Medical (doctor’s) error: concept and causes of its occurrence

Keywords: error, medical (doctor’s) error, subjective reasons, objective reasons, patient, doctor, medical staff.

Abstract

The concept of “medical (doctor’s) error” is analysed from the doctrinal standpoint. The existing approaches (legal and medical) to defining the legal nature of a medical (doctor’s) error have been considered. It has been argued that this topic is of great theoretical and practical importance, since errors and negligence of doctors and medical staff can cause irreparable harm to patients' health or lead to death. The problem is complex, because it requires both medical and legal knowledge, and is related to the most important and difficult issue of qualifying certain acts. It has been concluded that the term “medical (doctor’s) error” is the most appropriate one, but it is absent in Ukrainian legislation. It has been proposed to introduce appropriate amendments to the legislation in the field of medicine and to enshrine the concept of “medical (doctor’s) error”, types and causes of its occurrence legally. The main characteristics of the category of medical (doctor's) error have been substantiated, and its content has been defined.

The reasons for the occurrence of medical errors have been analysed. The subjective and objective reasons that influence the actions (inaction) of doctors and medical professionals have been identified. The classification of medical (doctor’s) error according to various criteria has been studied. Certain types of such errors are identified, in particular: diagnostic; therapeutic and tactical; technical; organisational; deontological.

A legal assessment of a medical (doctor’s) error as one of the possible grounds for civil liability has been provided. It has been substantiated that the liability of a doctor and medical staff depends on the presence of fault in their actions and the qualification of the negative result of medical care. In addition, scientifically grounded proposals and recommendations for improving the civil legislation of Ukraine in the field of medical activity have been provided.

Downloads

Download data is not yet available.

Author Biography

K. O. Skrynnikova, Kharkiv National University of Internal Affairs

Candidate (Ph.D.) of Juridical Sciences.
Department of Civil Law and Proceedings (associate professor).

References

Antonov S.V., 2008. Medical malpractice: legal aspect [Medychna pomylka: yurydychnyi aspekt]. Medychne pravo, No. 10, Vol. 56, pp. 94-96.

Pirogov N.I., 1959. Annals of the Surgical Department of the Clinic of the Imperial University in Derpt (year of the 1st edition from April 1, 1839 to April 1, 1837) [Annaly khirurgicheskogo otdeleniya kliniki Imperatorskogo universiteta v Derpti (god 1-go izdaniya s 1 aprelya 1839 g. po 1 aprelya 1837 g.)]. Moscow: Gosizdatmedlit.

Stetsenko S.H., 2010. Medical law of Ukraine (implementation and protection of patients’ rights) [Medychne pravo Ukrainy (realizatsiia ta zakhyst prav patsiientiv)]. Kyiv: Atika.

Stetsenko S.H., 2006. Medical error and accidents in the practice of health care institutions: legal aspects [Likarska pomylka ta neshchasni vypadky v praktytsi roboty zakladiv okhorony zdorovia: pravovi aspekty]. Ekspert-kryminalist, No. 2, pp. 28-31.

Liebman C.B., 2005. Medical error disclosure, mediation skills, and malpractice litigation. A Demonstration project in Pennsylvania. In: The Project “Medical Liability in Pennsylvania”. Washington. Pp. 12-29.

Liang B.A., 2002. A system of medical error disclosure. Quality & Safety in Health Care, No. 11, pp. 64-68.

Kohn L.T., 2000. To Err is Human: Building a safer health system. In: Kohn L.T., Corrigan J.M. and Donaldson M.S. (eds), Committee on Quality of Health Care in America. Washington: National Academy Press. Pp. 170-183. https://doi.org/10.17226/9728.

Lester H., 2001. Medical error: a discussion of the medical construction of error and suggestions for reforms of medical education to decrease error. Medical Education, No. 35, pp. 85-861.

Tytykalo R.S. and Handzii T.V., 2014. Medical error: medical and legal concept [Likarska pomylka: medychne ta pravove poniattia]. Ûridičnij vìsnik – Law Herald, No. 3, pp. 99-103.

Onishchenko O.V., 2013. Medical malpractice: legal aspect [Medychna pomylka: pravovyi aspekt]. Ûridičnij vìsnik. Povìtrâne ì kosmìčne pravo – Scientific works of National Aviation University. Series: Law Journal “Air and Space Law”, No. 2, pp. 92-96.

Andriievska T.I., 2009. Civil-legal qualification of medical (medical) error [Tsyvilno-pravova kvalifikatsiia medychnoi (likarskoi) pomylky]. Unìversitetsʹkì naukovì zapiski – University Scientific Notes, No. 1, pp. 107-111.

Stetsenko S.H., 2007. Who and when will be responsible for diseases and premature extinction of Ukrainians? [Khto i koly vidpovidatyme za khvoroby i peredchasne vymyrannia ukraintsiv?]. Vashe zdorovia, No. 47, pp. 60-63.

Doloh M.I., 2014. Medical errors [Likarski pomylky]. Radiolohichnyi visnyk, No. 2, pp. 53-55.

Korobtsova N.V., 2016. Civil and legal responsibility for medical errors [Tsyvilno-pravova vidpovidalnist za medychni pomylky]. Naukovij vìsnik Hersonsʹkogo deržavnogo unìversitetu – Scientific Herald of Kherson State University, No. 2, Vol. 1, pp. 71-74.

Herts A., 2015. “Medical error” as a legal category [“Medychna pomylka” yak yurydychna katehoriia]. Vìsnik Lʹvìvsʹkogo unìversitetu. Serìâ ûridična – Visnyk of the Lviv University. Series Law, Iss. 61, pp. 294-300.

Seniuta I.Ya., 2018. Civil law regulation of relations in the field of medical care: issues of theory and practice [Tsyvilno-pravove rehuliuvannia vidnosyn u sferi nadannia medychnoi dopomohy: pytannia teorii i praktyky]. Lviv: Medytsyna i pravo.

Published
2023-07-10
How to Cite
Skrynnikova, K. O. (2023) “Medical (doctor’s) error: concept and causes of its occurrence”, Bulletin of Kharkiv National University of Internal Affairs, 101(2 (Part 2), pp. 42-54. doi: 10.32631/v.2023.2.36.
Section
Civil Law and Civil Procedure; Family Law; International and Legal Direction in