Multidisciplinary Study of Medical Errors in the System of Legal Relations Between "Doctor-Patient-Pharmacist-Advocate" During the Circulation of Drugs

Authors

DOI:

https://doi.org/10.53933/sspmpm.v3i2.88

Keywords:

medical errors, crime, multidisciplinary research, drug technology, forensic pharmacy, pharmacology, criminal law, circulation of medicinal products, danger to the health of citizens

Abstract

Multidisciplinary organizational and legal, forensic and pharmaceutical, clinical and pharmacological, forensic and medical, criminal and legal studies of medical errors in the system of legal relations between "doctor-patient-pharmacist-lawyer" were conducted. The implementation of the rules of the circulation of drugs established by the state in order to exclude forensic pharmaceutical risks and guarantee the safety of pharmacotherapy of patients was analyzed. Forensic and pharmaceutical analysis of patients' complaints indicates the need for further improvement of pharmaceutical provision and medical care. Normative measures have been developed for the prevention of medical errors during the circulation of drugs of clinical and pharmacological, classification and legal, nomenclature and legal groups.

Author Biography

Valentyn Shapovalov, Lugansk State Medical University

Doctor of Pharmaceutical Sciences, Professor, Luhansk State Medical University

Advocates Company “Apotheosis”

Public Organization “Association of Medical and Parmaceutical Law”

E-mail: valentin@advocate.bz

References

Million Die. Many Millions More are Harmed. Patient Safety. 12.03.2023. URL: https://psmf.org/?gclid=Cj0KCQiA6rCgBhDVARIsAK1kGPJbYw_5UZCUT6gA9VAtjpQBEjcBO6v1RgJEUEeE9K9AQJzYFWkvNVEaAlBNEALw_wcB.

Kliffsarah S. Medical errors in America kill more people than AIDS or drug overdoses. Here's why. Vox. 22.04.2015. URL: https://www.vox.com/2015/1/29/7878731/medical-errors-statistics.

Jonathan Jarry M.Sc. Medical error is not the third leading cause of death. McGill. 27.08.2021. URL: https://www.mcgill.ca/oss/article/critical-thinking-health/medical-error-not-third-leading-cause-death.

Global health. UnFoundation. 26.03.2023. URL: https://unfoundation.org/what-we-do/issues/global-health/?gclid=Cj0KCQjw2v-gBhC1ARIsAOQdKY1Ll4chY_Qy6j6jOAj46VL4o_Oeblp--46ZQhafMqRhyJlQIg5MD1YaAtRfEALw_wcB.

Shapovalova V. Monkeypox virus – new challenges of modernity: experimental organizational and legal, clinical and pharmacological studies. SSP Modern Pharmacy and Medicine. 2022. Vol.2. N.3. P.1–15. URL: https://doi.org/10.53933/sspmpm.v2i3.54. DOI: https://doi.org/10.53933/sspmpm.v2i3.54

Shapovalova V.A., Stefanov A.V., Trakhtenberg I.M. et al. Pharmaceutical law in safe self-treatment: drugs dispensed without a doctor's prescription. 2nd ed. Kh.: FAKT, 2005. 800 p.

Shapovalova V., Gudzenko А., Komar L. et al. Concerning the importance of forensic and pharmaceutical researches to improve patients’ accessibility to medicines. Pharmacia. 2017. Vol. 65. N.2. P.23–29. URL: http://bsphs.org/wp-content/uploads/2017/07/Shapovalov.pdf.

Hayduchok І., Shapovalov V. Covid-19: multidisciplinary researches of forensic and pharmaceutical risks and causal relationships of unqualified medical care for patients during pandemic. 2022. SSP Modern Law and Practice. Vol.2. No.1. P.1-25. URL: https://doi.org/10.53933/sspmlp.v2i1.39. DOI: https://doi.org/10.53933/sspmlp.v2i4.74

Implications of the COVID-19 pandemic for patient safety: a rapid review. WHO. 05.08. 2022. URL: https://www.who.int/publications/i/item/9789240055094.

AHRQ PSNet annual perspective: impact of the COVID-19 pandemic on patient safety. AHRQ. 30.03.2021. URL: https://psnet.ahrq.gov/perspective/ahrq-psnet-annual-perspective-impact-covid-19-pandemic-patient-safety.

Shapovalova V.A., Zbrozhek S.I., Shapоvalov V.V. et al. Coronavirus disease pandemia 2019: growth of epidemic dangers. Acta scientific pharmaceutical sciences. 2020. Vol.4. Iss.7. P.61–68. URL: https://www.actascientific.com/ASPS/ASPS-04-0559.php. DOI: https://doi.org/10.31080/ASPS.2020.04.0559

Shapovalova V. An Innovative multidisciplinary study of the availability of coronavirus vaccines in the world. SSP Modern Pharmacy and Medicine. 2022. Vol.2. N.2. P.1–17 URL: https://doi.org/10.53933/sspmpm.v2i2.45. DOI: https://doi.org/10.53933/sspmpm.v2i2.45

Montreux Charter on patient safety galvanizes action to address avoidable harm in health care. WHO. 28.02.2023. URL: https://www.who.int/news/item/28-02-2023-the-montreux-charter-on-patient-safety-galvanizes-action-to-address-avoidable-harm-in-health-care.

Shapovalova V. Forensic and pharmaceutical risks in the organization of pharmacotherapy of covid, post-covid and long-covid disorders. COVID-19 and vaccination practice standards. SSP Modern Pharmacy and Medicine. 2022. Vol. 2. No. 4. P. 1–24. URL: https://doi.org/10.53933/sspmpm.v2i4.69. DOI: https://doi.org/10.53933/sspmpm.v2i4.69

The year of the covid-19 pandemic: vaccination is our most urgent challenge. Public health center of the ministry of health of Ukraine. 11.03.2021. URL: https://www.phc.org.ua/news/rik-pandemii-covid-19-vakcinaciya-nash-nayaktualnishiy-viklik.

Vdovichenko V., Vorotniuk M., Gerasimchuk S. and others. The COVID-19 Pandemic in the EU: Selfishness, Solidarity or Spreading Influence? Foreign Policy Council "Ukrainian Prism". 2020. URL: http://prismua.org/wp-content/uploads/2020/05/COVID19EU.pdf.

Chornyi O.V. Implementation of the state health policy regarding the work of medical personnel during the COVID-19 pandemic: socio-economic aspects of foreign experience. Law and public administration. 2020. No. 4. P. 301-306. URL:http://www.pdu-journal.kpu.zp.ua/archive/4_2020/44.pdf. DOI: https://doi.org/10.32840/pdu.2020.4.42

Shapovalovа V., Zbrozhek S., Gudzenko A., Shapovalov V. et al. Organizational and legal analysis of the pharmaceutical provision for the most common diseases of society. International Journal of Pharmaceutical Sciences Review and Research. 2018. Vol. 51. N. 1. P. 118-124. URL: http://globalresearchonline.net/journalcontents/v51-1/18.pdf.

Makaliuk I.V., Kysil A.P. Consequences of the COVID-19 pandemic for the national economies of the world. Kyiv: Polytechnic Publishing House. 2021. P. 180-181. URL: http://confmanagement.kpi.ua/proc/article/view/230936.

Shapovalova V. Interdisciplinary pharmacoeconomic research concerning the pharmacotherapy of alcoholic hepatitis in conditions of COVID-19 pandemic. SSP Modern Pharmacy and Medicine. 2023. Vol.3. No.2. P.1-10. URL: https://doi.org/10.53933/sspmpm.v3i2.87. DOI: https://doi.org/10.53933/sspmpm.v3i2.87

Shapovalova V. Alcoholic hepatitis: An experimental meta-analysis. SSP Modern Pharmacy and Medicine. 2023. Vol.3. No.1. P.1-11. DOI: https://doi.org/10.53933/sspmpm.v3i1.77. DOI: https://doi.org/10.53933/sspmpm.v3i1.77

Shapovalova V., Shapovalov V., Osyntseva A. et al. Organization of the pharmaceutical business, industrial pharmacy and forensic pharmacy concerning the competences of quality management during the circulation of medical products: GxP standards. Actual problems of medicine and pharmacy. 2022. Vol.3. Nо. 2. P.1–20. URL: https://doi.org/10.52914/apmp.v3i2.44. DOI: https://doi.org/10.52914/apmp.v3i2.44

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. Nо.1. P.1-13. URL: https://doi.org/10.53933/sspmpm.v2i1.37. DOI: https://doi.org/10.53933/sspmpm.v2i1.37

Ivanishyn-Hayduchok L., Shapovalova V., Shapovalov V. ICD-11: Organizational and legal, medical and pharmaceutical, social and economic issues of implementation of the program of state guarantees of medical care in 2022 in Ukraine, based on the fundamental principles of the European Union. SSP Modern Pharmacy and Medicine. 2022. Vol.2. Nо.2. Р.1–14. URL: https://doi.org/10.53933/sspmpm.v2i2.53. DOI: https://doi.org/10.53933/sspmpm.v2i2.53

Shapovalov V.V. (Jr.), Shapovalova V.A., Shapovalov V.V. Development of forensic and pharmaceutical researches within the organization of pharmaceutical business, drug technology and pharmaceutical law in Ukraine concerning the turnover of controlled drugs and substances. Health of Society. 2021. Vol.10. Nо.3. P.98-106. URL: https://doi.org/10.22141/2306-2436.10.3.2021.246351. DOI: https://doi.org/10.22141/2306-2436.10.3.2021.246351

Shapovalov V.V. (Jr.), Shapovalova V.A., Shapovalov V.V. Forensic and pharmaceutical research on the impact of drugs on the safety, life and health of road users within the organization of pharmaceutical business, drug technology, pharmaceutical and medical law in Ukraine. Health of Society. 2021. Vol.10. Nо.4. P.127-132. URL: https://doi.org/10.22141/2306-2436.10.4.2021.246355. DOI: https://doi.org/10.22141/2306-2436.10.4.2021.246355

Shapovalova V., Zakharchenko I. Organizational and legal approaches to reforming of the law enforcement system of Ukraine: illegal circulation of psychoactive substances and addictive dependence. SSP Modern Law and Practice. 2021. Vol. 1. Nо.1. P.1–22. URL: https://doi.org/10.53933/sspmlp.v1i1.20. DOI: https://doi.org/10.53933/sspmlp.v1i1.20

Shapovalov (Jr.) V., Gudzenko A., Shapovalova V. et al. Forensic and pharmaceutical analysis of addictive morbidity because of the use of narcotic psychoactive substances in Ukraine (retrospective aspect). International Journal of Pharmaceutical Sciences and Research. 2018. Vol. 3. Is.3. July 2018. P.22-25. URL: http://www.pharmacyjournal.net/archives/2018/vol3/issue3.

Gudzenko A., Shapovalov V., Shapovalovа V. et al. Forensic pharmacy: analysis of complaints about the pharmaceutical provision for privileged categories of patients in Ukraine (experimental research). Science Review. 2021. V. 2. Iss. 37. P. 1–6. DOI: https://doi.org/10.31435/rsglbal_sr/30042021/7517.

Tukhar I., Shapovalova V., Shapovalov V. et al. Pharmacological view on the problem of comorbidity in the pharmacotherapy of chronic pancreatitis. Science Review. Vol.3. No.38. P.1-5. DOI: 10.31435/rsglobal_sr/30072021/7591. DOI: https://doi.org/10.31435/rsglobal_sr/30072021/7591

Shapovalov V. Forensic pharmacy, organization of pharmaceutical business, drug technology, medical, pharmaceutical and criminal law: the state system of combating the illegal circulation of narcotic drugs and psychotropic substances and their abuse in pandemic condition. SSP Modern Law and Practice. 2022. Vol.2. No.3. P.1-35. URL: https://DOI.org/10.53933/sspmlp.v2i3.66. DOI: https://doi.org/10.53933/sspmlp.v3i1.80

Shapovalov V., Diachenko A. Interdisciplinary Forensic and Pharmaceutical Study of Illegal circulation of falsified alcoholic beverages to combat crime and prevent Public Health disorders. SSP Modern Pharmacy and Medicine. 2023. Vol.3. No.1. P.1-12. URL: https://doi.org/10.53933/sspmpm.v3i1.86. DOI: https://doi.org/10.53933/sspmpm.v3i1.86

Hayduchok I., Shapovalova V., Ishcheikin K. et al. Pharmaeconomic approaches for pharmacotherapy of Rheumatoid arthritis. Likars’ka Sprava. 2021. No. 1–2. P.70-79. URL: https://liksprava.com/index.php/journal/article/view/463. DOI: https://doi.org/10.31640/JVD.1-2.2021(11)

Budzyn V.R. Peculiarities of the formation of the strategy of the state policy of socio-economic growth at the current stage of the pandemic challenges of COVID-19. Dnipro scientific journal of public administration, psychology, law. 2022. No. 2. P. 33-37. URL: https://chasopys-ppp.dp.ua/index.php/chasopys/article/view/187.

Shapovalov V. (Jr.), Gudzenko A., Shapovalova V. еt аl. Forensic and pharmaceutical study of the presence of a causal link between the degree of alcohol abuse and qualification level of the respondents. Pharmacia. 2017. Vol.66. Nо. 3. Р. 31–39. URL: http://bsphs.org/wp-content/uploads/2017/11/Shapovalov.pdf.

Chuiev Yu., Konovalova L. Multidisciplinary organizational and legal, forensic and pharmaceutical, medical and immunological researches in the organization and management of pharmaceutical competencies during the circulation of drugs in the relief of alcoholic addiction. SSP Modern Pharmacy and Medicine. 2022. Vol.2. No.2. P.1-11. URL: https://doi.org/10.53933/sspmpm.v2i2.48. DOI: https://doi.org/10.53933/sspmpm.v2i2.48

Ryabukha O. COVID-19 Pandemic encourages to deepen the study of the thyroid gland: correlation portraits as a means of research in different directions of follicular thyrocytes activities. SSP Modern Pharmacy and Medicine. 2022. Vol.2. N.1. P.1–21. URL: https://doi.org/10.53933/sspmpm.v2i1.40. DOI: https://doi.org/10.53933/sspmpm.v2i1.40

Shapovalova V.A., Shapovalov V.V. The clinical efficacy of the combined drug agent Valcophen in children. Likars'ka sprava. 1999. Nо.1. P.124–126.

Shapovalov V.V. (Jr.), Zbrozhek S.I., Shapovalova V.O. et al. Organizational and legal evaluation of availability of medicines’ circulation for cancer patients Pharmacia. 2018. Vol.65. Nо.2. P.17-22. URL: http://bsphs.org/?magasine=organizational-and-legal-evaluation-of-availability-of-medicines-circulation-for-cancer-patients.

Sosin I.K., Chuev Yu.F., Shapovalova V. et al. Narcology: national textbook. Kharkiv, Ukraine: Kolegium. 2014. 948 p.

Shapovalova V.A., Danylenko V.S., Shevchenko S.I. et al. Medicines in clinical surgery. Kh.: Torsing.1998. 605 р.

Shapovalova V.A., Voloshyn P.V., Stefanov A.V. et al. Medicines for neurologists, psychiatrists and narcologists. Kh.: Fakt. 2003. 784 p.

Gubskyi Y.I., Shapovalova V.O., Kutko I.I. et al. Medicines in psychopharmacology. K.: "Health", Kharkiv: "Torsing".1997. 288 p.

Andalitska I. Ukrainians are massively complaining to the Ministry of Health about family doctors and hospitals: the contact center was flooded with appeals. UNIAN. 25.11.2020. URL: https://covid.unian.ua/ukrajinci-masovo-skarzhatsya-v-moz-na-simeynih-likariv-ta-likarni-kontakt-centr-zavalili-zvernennyami-11232398.html?_gl=1*bh5cwc*_ga*MjU3OTc2Mjk0LjE2Nzg3MjI1MjA.*_ga_TECJ2YKWSJ*MTY3ODcyMjUyMC4xLjAuMTY3ODcyMjUyMC4wLjAuMA..*_ga_DENC12J6P3*MTY3ODcyMjUyMC4xLjAuMTY3ODcyMjUyMC42MC4wLjA.*_ga_238PLP1PQZ*MTY3ODcyMjUyMC4xLjAuMTY3ODcyMjUyMC4wLjAuMA..*_ga_P6EEJX21DY*MTY3ODcyMjUyMC4xLjAuMTY3ODcyMjUyMC42MC4wLjA.

Decree of the Cabinet of Ministers of Ukraine dated August 17, 1998 No. 1303 "On regulation of free and subsidized dispensing of medicines according to doctors' prescriptions in the case of outpatient treatment of certain groups of the population and for certain categories of diseases." Verkhovna Rada of Ukraine. Editorial from 14.08.2021. URL: https://zakon.rada.gov.ua/laws/show/1303-98-%D0%BF#Text.

Barmina G. State policy on drugs: a step towards a civilized society. Apteka.ua. 04.07.2016. No. 25 (1046). URL: https://www.apteka.ua/article/376975.

€125 billion lost each year across Europe due to non-adherence to medication. Ilcuk. 07.04.2022. URL: https://ilcuk.org.uk/125-billion-lost-each-year-due-to-non-adherence/?gclid=cj0kcqia6rcgbhdvarisak1kgpj_yazg3pgxasqqqhmx5ybgdkti0mfmnd2bwtzsvpxapzlxgd_04faaait-ealw_wcb.

Guernsey B.G, Ingrim N.B., Hokanson J.A. et. al. Pharmacists' dispensing accuracy in a high-volume outpatient pharmacy service: focus on risk management. Drug. Intell. Clin. Pharm. 1983 No.17(10). Р.742-746. URL: https://pubmed.ncbi.nlm.nih.gov/6628228/. DOI: https://doi.org/10.1177/106002808301701011

Buurma H., De Smet P., Leufkens H. et al. Evaluation of the clinical value of pharmacists' modifications of prescription errors. Pharmacol. 2004. No.58(5). Р. 503-511. URL: https://pubmed.ncbi.nlm.nih.gov/15521898/. DOI: https://doi.org/10.1111/j.1365-2125.2004.02181.x

In Kharkiv, the activity of a pharmacy chain for the illegal sale of narcotic drugs has been suspended. Office of the General Prosecutor. 03.06.2021. URL:

https://www.gp.gov.ua/ua/regions_news_detail?_m=publications&_c=view&_t=rec&id=296474.

Department of communication of the police of Dnipropetrovsk region. On suspicion of selling alternative therapy drugs, the police exposed a group of doctors. Official website of the National Police. 26.06.2020. URL: https://www.npu.gov.ua/news/narkozlochini/za-pidozroyu-u-zbuti-preparativ-zamisnoji-terapiji-policzejski-vikrili-grupu-medikiv/.

Gurzhy V. In the Kyiv region, a family doctor organized the sale of prescription drugs as part of a criminal group. UNN. 16.01.2020. URL: https://www.unn.com.ua/uk/news/1846764-na-kiyivschini-simeyniy-likar-u-skladi-zlochinnoyi-grupi-organizuvav-prodazh-narkotikiv.

Mohammad Ya. Kharkiv doctor illegally issued prescriptions for narcotic drugs. UNN. 28.03.2019. URL: https://www.unn.com.ua/uk/news/1789419-kharkivskiy-likar-nezakonno-vidavav-retsepti-na-narkotichni-liki.

The channel of contraband supply of potent medicinal products from Europe has been blocked. Criminal Ukraine. 15.02.2023. URL: https://cripo.com.ua/news/crime/perekryto-kanal-kontrabandnogo-postachannya-sylnodiyuchyh-likarskyh-zasobiv-z-yevropy/.

Ivasyn O. R., Kosenko O. A. Implementation of the experience of Europe and other countries in the field of harm reduction from the use of narcotic drugs and psychotropic substances in Ukraine: issues and trends. Actual problems of domestic jurisprudence. 2020. No. 1. P. 86-90.

Osyntseva A. Polydrug addiction: multidisciplinary forensic and pharmaceutical, organizational and legal, and technological study of factors of formation and development. SSP Modern Pharmacy and Medicine. 2022. Vol.2. No.4. P.1-14. URL: https://doi.org/10.53933/sspmpm.v2i4.72. DOI: https://doi.org/10.53933/sspmpm.v2i4.72

Health and social responses to drug problems: a European guide. EMCDDA. October 2021. URL: https://www.emcdda.europa.eu/publications/health-and-social-responses-a-european-guide_en.

Shapovalova V.O., Mykhailov V.S., Shapovalov V.V. The characteristics of the development of cataleptic phenomena during the action of a new Ukrainian neuroleptic--a butyrophenone derivative-in experiments on mice. Fiziolohichnyi zhurnal. 1999. Vol. 45. Nо. 3. P. 114–117.

Shapovalova V.O., Shapovalov V.V. Spasmophilia in children and the anticonvulsant properties of a new Ukrainian preparation containing a pyrimidine derivative. Fiziolohichnyi zhurnal. 1998. Vol.44. Nо.5-6. P. 102–105. DOI: https://doi.org/10.1049/ir:19980309

Shapovalova V.O., Chernykh V.P. The physiological properties of the action of a new analgesic and antipyretic preparation. Fiziolohichnyi zhurnal. 1997. Vol.43. Nо.1-2. P. 117–121.

Shapovalov V.V., Shapovalova V.O., Bondarenko V.V. Evidential pharmacy regarding the forensic support of modified substances removed from illegal circulation as a measure to combat the spread of drug addiction. Zaporozhye medical journal. 2007. No. 3. P. 175-177.

Nehretskii S. Forensic and pharmaceutical, organizational and legal studies of illegal circulation, danger and drug addiction from cannabinoids. SSP Modern Pharmacy and Medicine. 2022. Vol.2. No.4. P.1-15. URL: https://doi.org/10.53933/sspmpm.v2i4.71. DOI: https://doi.org/10.53933/sspmpm.v2i4.71

Hammond L., Marsden E., O'Hanlon N. et al. Identification of risks associated with the prescribing and dispensing of oral anticancer medicines in Ireland. Int. J. Clin. Pharm. 2012 No. 34(6). Р. 893-901. URL: https://pubmed.ncbi.nlm.nih.gov/22961608/. DOI: https://doi.org/10.1007/s11096-012-9688-1

Cheung K.-C., Bouvy M.L., De Smet P. A. Medication errors: the importance of safe dispensing. Br. J. Clin. Pharmacol. 2009. No. 67(6). Р. 676-80. URL: https://pubmed.ncbi.nlm.nih.gov/19594537/. DOI: https://doi.org/10.1111/j.1365-2125.2009.03428.x

Medication Errors. AMCP. 19.07.2019. URL: https://www.amcp.org/about/managed-care-pharmacy-101/concepts-managed-care-pharmacy/medication-errors.

Downloads

Published

2023-04-21

How to Cite

Shapovalov, V. (2023). Multidisciplinary Study of Medical Errors in the System of Legal Relations Between "Doctor-Patient-Pharmacist-Advocate" During the Circulation of Drugs. SSP Modern Pharmacy and Medicine, 3(2), 1–10. https://doi.org/10.53933/sspmpm.v3i2.88

Issue

Section

Health Sciences