolu, Türkiye
bDepartment of Forensic Medicine, Uşak University Faculty of Medicine, Uşak, Türkiye
cDepartment of Forensic Medicine, İstanbul University-Cerrahpaşa, Cerrahpaşa Faculty of Medicine, İstanbul, Türkiye
Doi: 10.31609/jpmrs.2022-88094 - Makale Dili: EN
J PMR Sci. 2022;25(3):293-8
ÖZET
Amaç: Hekimler, malpraktis davalarının neden olduğu stresten
güçlü bir şekilde etkilenmektedir. Bu çalışmada, fizik tedavi ve rehabilitasyon
hekimlerinin tıbbi uygulama hata iddiası olan vakalar hakkında farkındalıklarının
artırılması amaçlanmıştır. Gereç ve Yöntemler: 01.01.2010-
31.12.2015 tarihleri arasında Adli Tıp Kurumu Birinci İhtisas Kurulu rapor
arşivlerinden fizik tedavi ve rehabilitasyon hekimlerinin suçlandığı tıbbi uygulama
hatası iddiaları olan olgular retrospektif olarak incelendi. Bulgular:
Bu çalışmaya 22 olgu dâhil edildi: 11 (%50) olgu erkek, 11 (%50) olgu kadındı.
Yaş ortalaması 48,86±22,9 (minimum: 16, maksimum: 85) olup, olguların
%40,9’u 60 yaş ve üzerindeydi. Şikâyete konu olay en sık devlet
hastanesinde (n=7, %31,8) ve özel hastanede (n=6, %27,3) meydana geldi.
Fizik tedavi ve rehabilitasyon hekimlerinin 1/4’ü (%27,3) konsültan hekim
olarak müdahale etmiştir. Yirmi beş hekim (5 asistan, 18 uzman, 1 yardımcı
doçent ve 1 profesör) malpraktis iddiasıyla suçlandı. En sık tanı “lomber
disk herniasyonu” (n=5, %22,7) idi ve bunu parapleji (n=3, %13,6) izledi.
Yirmi bir olguda tıbbi uygulama hatası tespit edilmezken, sadece 1 olguda
kurul tarafından malpraktis teyit edildi. Sonuç: Bu çalışmada fizik tedavi ve
rehabilitasyon hekimlerinin %95,5’i haksız sebeplerle suçlanmıştır. Yeni
malpraktis yasasının bir an önce düzenlenmesi gerekmektedir. Yeni yasa çıkana
kadar hekimlerin tıbbi uygulama hata iddiası olan olguları iyi analiz etmesi
ve bu iddiaları engellemeye yönelik stratejiler geliştirmesi gereklidir.
Anahtar Kelimeler: Malpraktis; fizik tedavi ve rehabilitasyon hekimleri; adli tıp
ABSTRACT
Objective: Physicians have been strongly affected by the
stress caused by malpractice lawsuits. This study aims to increase the awareness
of physical therapy and rehabilitation physicians about cases with alleged
medical malpractice. Material and Methods: Allegations of medical
malpractice against physical therapy and rehabilitation physicians were examined
retrospectively from the report archives of the First Specialization
Board of Council of Forensic Medicine between 01.01.2010 and 31.12.2015.
Results: This study included 22 cases: 11 cases (50%) were male, 11 were
(50%) female. The mean age was 48.86±22.9 (minimum: 16, maximum:
85), and 40.9% of the cases were 60 years or older. The event that was the
subject of the complaint occurred most frequently in the state hospital (n=7,
31.8%) and the private hospital (n=6, 27.3%). One-fourth of the physical
therapy and rehabilitation physicians (27.3%) intervened as consultant
physicians. Twenty-five physicians (5 residents, 18 specialists, 1 assistant
professor, and 1 professor) were charged with malpractice allegations. The
most frequent diagnosis was “lumbar disc herniation” (n=5, 22.7%), followed
by paraplegia (n=3, 13.6%). While medical malpractice was not
found in 21 cases, it was confirmed in only 1 case by the Board. Conclusion:
In this study, 95.5% of the physical therapy and rehabilitation physicians
were accused of unfair reasons. The new malpractice law needs to be
regulated as soon as possible. Until the new law is passed, physicians should
analyze the cases with claims of medical malpractice and develop strategies
and approaches to prevent these claims.
Keywords: Malpractice; physical therapy and rehabilitation physicians; forensic medicine
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