Medical Errors in Health Care Institutions: an Interdisciplinary Study of the Competences of Specialists Based on Medical and Pharmaceutical Law

Authors

DOI:

https://doi.org/10.53933/sspmlp.v3i4.121

Keywords:

medical errors, forensic pharmacy, forensic medicine, medical law, pharmaceutical law, legal guardianship

Abstract

In global medical practice, physicians have faced criminal charges such as manslaughter, reckless endangerment, or negligent homicide following fatalities of patients. A comprehensive and interdisciplinary study was carried out, involving forensic and pharmaceutical, medical and immunological, as well as criminal and legal expertise. This study focused on the competencies of healthcare facility professionals, guided by medical and pharmaceutical law within the legal framework of interactions between doctors, patients, pharmacists, and lawyers. It specifically addressed medical mistakes made in the field of gynecology. The research encompassed an analysis of how leading countries worldwide handle medical errors. It categorized common medical missteps, including hazardous surgical methods, infections from medical care, diagnostic inaccuracies, and risky blood transfusions. The forensic and pharmaceutical practices related to gynecological medical errors were scrutinized. Furthermore, the study led to the proposition of normative initiatives for amendments and additions to Article 140 of the Criminal Code of Ukraine, aiming to address these issues more effectively.

References

Duncanson E., Richards V., Luce K.M., Gill J.R. Medical homicide and extreme negligence. Am J Forensic Med. Pathol. 2009. Vol. 30. No.1. Р. 18-22. URL: https://pubmed.ncbi.nlm.nih.gov/19237847/ DOI: https://doi.org/10.1097/PAF.0b013e3181873824

Polupan O.O., Lysenko S.E., Barannik S.V. The right of medical workers to protection from illegal encroachments on their life and health. Health-ua.com. 25.02.2018. URL: https://health-ua.com/article/35296-pravo-medichnih-pratcvnikv-na-zahist-vd-protipravnih-posyagan-na-hn-zhittya

Tytikalo R.S., Sekelyk L.V., Gluzman S.F. etc. The right of medical workers to protection against illegal encroachments on their life and health. Health-ua.com. 18.03.2018. URL:https://health-ua.com/article/35645-pravo-medichnih-pratcvnikv-na-zahist-vd-protipravnih-posyagan-na-hn-zhittya

Rights and responsibilities of citizens in the field of health care. Communal non-commercial enterprise "Shostka Central District Hospital" of the Shostka City Council. 23.06.2023. URL:

https://crl.com.ua/index.php/list-likariv/prava-i-obov-yazki-gromadyan-v-sferi-okhoroni-zdorov-ya

Rokhanskyi A. Human rights in the field of health care. Ukrainian Helsinki Group. 07.03.2017. URL: https://www.helsinki.org.ua/prava-lyudyny-v-haluzi-ohorony-zdorov-ya-a-rohanskyj/

Ryshchenko O.O., Shapovalov V.V., Shapovalova V.O., Kapelnikova E.V. Organizational and legal implementation of recommendations of the World Health Organization regarding pharmaceutical correction of patients with chronic pain syndrome on the basis of medical and pharmaceutical law. Ukraine Journal of Psychoneurology. T. 23. Is. 2 (83). P. 100-104. URL: https://uvnpn.com.ua/arkhiv-nomeriv/2015/tom-23-vipusk-2-83/organ-zats-yno-pravova-mplementats-ya-rekomendats-y-vse-sv-tno-organ-zats-okhoroni-zdorov-ya-shchodo

Radionova V.O., Shapovalov V.V., Shapovalova V.O. et al. Forensic pharmacy: study of modern causes of alcohol addiction and its consequences in women. Ukraine Journal of Psychoneurology. 2014. T. 11. Is. 1 (78). P. 125-128. URL: https://uvnpn.com.ua/arkhiv-nomeriv/2014/uvp-t1-vip-1-46-2014/sudova-farmats-ya-vivchennya-suchasnikh-prichin-formuvannya-alkogolno-zalezhnost-ta-nasl-dk-v-u-zh-n

Shapovalova V. The ICD-11 for the twenty-first century: the first view from the organizational, legal, clinical and pharmacological aspects. SSP Modern Pharmacy and Medicine. 2022. Vol. 2. No. 1. Р. 1-13. URL: https://doi.org/10.53933/sspmpm.v2i1.37 DOI: https://doi.org/10.53933/sspmpm.v2i1.37

Forensic pharmacy, evidentiary pharmacy and pharmaceutical legislation as components of pharmaceutical law in the program of implementation of state policy in the field of combating crime and violations of the rules of circulation of psychoactive substances for 2011-2017: materials VII International. science and practice conf. (November 19-20, 2010, Kharkiv). Edited by Shapovalov V.V., Shapovalova V.O. Kharkiv. 2010. 190 p.

Knysh E.G., Ponomarenko M.S., Alekseeva I.M. et al. Provisional glossary of basic pharmaceutical terms and concepts (in-depth comparative analysis of current health legislation). Zaporizhzhia: Zaporizhzhia DMU. 2010. 104 p.

Shapovalova V.O., Shapovalov V.V., Galatsan O.V. et al. Unified programs in medical and pharmaceutical law, forensic pharmacy, pharmacy organization and management, general pharmacy, clinical pharmacy. Kharkiv: KhMAPO. 2014. 204 p.

Shapovalova V.O., Shapovalov V.V., Khalin M.M. et al. Pharmaceutical legislation: education. manual with the seal of the Ministry of Education and Culture of Ukraine (series: Pharmaceutical law). Kharkiv. 2010. 142 p.

Shapovalova V.O. Subject "Medical and pharmaceutical law". Interaction with medical, pharmaceutical and legal disciplines. Legislation of health care in Ukraine. Slobozhanskii readings. Pharmaceutical and medical law of Ukraine: innovations, accessibility and prospects for the development of the pharmaceutical business organization: materials of the 15th interdisciplinary of science and practice conference with the participation of international specialists, November 15-16, 2018, Kharkiv. 2018. P. 85-91.

Shapovalova V.A., Shapovalov V.V., Stefanov A.V. et al. Clinical use of medicinal products. Medicines in neurology, psychiatry and narcology. Kharkiv, "Fact." 2003. P. 228-438.

Shapovalov V.V. (Jr.), Tairova K.Y., Shapovalova V.A. et al. Introduction to pharmaceutical law: parameters of the control regime and stages of medicines circulation: 9th International youth conference “Perspectives of science and education”. New York. USA. 2019. P. 133-142.

Shapovalova V.V., Shapovalov V.V., Vasina Ju.V. et al. Legislation in pharmacy, forensic pharmacy and evidence-based pharmacy: Study book (series: Pharmaceutical law). Kharkiv. 2011. 160 p.

Shapovalova V.O., Sosin I.K., Shapovalov V.V. et al. Pharmaceutical law in narcology. Kharkiv: "Fact". 2004. 800 p.

Shapovalova V.O., Shapovalov V.V., Peresypkin O.V. The order of control and authorization circulation of precursors on the basis of pharmaceutical law: training. manual with the seal of the Ministry of Education and Culture (series: Pharmaceutical law). Kharkiv. 2011. 56 p.

Kulikova O.V., Shapovalov V.V., Shapovalova V.O. Organizational and legal foundations of the formation of the science of medical and pharmaceutical law in Ukraine. Scientific and practical materials. conf. "Theoretical and legal foundations of the formation of modern medical law in Ukraine". Poltava: "Firma "Techservice" LLC. 2015. P. 17-23. URL: http://pli.nlu.edu.ua/doc/20151127_medical_law_conference_part_1.pdf

Vasina Yu.V., Shapovalov V.V., Shapovalova V.O. et al. Pharmaceutical law: problematic issues of circulation of extemporaneous medicinal products. Scientific and practical materials. conf. "Theoretical and legal foundations of the formation of modern medical law in Ukraine". Poltava: "Firma "Techservice" LLC. 2015. P. 8-10. URL: http://pli.nlu.edu.ua/doc/20151127_medical_law_conference_part_1.pdf

Rogozhnikova O.V., Shapovalov V.V., Shapovalova V.O. Improvement of state principles in the field of circulation of medicinal products under preferential prescriptions on the basis of pharmaceutical law. Scientific and practical materials. conf. "Theoretical and legal foundations of the formation of modern medical law in Ukraine". Poltava: "Firma "Techservice" LLC. 2015. P. 41-43. URL: http://pli.nlu.edu.ua/doc/20151127_medical_law_conference_part_1.pdf

Shapovalov V.V., Shapovalova V.O., Khmelevskyi M.O. Pharmaceutical law as the basis of state policy regarding risks in the organization of rural pharmacies. Pharmacist. 2013. No. 3. P. 87-90. URL: http://sphu.org/wp-content/uploads/2017/01/Farmacom_3_2013.pdf

Shapovalov V.V. (Jr.), Linskiy I.V. Evidence-based pharmacy: definition of the control regime for the medicines in the pharmaceutical correction schemes of the opioid dependence. Pharmaceutical Journal. 2013. No. 3. Р. 35-40. URL: https://pharmj.org.ua/index.php/journal/article/view/399.

Shapovalov V., Linsky I. Forensic pharmacy: the study of disposition to health addictive disorders pf the drug addiction patients with deviant behavior. Farmatsevtychnyi Zhurnal. 2011. No. 6. Р. 30-34. URL: https://pharmj.org.ua/index.php/journal/article/view/564.

Shapovalov V., Linskiy I. Forensic pharmacy, forensic narcology: scoring method of the predisposing to psychical and behavioral frustrations health by reason of psychoactive substances abusing. Farmatsevtychnyi Zhurnal. 2010. No. 1. Р. 36-41. URL: https://pharmj.org.ua/index.php/journal/article/view/864. DOI: https://doi.org/10.53841/bpsfu.2010.1.100.36

Shapovalov V., Linsky I. Forensic and pharmaceutical study of the pharmacotherapy of opioid withdrawal syndrome among patients-offenders with different levels of opium addiction on a base of evidence-based pharmacy. Farmatsevtychnyi Zhurnal. 2012. No. 1. Р. 20-27. URL: https://pharmj.org.ua/index.php/journal/article/view/546.

Musoev S. M., Shapovalov V. V., Shapovalova V.O. Licensing of pharmaceutical activity in the Republic of Tajikistan on the basis of pharmaceutical law. Methodical recommendations. Dushanbe-Kharkiv. 2012. 22 p.

Bakirova I.O. The state-legal mechanism for ensuring the constitutional right of a person and a citizen to judicial protection and the place of the justice bodies of Ukraine in the administration of justice. Ministry of Justice of Ukraine. 23.06.2023. URL: https://minjust.gov.ua/m/str_9254

Kysylova K.V. Provision of human rights and freedoms by police bodies through implementation of the rule of law principle. Materials of international science and practice conf. "Modern European policing and the possibilities of its use in the activities of the National Police of Ukraine." Kharkiv: KhNUVS. 2019. P. 126-128. URL: https://dspace.univd.edu.ua/items/d4eee4b2-2e15-4651-817e-1780e8b691d1

Law of Ukraine "On the Basics of the Legislation of Ukraine on Health Care". Information of the Verkhovna Rada of Ukraine. 1993. No. 4. Article 19. Editorial from 01.10.2023. URL: https://zakon.rada.gov.ua/laws/show/2801-12#Text

The role of forensic medical examination in determining the legal responsibility of medical workers. Materials of the student conference. Ed. Mykhailychenko B.V., Ergard N.M. Kyiv: Department of Forensic Medicine and Medical Law of Bohomolets National Medical University, 2016. 100 p.

Modern methods of forensic medical examination of traces of biological origin. Pidru4niki. 2023. https://pidru4niki.com/89913/meditsina/suchasni_metodi_sudovo-medichnoyi_ekspertizi_slidiv_biologichnogo_pohodzhennya

Ergard N.M. Forensic medicine: lecture notes. Kyiv: Ukr. DGR. 2023. 119 p.

Mishalov V.D., Khokholeva T.V., Bachynskyi V.T. et al. Electronic textbook "Forensic Medicine". 08/29/2022. 575 p. https://www.nuozu.edu.ua/s/np/k/sudovoi-medytsyny/navchalna-robota/3535-elektronnij-pidruchnik-sudova-meditsina-za-zagalnoyu-redaktsieyu-profesora-v-d-mishalova

Morozova M. Instructions for medicines: what you should pay attention to so that the treatment is safe and effective. Ukrainian Pravda. 29.12.2022. URL: https://life.pravda.com.ua/columns/2022/12/29/252064/

Patient safety. WHO. 11.09.2023. URL: https://www.who.int/news-room/fact-sheets/detail/patient-safety

Medical errors. Kill five people per minute, 2.6 million people every year: press release. Counter currents.org. 11.12.2019. URL: https://countercurrents.org/2019/12/medical-errors-kill-five-people-per-minute-2-6-million-people-every-year/

Alkema L., Chou D., Hogan D. et al. Global, regional, and national levels and trends in maternal mortality between 1990 and 2015, with scenario-based projections to 2030: a systematic analysis by the UN Maternal Mortality Estimation Inter-Agency Group. The Lancet. 2016. Vol. 387. Р. 462-474. URL: https://www.thelancet.com/action/showPdf?pii=S0140-6736%2815%2900838-7 DOI: https://doi.org/10.1016/S0140-6736(15)00838-7

Sipherd R. The third-leading cause of death in US most doctors don’t want you to know about. CNBC. 22.02.2018. URL: https://www.cnbc.com/2018/02/22/medical-errors-third-leading-cause-of-death-in-america.html

Podlisny E., Mkrtycheva M. The problem: to mistake for health. Ukrainian legislation does not provide for medical errors. Ukrainian Lawyer. 2021. No. 7-8 https://www.legalalliance.com.ua/publikacii/ukrainske-zakonodavstvo-ne-peredbacae-likarskih-pomilok/

Mkrtycheva M. Problem: Mistake for health. Ukrainian Lawyer. 2021. No. 7-8. https://jurist.ua/?article/2263

Pletenetska A. Criminal liability of doctors outside the law? Sector of life. 29.11.2016. URL: http://www.sektorlife.info/2016/11/blog-post_29.html

In Kharkiv, the doctors of the maternity hospital declared suspicion due to the death of the baby. Regionnews.ua. 19.06.2023. URL: https://regionews.ua/ukr/news/harkovshchina/1687189308-u-harkovi-likartsi-pologovogo-budinku-ogolosili-pidozru-cherez-smert-nemovlyati

Two doctors will be tried because of the death of a patient after an operation. Regionnews.ua. 19.04.2023. URL: https://regionews.ua/ukr/news/ukraine/1681904590-dvoh-likariv-suditimut-cherez-smert-patsientki-pislya-operatsiyi

Kostyrin V. In a private clinic in Kyiv, a pregnant patient was seriously injured due to the doctor's actions. RBC-Ukraine. 12.02.2023. URL: https://www.rbc.ua/rus/styler/privatniy-klinitsi-kieva-cherez-diyi-likarki-1676213585.html

Neschetna S. Didn't notice the deviations: in Kyiv, a pregnant woman was seriously injured as a result of the actions of a private clinic doctor. TSN. 12.02.2023. URL: https://kyiv.tsn.ua/ne-pomitila-vidhilen-u-kiyevi-vnaslidok-diy-likarki-privatnoyi-kliniki-seryozno-postrazhdala-vagitna-2263579.html

Investigators have started criminal proceedings following the death of a newborn in an Odesa hospital. The official web portal of the State Government of Ukraine in the Odesa region. 25.10.2023. URL: https://od.npu.gov.ua/news/za-faktom-smerti-novonarodzhenoho-v-likarni-odesy-slidchi-rozpochaly-kryminalni-provadzhennia

In Odesa, a newborn baby died in a hospital: an investigation has begun. Odessa life. 25.10.2023. URL: https://odessa-life.od.ua/uk/news-uk/v-odesi-u-likarni-pomerla-novonarodzhena-ditina-pochalos-rozsliduvannja

Barsukova O. In Khmelnych region, a woman accused doctors of abuse during childbirth, the police opened a case. Ukrainian Pravda. Life. 29.08.2023. URL: https://life.pravda.com.ua/society/2023/08/29/256218/

Order of the Ministry of Health of Ukraine dated 17.01.1995 No. 6 "On the development and improvement of the forensic medical service of Ukraine". Registered in the Ministry of Justice of Ukraine on July 26, 1995 under No. 278/784. Verkhovna Rada of Ukraine. 17.01.1995. URL: https://zakon.rada.gov.ua/laws/show/z0248-95#Text

Zozulya N. Peculiarities of bringing doctors to criminal responsibility. Ukrainian law. 03/04/2019. URL: https://ukrainepravo.com/scientific-thought/legal_analyst/osoblyvosti-prytyagnennya-likariv-do-kryminalnoyi-vidpovidalnosti

Pletenetska A.O., Kondratenko V.L., Legedza A.V. Peculiarities of conducting forensic medical examinations when evaluating the provision of obstetric and gynecological medical care. 2019. URL: http://ir.librarynmu.com/bitstream/123456789/833/1/PletenetskaMedGynecol.pdf

Pletenetska A.O. Analysis of forensic medical examinations in criminal cases in relation to medical workers in connection with the performance of professional duties according to the data of the "Main Bureau of Forensic Medical Examination of the Ministry of Health of Ukraine". Ukrainian Journal of Medicine, Biology and Sports. 2015. No. 2 (2). P. 156-159. URL: https://jmbs.com.ua/pdf/1/2/jmbs0-2016-1-2-156.pdf

Kryvda G.F., Plevinskis P.V., Kryvda R.G. et al. Analysis of the prevalence of defects in the provision of medical care based on the results of forensic medical commission examinations in the Odesa region during 2011-2015. Achievements in biology and medicine. 2016. No. 1 (27). P. 45-48.

Errors, Injuries, Accidents, Infections. Hospital safety grade. 2023. URL: https://www.hospitalsafetygrade.org/what-is-patient-safety/errors-injuries-accidents-infections?gad_source=1&gclid=CjwKCAiAjfyqBhAsEiwA-UdzJOHxmyhT5kkaTOtZ79JM2fPsgWV9AjmUigmmtOR50G36JTgukXCNgxoCWRAQAvD_BwE

Klemann D., Rijkx M., Mertens H. et al. Causes for medical еrrors in оbstetrics and gynecology. Healthcare. 2023. Vol. 11. No. 11. e1636. DOI: https://doi.org/10.3390/healthcare11111636. DOI: https://doi.org/10.3390/healthcare11111636

Foti T.R., Green A., Altschuler A. More рatient рerceptions of рrenatal сannabis use and іmplications for сlinicians. Obstetrics Gynecology. 2023. Vol. 142. No 5. Р. 1153-1161. URL: https://journals.lww.com/greenjournal/toc/2023/11000 DOI: https://doi.org/10.1097/AOG.0000000000005295

Weintraub К. Medical errors kill thousands of people each year. But are hospitals getting any safer? USA Today. 03.05.2023. https://www.usatoday.com/story/news/health/2023/05/03/are-hospitals-getting-safer-new-report/70158933007/

Weintraub K. Medical errors kill thousands of people each year. But are hospitals getting any safer? АНRQ. 17.05.2023. URL; https://psnet.ahrq.gov/issue/medical-errors-kill-thousands-people-each-year-are-hospitals-getting-any-safer

Mueller B.U., Neuspiel D.R., Fisher.E.R.S. AAP Council on quality improvement and patient safety, committee on hospital care. Principles of рediatric рatient safety: reducing harm due to medical сare. Pediatrics. 2019. Vol. 143. No.2. e20183649

Gutorova N.O., Pashkov V.M. Liability for improper performance of professional duties by a doctor during childbirth, which caused serious consequences (analysis of judicial practice). Medical law. 2019. No. 2 (24). P. 9-25. DOI: https://doi.org/10.25040/medicallaw2019.02.009 DOI: https://doi.org/10.25040/medicallaw2019.02.009

Bugayenko T. The court acquitted the accused in the death of a patient of an anesthesiologist from Rivne. ZAXID.Net. 06/08/2023. URL: https://zaxid.net/news/https://zaxid.net/sud_vipravdav_obvinuvachenogo_u_smerti_patsyentki_anesteziologa_z_rivnogo_n1565123

Criminal Code of Ukraine. Information of the Verkhovna Rada of Ukraine. 2001. No. 25-26. Art. 131. Edition of 05.10.2023.URL: https://zakon.rada.gov.ua/laws/show/2341-14#Text.

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Published

2023-12-14

How to Cite

Shapovalov, V. (2023). Medical Errors in Health Care Institutions: an Interdisciplinary Study of the Competences of Specialists Based on Medical and Pharmaceutical Law. SSP Modern Law and Practice, 3(4), 1–14. https://doi.org/10.53933/sspmlp.v3i4.121