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HEALTH SERVICES FROM THE PERSPECTIVE OF DIAGNOSTIC MISTAKES IN LETHAL MECHANICAL TRAUMA
Authors: Anatolii BONDAREV, Andrei PĂDURE, Tatiana NOVAC
Number of views: 38
Improving of medical care quality is one of the important tasks of legal medicine, which is achieved inclusively by discovering discrepancies between clinical and medico-legal diagnosis. Although the technical possibilities of contemporary medicine are enormous, diagnostic mistakes are identified in a considerable number of autopsies; moreover, their frequency has increased in recent decades. The present study aimed to assess the organizational, medical and social circumstances of identified discrepancies in order to establish their impact on the quality of diagnosing as a part of medical care. The study is a retrospective-analytical one. It is based on the analysis of 152 primary medico-legal examinations regarding cadavers of patients deceased in hospitals and their medical documents conducted within the Center of Forensic Medicine between 2009 and 2013. The following profile of a patient with an increased risk of discrepancy between clinical and medico-legal diagnosis was observed: urgently hospitalized, immediately or up to one day after the beginning of disease/trauma, during the winter period, on Mondays or Fridays, between 5 p.m. and 11 p.m., due to an accidental trauma, being in a serious or severe general condition, a man aged between 18 and 75 years, who stays in hospital up to a week.