Primeri malomarnega zdravljenja

diplomsko delo visokošolskega študijskega programa Varnost in policijsko delo

Kaja Brezovnik (Avtor), Anton Dvoršek (Mentor)

Povzetek

Napake pri zdravljenju prizadenejo na tisoče ljudi in lahko pomenijo dolgotrajne ali celo usodne posledice za pacienta, po drugi strani pa predstavljajo psihološki stres za zdravnika in zdravstveno osebje. Vse to kaže na globlje sistemske pomanjkljivosti, na katere vplivajo ne le zdravniki in zdravstveno osebje, temveč tudi oprema, pacienti, delovno okolje, organizacija dela in zadolžitve. Kaznivo dejanje, povzročeno iz malomarnosti, se lahko pojavi kot posebna oblika krivde le takrat, kadar zakon to izrecno določa. Eno takšnih kaznivih dejanj je tudi malomarno zdravljenje, ki je opredeljeno v 179. členu Kazenskega zakonika (»Kazenski zakonik [KZ-1-NPB4]«, 2012). Da se lahko ugotovi zdravniška napaka, mora sodišče utemeljiti dvome določenih dejstev, na podlagi katerih se v postopek vključi sodni izvedenec medicinske stroke, ki s svojim strokovnim znanjem razjasni sodišču manj znana dejstva ter poda mnenje, ali je zdravstveno osebje oziroma zdravnik ravnal v skladu s pravili zdravniške znanosti in stroke. Pregledali smo sodno prakso in ugotovili, da zdravstvenim napakam pogosto botrujejo slabo načrtovanje in neustrezno zaporedje postopkov, postavitev napačne diagnoze ter pomanjkljiva komunikacija med zdravnikom, bolnikom ter zdravstvenim osebjem, do katere pride zaradi neznanja, malomarnosti, v nekaterih primerih pa tudi namernega postopanja. Skozi podrobnejšo analizo primerov se je izkazalo, da je pri dokazovanju kaznivega dejanja malomarnega zdravljenja ključna vloga sodnih izvedencev, sodišče samo presoja odnos obdolženca do dejanja. Pri pregledu odločitev sodišč se je izkazalo, da pomanjkanje dokazov pogosto onemogoči vzpostavitev vzročne zveze med postopanjem zdravnika in posledico, torej poslabšanje zdravja, oziroma sodišča zaradi pomanjkanja dokazov ne morejo onkraj razumnega dvoma zatrditi, da je posledica nastala izključno zaradi malomarnega zdravljenja.

Ključne besede

diplomske naloge;kaznivo dejanje;malomarno zdravljenje;zdravniška napaka;sodni izvedenec;zdravstveno osebje;

Podatki

Jezik:	Slovenski jezik
Leto izida:	2018
Tipologija:	2.11 - Diplomsko delo
Organizacija:	UM FVV - Fakulteta za varnostne vede
Založnik:	[K. Brezovnik]
UDK:	343.9:616-089.15(043.2)
COBISS:	3605994
Št. ogledov:	1256
Št. prenosov:	232
Ocena:	0 (0 glasov)
Metapodatki:

Ostali podatki

Sekundarni jezik:	Angleški jezik
Sekundarni naslov:	Cases of negligent medical treatment
Sekundarni povzetek:	Medical treatment errors affect thousands of people and can have long-term or even fatal consequences for a patient. On the other hand, they represent psychological stress for a doctor and medical personnel. All of this points to serious systemic deficiencies that are influenced not only by doctors and medical personnel, but also by the equipment, patients, working environment, work organisation, and duties. A criminal offence committed through negligence can occur as a special form of guilt only when expressly authorised by law. One of such offences is also negligent treatment, which is defined in the Criminal Code, more specifically in Article 179 (“Criminal Code [KZ-1-NPB4]”, 2012). In order to establish whether a medical error was committed or not, the court's task is to justify the doubts of certain facts, on the basis of which a medical expert witness is included. The medical expert witness with his or her expertise clarifies the facts which are less known to the Court and delivers an opinion on whether a doctor or medical personnel acted in accordance with the regulations of medical science and profession. We reviewed case-law and have concluded that poor planning, inadequate sequence of procedures, incorrect diagnosis and lack of communication between a doctor, a patient and a nurse are often responsible for those medical errors, all due to the ignorance, negligence and in some cases due to deliberate actions. Through a more detailed analysis of the cases, it has become evident that the role of an expert witness is crucial in proving the criminal offence of negligent medical treatment and the court then merely judges the attitude of the accused towards the action. While reviewing the decisions of the courts it also became evident that the lack of evidence often makes it impossible to establish a causal link between a doctor's action and the consequence or that courts are unable to, beyond reasonable doubt, claim that the consequence resulted solely due to negligent medical treatment.
Sekundarne ključne besede:	criminal offence;negligent medical treatment;medical error;medical expert witness;medical personnel.;
URN:	URN:SI:UM:
Vrsta dela (COBISS):	Diplomsko delo/naloga
Komentar na gradivo:	Univ. v Mariboru, Fak. za varnostne vede, Ljubljana
Strani:	VII, 44 str.
ID:	10977062