Presumed adverse events in health care are a frequent indication for medico-legal autopsy in Finland
Abstract The medico-legal autopsy is an essential tool in investigating deaths caused by an adverse event in health care, for both clinical risk management and for professional liability issues. However, there are no statistics available regarding the frequency of autopsies performed due to suspecte...
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ftunivoulu:oai:oulu.fi:nbnfi-fe2020050424875 2023-07-30T04:05:49+02:00 Presumed adverse events in health care are a frequent indication for medico-legal autopsy in Finland Pakanen, L. (Lasse) Keinänen, N. (Noora) Kuvaja, P. (Paula) 2020 application/pdf http://urn.fi/urn:nbn:fi-fe2020050424875 eng eng Springer Nature info:eu-repo/semantics/openAccess © The Author(s) 2019. Open Access. This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. https://creativecommons.org/licenses/by/4.0/ Adverse event Clinical risk management Malpractice Medical error Medico-legal autopsy info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion 2020 ftunivoulu 2023-07-08T19:56:42Z Abstract The medico-legal autopsy is an essential tool in investigating deaths caused by an adverse event in health care, for both clinical risk management and for professional liability issues. However, there are no statistics available regarding the frequency of autopsies performed due to suspected adverse events. This study aimed to determine the number of medico-legal autopsies done because of presumed adverse events, whether these events were unintentional, medical errors or cases in which malpractice was suspected. Furthermore, differences in treatment types, causes and manner of death were analyzed. The data was obtained from all medico-legal autopsies performed in Northern Finland and Lapland during 2014–2015 (n = 2027). Adverse events were suspected in 181 (8.9%) cases. The suspicions of an adverse event occurring were most often related to medication, gastrointestinal surgery and orthopedic surgery. The manner of death was classified as medical (or surgical) treatment or investigative procedure in 22 (12.2%) cases. The causes of death were completely unrelated to the suspected adverse event in 41 (22.7%) cases. In conclusion, the frequency of presumed adverse events was quite high in this data set, but in the majority of the cases, the suspicion of an adverse event causing death was disproved by an autopsy. Nonetheless, proper investigation of these cases is essential to ensure legal protection of the deceased, next of kin and health care personnel, as well as to support clinical risk management. Article in Journal/Newspaper Northern Finland Lapland Jultika - University of Oulu repository |
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Open Polar |
collection |
Jultika - University of Oulu repository |
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ftunivoulu |
language |
English |
topic |
Adverse event Clinical risk management Malpractice Medical error Medico-legal autopsy |
spellingShingle |
Adverse event Clinical risk management Malpractice Medical error Medico-legal autopsy Pakanen, L. (Lasse) Keinänen, N. (Noora) Kuvaja, P. (Paula) Presumed adverse events in health care are a frequent indication for medico-legal autopsy in Finland |
topic_facet |
Adverse event Clinical risk management Malpractice Medical error Medico-legal autopsy |
description |
Abstract The medico-legal autopsy is an essential tool in investigating deaths caused by an adverse event in health care, for both clinical risk management and for professional liability issues. However, there are no statistics available regarding the frequency of autopsies performed due to suspected adverse events. This study aimed to determine the number of medico-legal autopsies done because of presumed adverse events, whether these events were unintentional, medical errors or cases in which malpractice was suspected. Furthermore, differences in treatment types, causes and manner of death were analyzed. The data was obtained from all medico-legal autopsies performed in Northern Finland and Lapland during 2014–2015 (n = 2027). Adverse events were suspected in 181 (8.9%) cases. The suspicions of an adverse event occurring were most often related to medication, gastrointestinal surgery and orthopedic surgery. The manner of death was classified as medical (or surgical) treatment or investigative procedure in 22 (12.2%) cases. The causes of death were completely unrelated to the suspected adverse event in 41 (22.7%) cases. In conclusion, the frequency of presumed adverse events was quite high in this data set, but in the majority of the cases, the suspicion of an adverse event causing death was disproved by an autopsy. Nonetheless, proper investigation of these cases is essential to ensure legal protection of the deceased, next of kin and health care personnel, as well as to support clinical risk management. |
format |
Article in Journal/Newspaper |
author |
Pakanen, L. (Lasse) Keinänen, N. (Noora) Kuvaja, P. (Paula) |
author_facet |
Pakanen, L. (Lasse) Keinänen, N. (Noora) Kuvaja, P. (Paula) |
author_sort |
Pakanen, L. (Lasse) |
title |
Presumed adverse events in health care are a frequent indication for medico-legal autopsy in Finland |
title_short |
Presumed adverse events in health care are a frequent indication for medico-legal autopsy in Finland |
title_full |
Presumed adverse events in health care are a frequent indication for medico-legal autopsy in Finland |
title_fullStr |
Presumed adverse events in health care are a frequent indication for medico-legal autopsy in Finland |
title_full_unstemmed |
Presumed adverse events in health care are a frequent indication for medico-legal autopsy in Finland |
title_sort |
presumed adverse events in health care are a frequent indication for medico-legal autopsy in finland |
publisher |
Springer Nature |
publishDate |
2020 |
url |
http://urn.fi/urn:nbn:fi-fe2020050424875 |
genre |
Northern Finland Lapland |
genre_facet |
Northern Finland Lapland |
op_rights |
info:eu-repo/semantics/openAccess © The Author(s) 2019. Open Access. This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. https://creativecommons.org/licenses/by/4.0/ |
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1772818042572505088 |