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首页> 外文期刊>Journal of Medical Sciences >Medical Specialties at High Risk of Litigation in Iran, 1991-2011: A Systematic Review of 24 Studies
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Medical Specialties at High Risk of Litigation in Iran, 1991-2011: A Systematic Review of 24 Studies

机译：1991-2011年伊朗处于高诉讼风险的医学专业：对24项研究的系统评价

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摘要

We attempt to review all databases from which data on medical malpractices and complaints on Iranian health system were presented. We systematically searched PubMed, Medline, four national databases and hand-searched three relevant journals from 1991 to 2011. After quality appraisal, data was extracted from the literature and analyzed using qualitative synthesis approach. Twenty-four reports on the medical malpractice in various medical specialties, dentistry and pharmacy were reviewed. A total of 8394 complaints out of 16584 cases were found related to medical malpractice in Iran from 1991-2011. The highest number of medical malpractice reported, were from the capital city following by eastern north part and central part of Iran. The highest risk of medical liability lawsuits were observed in obstetrics and gynecology, orthopedy, general surgery and ophthalmology. Studies only focused on some elements of the problem and rarely on process-related or systematic causes of malpractice and medical errors. There is substantial variation in the likelihood of malpractice suits across specialties. Despite considerable financial impacts of healthcare fraud and malpractice, this aspect of the problem had received even less attention.
机译：我们试图审查所有数据库，其中提供了有关医疗事故和对伊朗卫生系统的投诉的数据。我们对1991年至2011年的PubMed，Medline，四个国家数据库进行了系统搜索，并手工搜索了三本相关期刊。在进行质量评估后，从文献中提取数据并使用定性综合方法进行分析。审查了关于各种医学专业，牙科和药学的医疗事故的二十四份报告。从1991年至2011年，伊朗共发现16584例投诉中的8394例与医疗事故有关。报告的医疗事故最多的是首都，其次是伊朗东部北部和中部。在妇产科，整形外科，普通外科和眼科中，发生医疗责任诉讼的风险最高。研究仅关注问题的某些要素，很少关注与过程相关或系统的渎职和医疗错误原因。不同专业之间针对不当行为提起诉讼的可能性差异很大。尽管医疗保健欺诈和渎职对财务造成了巨大影响，但问题的这一方面受到的关注甚至更少。

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