Malpractice in Psychiatry
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    P: 86-90
    April 2023

    Malpractice in Psychiatry

    The Bulletin of Legal Medicine 2023;28(1):86-90
    1. Giresun Üniversitesi Tıp Fakültesi, Adli Tıp Anabilim Dalı, Giresun, Türkiye
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    Received Date: 28.11.2021
    Accepted Date: 12.05.2022
    Publish Date: 01.04.2023
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    ABSTRACT

    Medical malpractice is defined as the harm caused by the physician or health personnel not performing the standard practice in the diagnosis and treatment process, lack of skills or not giving treatment. What is emphasized in the definition as “not making the standard practice in the diagnosis and treatment process” is actually a long process. So much so that the diagnosis and treatment process, which starts with inspection since the patient-physician relationship is established, sometimes continues with operations for surgical branches and sometimes requires the establishment of a long-term follow-up relationship. Errors caused by negligence, carelessness or lack of knowledge that can be made at any point in this process result in medical malpractice. Psychiatry is one of the departments that can be considered low risk in terms of malpractice. Some of the malpractices in psychiatry can actually be seen in any part of the medical field in general. This group includes deficiencies in information and consent, deficiencies in examination and diagnostic errors, incorrect medication administration, and errors in the management of complications. In addition to these, wrong/incomplete treatment in the patient in the second group with a suicidal ideaplan- attempt and conditions such as wrong/incomplete treatment in the patient who has a tendency to harm himself or his environment, violation of personal boundaries (sexual and non-sexual), wrong compulsory hospitalization decisions, violation of the principle of secrecy and stigma are highly specific to psychiatry. Psychiatry is a branch that should be evaluated specifically in terms of medical malpractices due to its unique characteristics.

    Keywords: Medical malpractice, psychiatry, complication

    References

    1
    Blackstone, William. "Of Wrongs and Their Remedies, Respecting the Rights of Persons, in Private Wrongs." Commentaries on the Laws of England; 1769. p. 122-123. https://avalon.law.yale.edu/18th_century/blackstone_bk3ch8.asp
    2
    World Medical Association [Internet]. World Medical Association Statement on Medical Malpractice, 2005. [cited: 13/11/2020]. Avaible from: https://www.wma.net/policies-post/world-medical-association-statement-on-medical-malpractice/
    3
    Wu AW, Cavanaugh TA, McPhee SJ, Lo B, Micco GP. To tell the truth: ethical and practical issues in disclosing medical mistakes to patients. J Gen Intern Med. 1997;(12):770- 775. htps://doi.org/10.1046/j.1525-1497.1997.07163.x
    4
    Özkara E, Dokgöz H. Tıbbi Uygulama Hataları. Adli tıp ve Adli Bilimler. 1st edition. Ankara: 2019:71-91. https://avesis.deu.edu.tr/yayin/c80c818c-be99-4420-b65a-85d6cd796ed5/adli-tip-adli-bilimler
    5
    James JT. A new, evidence-based estimate of patient harms associated with hospital care. J Patient Saf. 2013;9(3):122-128. https://doi.org/10.1097/PTS.0b013e3182948a69
    6
    Jena AB, Seabury S, Lakdawalla D, Chandra A. Malpractice risk according to physician specialty. N Engl J Med. 2011;365(7):629-636. https://doi.org/10.1056/NEJMsa1012370.
    7
    Makary MA, Daniel M. Medical error-the third leading cause of death in the US. BMJ. 2016;353:i2139. https://doi.org/10.1136/bmj.i2139
    8
    Bono MJ, Wermuth HR, Hipskind JE. Medical Malpractice. StatPearls Publishing; 2020 Jan. (Available from: https://www.ncbi.nlm.nih.gov/books/NBK470573/) (Accessed: 14/11/2021)
    9
    Madea B, Preuß J. Medical malpractice as reflected by the forensic evaluation of 4450 autopsies. Forensic Science International. 2009;190(1-3):58-66. https://doi.org/10.1016/j.forsciint.2009.05.013
    10
    Saka NE, Budak H. Malpraktis ve Defansif Tıp. Adli Tıp ve Adli Bilimlerde Klinik Uygulamara Bakış. Ankara: 2019:395-407. https://books.akademisyen.net/index.php/akya/catalog/view/2162/2162/49730
    11
    Gürbeden B. 2010-2014 yılları arasında tıbbi uygulama hatası iddiası ile Adli Tıp Kurumu İzmir Grup Başkanlığı’nda otopsisi yapılan olguların değerlendirilmesi. [Uzmanlık Tezi]. İzmir: Dokuz Eylül Üniversitesi; 2016. https://acikbilim.yok.gov.tr/bitstream/handle/20.500.12812/578581/yokAcikBilim_10129500.pdf?sequence=-1&isAllowed=y
    12
    Çetin G. Tıbbi Malpraktis. Yorulmaz C, Çetin G Editors. Yeni Yasalar Çerçevesinde Hekimlerin Hukuki ve Cezai Sorumluluğu, Tıbbi Malpraktis ve Adli Raporların Düzenlenmesi Sempozyumu. İstanbul Üniversitesi Cerrahpaşa Tıp Fakültesi Sürekli Tıp Eğitimleri Sempozyum Dizisi. İstanbul: 2006; p. 31-42. https://cerrahpasa.iuc.edu.tr/tr/duyuru/yeni-yasalar-cercevesinde-hekimlerin-hukuki-ve-cezai-sorumlulugu-tibbi-malprakti-700061004A004B0075006B0051006A006700460041003100
    13
    Türkmen HÖ. “Malpraktis” kavramı neleri çağrıştırıyor? Türkiye Biyoetik Derneği E-Bülteni. 2009;19:5-16. https://www.antalyacagdashekim.org/malpraktis-kavram-neleri-cartryor-hafize-oeztuerk-tuerkmen/
    14
    Ersoy LV. Tıbbi malpraktis. Toraks Cerrahisi Bülteni., 2014;5:29-32. https://doi.org/10.5152/tcb.2014.004.
    15
    Tsao CI. Layde JB. A basic review of psychiatric medical malpractice law in the United States. Compr Psychiatry. 2007;48(4):309-312. https://doi.org/10.1016/j.comppsych.2007.03.002.
    16
    Modlin HC. Forensic psychiatry and malpractice. Bull Am Acad Psychiatry Law. 1990;18(2):153-162.
    17
    Reich J, Schatzberg A. An empirical data comparison of regulatory agency and malpractice legal problems for psychiatrists. Ann Clin Psychiatry. 2014;26(2):91-96.
    18
    Martin-Fumadó C, Gómez-Durán EL, Rodríguez-Pazos M, Arimany-Manso J. Medical Professional Liability in Psychiatry. Actas Esp Psiquiatr. 2015;43(6):205-212. https://pubmed.ncbi.nlm.nih.gov/26631303/
    19
    Reuveni I, Pelov I, Reuveni H, Bonne O, Canetti L. Cross-sectional survey on defensive practices and defensive behaviours among Israeli psychiatrists. BMJ Open. 2017;7(3):e014153. http:// 10.1136/bmjopen-2016-014153.
    20
    Civaner M, Kavas MV. Aydınlatılmış onam kılavuzu. Uzmanlık dernekleri için etik kılavuzlar. Ankara: Türk Tabipleri Birliği Yayını; 2010:5-25.
    21
    Tümer AR, Karacaoğlu E, Akçan R. Cerrahide aydınlatılmış onam ile ilgili sorunlar ve çözüm önerileri. Ulusal Cerrahi Dergisi. 2011;27(4):191-197. https://doi.org/ 10.5097/1300-0705.UCD.1167-11-02.
    22
    Beauchamp TL, Childress JF. Principles of biomedical ethics. 6th ed. New York: Oxford University Press Inc; 2009. p. 99-148.
    23
    Balıbey H, Günay H, Ateş MA. Psikiyatrik Hastalıklar ve Yanlış Uygulamalar. Turkiye Klinikleri J Fam Med-Special Topics. 2013;4(3):51-55.
    24
    Kuzgun Ü. Komplikasyon mu? Malpraktis mi? TOTBİD Dergisi. 2019;18:98-101. https://doi.org/10.14292/totbid.dergisi.2019.11.
    25
    Wortzel HS, Matarazzo B, Homaifar B. A model for therapeutic risk management of the suicidal patient. J Psychiatr Pract. 2013;19:323-326. https://doi.org/10.1097/01.pra.0000432603.99211.e8
    26
    Jovanović A, Jasović-Gasić M, Lecić-Tosevski D. Medicolegal aspects of hospital treatment of violent mentally ill persons. Srp Arh Celok Lek. 2009;137:292-297. https://doi.org/ 10.2298/sarh0906292j.
    27
    Bulut M, Mercan N, Yüksel Ç. Psikiyatride Malpraktis. Psikiyatride Güncel Yaklaşımlar. 2020;12(2):195-204. https://doi.org/ 10.18863/pgy.562489.
    28
    Sarkar SP. Boundary violation and sexual exploitation in psychiatry and psychotherapy: a review. Adv Psychiatr Treat. 2004;10:312-320. https://doi.org/10.1192/apt.10.4.312.
    29
    Kernberg OF. The temptations and conventionality. Arnold M. Cooper, O. F. Kernberg ve E. S. Person Editors. Psycho-analyis; Toward the Second Century. New Haven: Yale University Press.1989:12–35. (https://pep-web.org/search/document/IRP.016.0191A)
    30
    Oğuz NY, Başaran D. Hukuki ve etik yönüyle zorla hastaneye yatırma. Psikiyatri, Psikoloji ve Psikofarmakoloji Dergisi. 1993;1(4):367-371. https://www.facebook.com/media/set/?set=ms.c.eJw9ycENwDAIA8CNKjA2y PsvFqm0eZ6uoKghRx62n3othSvG~_L2v~_yaaifzcu Y8Dg6cQEw~-~-.bps.a. 325037384264142&type=1
    31
    Peele R, Chodoff P. The ethics of involuntary treatment and deinstitutionalization. In: Bloch S, Chodoff P, Green SA, editors. Psychiatric Ethics. 3th ed. New York: NY: Oxford University; 1999. p: 423-440.
    32
    Kalemoğlu M. Hekimlerin Deontolojik, Cezai ve Hukuki Sorumlulukları. Nobel Medicus. 2017;13(2):5-11.
    33
    Çuhacı LS. Hekimin Sır Saklama ve Bildirim Yükümlülüklerine İlişkin Hukuki ve Etik Sorunlar. [Yüksek Lisans Tezi]. Söğüt İ.S. Kadir Has Üniversitesi; 2020.
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