Malpractice in Psychiatry
DOI:
https://doi.org/10.17986/blm.1601Keywords:
Malpractice, Psychiatry, ComplicationAbstract
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. 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 idea plan-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.
Downloads
References
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. DOI: https://doi.org/10.1093/oseo/instance.00248899
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/
Wu A.W, 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 DOI: https://doi.org/10.1046/j.1525-1497.1997.07163.x
Özkara E, Dokgöz H. Tıbbi Uygulama Hataları. Dokgöz H, Editor. Adli tıp ve Adli Bilimler. 1st edition. Ankara.2019; 71-91 DOI: https://doi.org/10.37609/akya.1
James, J. T. A new, evidence-based estimate of patient harms associated with hospital care. Journal of patient safety. 2013; 9(3): 122-128. Hhtps://doi.org/10.1097/PTS.0b013e3182948a69 DOI: https://doi.org/10.1097/PTS.0b013e3182948a69
Jena, A. B., Seabury, S., Lakdawalla, D., Chandra, A. Malpractice risk according to physician specialty. New England Journal of Medicine. 2011;365(7):629-636. https://doi.org/10.1056/NEJMsa1012370. DOI: https://doi.org/10.1056/NEJMsa1012370
Makary M.A, Daniel M. Medical error-the third leading cause of death in the US. BMJ. 2016;353:i2139. https://doi.org/10.1136/bmj.i2139 DOI: https://doi.org/10.1136/bmj.i2139
Bono MJ, Wermuth HR, Hipskind JE. [Internet]. Medical Malpractice. In: StatPearls Treasure Island (FL): StatPearls Publishing; 2020 Jan. (Available from: https://www.ncbi.nlm.nih.gov/books/NBK470573/) (Accessed: 14/11/2021)
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 DOI: https://doi.org/10.1016/j.forsciint.2009.05.013
Saka N.E, Budak H. Malpraktis ve Defansif Tıp. Saka N.E. Editor. Adli tıp ve Adli Bilimlerde Klinik Uygulamara Bakış (1st edition) Ankara. 2019:395-407 DOI: https://doi.org/10.37609/akya.2162
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
Çetin G. Tıbbi Malpraktis. Yorulmaz C, Çetin G Editors. Yeni Yasalar Çerçevesinde Hekimlerin Hukuki ve Cezai Sorumluluğu, Tıbbi Malpraktis ve Adli Raporların Düzenlenmesi. İstanbul Üniversitesi Cerrahpaşa Tıp Fakültesi Sürekli Tıp Eğitimleri Sempozyum Dizisi. İstanbul: 2006;P: 31-42
Türkmen H.Ö. “Malpraktis” kavramı neleri çağrıştırıyor? Türkiye Biyoetik Derneği e-Bülteni, 2009;19:5-16
Ersoy L.V. Tıbbi malpraktis. Toraks Cerrahisi Bülteni, 2014;5:29-32. https://doi.org/10.5152/tcb.2014.004. DOI: https://doi.org/10.5152/tcb.2014.004
Tsao CI. Layde JB. A basic review of psychiatric medical malpractice law in the United States. Compr Psychiatry 2007;48(4):309-12. https://doi.org/10.1016/j.comppsych.2007.03.002. DOI: https://doi.org/10.1016/j.comppsych.2007.03.002
Herbert C, Modlin M.D. Forensic psychiatry and malpractice. Bull Am Acad Psychiatry Law. 1990;18:153-162.
Reich J, Schatzberg A. An empirical data comparison of regulatory agency and malpractice legal problems for psychiatrists. Ann Clin Psychiatry. 2014;26:91-96.
Martin-Fumadó C, Gómez-Durán EL, Rodríguez-Pazos M. Medical professional liability in psychiatry. Actas Esp Psiquiatr. 2015;43:205–212.
Reuveni I, Pelov I. Crosssectional survey on defensive practices and defensive behaviours among Israeli psychiatrists. BMJ, 2017;7:1-7. http://dx.doi.org/10.1136/bmjopen-2016-014153. DOI: https://doi.org/10.1136/bmjopen-2016-014153
Civaner, M., Kavas M.V. Aydınlatılmış onam kılavuzu. Uzmanlık dernekleri için etik kılavuzlar. Ankara: Türk Tabipleri Birliği Yayını 2010:5-25.
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.
Beauchamp T.L, Childress JF. Principles of biomedical ethics. 6th ed. New York: Oxford University Press Inc; 2009: 99-148
Balıbey H, Günay H., Ateş M.A. Psikiyatrik Hastalıklar ve Yanlış Uygulamalar. Turkiye Klinikleri Family Medicine-Special Topics. 2013;4(3):51-55.
Kuzgun Ü. Komplikasyon mu Malpraktis mi? TOTBİD Dergisi 2019;18:98–101. https://doi.org/10.14292/totbid.dergisi.2019.11. DOI: https://doi.org/10.14292/totbid.dergisi.2019.11
Hal S, Wortzel M, Matarazzo B, Homaıfar B. Model for therapeutic risk management of the suicidal patient. J Psychiatr Pract. 2013;19:323–326. https://www.doi.org/10.1097/01.pra.0000432603.99211.e8 DOI: https://doi.org/10.1097/01.pra.0000432603.99211.e8
Jašović-Gašić M, Aleksandar J, Lečić-Toševski D. Medicolegal aspects of hospital treatment of violent mentally ill persons. BMJ. 2009;137:292-297. https://doi.org/ 10.2298/sarh0906292j. DOI: https://doi.org/10.2298/SARH0906292J
Bulut M, Mercan N, and Yüksel Ç. Malpractice in Psychiatry. Psikiyatride Guncel Yaklasimlar. 2020;12(2):195-204. https://doi.org/ 10.18863/pgy.562489. DOI: https://doi.org/10.18863/pgy.562489
Sarkar S.P. 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. DOI: https://doi.org/10.1192/apt.10.4.312
Kernberg, O. 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.
Oğuz N.Y, Başaran D. Hukuki ve etik yönüyle zorla hastaneye yatırma. Psikiyatri, Psikoloji ve Psikofarmakoloji Dergisi. 1993; 1(4): 367-71.
Peele R, Chodoff P. The ethics of involuntary treatment and deinstitutionalization. In: Bloch S, Chodoff P, Green SA, editors. Psychiatric Ethics. Third Edition. New York: NY: Oxford University; 1999. P:423-40.
Kalemoğlu M. Hekimlerin Deontolojik, Cezai ve Hukuki Sorumlulukları, Nobel Med 2017; 13(2): 5-11.
Çuhacı L.S. Hekimin Sır Saklama ve Bildirim Yükümlülüklerine İlişkin Hukuki ve Etik Sorunlar. [Yüksek Lisans Tezi]. Söğüt İ.S. Kadir Has Üniversitesi; 2020.
Downloads
Published
Issue
Section
License
Copyright (c) 2023 The Bulletin of Legal Medicine
This work is licensed under a Creative Commons Attribution 4.0 International License.
The Journal and content of this website is licensed under the terms of the Creative Commons Attribution (CC BY) License. The Creative Commons Attribution License (CC BY) allows users to copy, distribute and transmit an article, adapt the article and make commercial use of the article. The CC BY license permits commercial and non-commercial re-use of an open access article, as long as the author is properly attributed.
