Iatrogenesis in the Intensive Care

Obŝaâ Reanimatologiâ

Oksana I. Kosukhina¹  Yuliya V. Zbrueva²  Ekaterina S. Kachenkova³  Gennadiy N. Germanov³ 

[1] A. I. Evdokimov Moscow State University of medicine and dentistry, Ministry of Health of Russia;Astrakhan State Medical University, Ministry of Health of Russia;Moscow City Institute of Natural Sciences and Sports Technologies, Russian Ministry of Health;

关键词: defect;    unfavorable outcome;    medical care;    death;    causal relationship;   

DOI  :  10.15360/1813-9779-2018-6-23-27

来源: DOAJ

【 摘 要 】

The problem of iatrogenesis in the medical practice is still urgent: according to published data, in healthcare institutions of the Ministry of Public Health of the Russian Federation, about 50.0% of errors in medical care are made by surgeons; among these errors, diagnostic errors prevail (80.0 %) due to improper examination of patients and lack of follow up. Together with surgeons, anesthesiologists and intensivists are in the top five of physicians who demonstrated the greatest number of defects in medical care (about 30.0%).The purpose of our study is prevention of iatrogenesis in the intensive care unit (ICU).Materials and methods. We analyzed findings of the forensic examination and evaluation of medical care of a patient with knife wounds.Results. We determined the immediate cause of death, and describe the causal link between the outcome and identified defects in the medical care.Conclusion. Preventing the iatrogenesis in ICU is right strategy to improvemethe medical care quality.

【 授权许可】

Unknown