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Open AccessArticle

Reasons for and Facilitating Factors of Medical Malpractice Complaints. What Can Be Done to Prevent Them?

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Legal-Medicine Department, Faculty of Medicine, “Grigore T. Popa” University of Medicine and Pharmacy of Iasi, 700115 Iasi, Romania
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Behavioral Sciences Department, Faculty of Medicine, “Grigore T. Popa” University of Medicine and Pharmacy Iasi, 700115 Iasi, Romania
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Faculty of Psychology and Education Sciences, “Alexandru Ioan Cuza” University of Iasi, 700554 Iasi, Romania
*
Author to whom correspondence should be addressed.
Medicina 2020, 56(6), 259; https://doi.org/10.3390/medicina56060259
Received: 3 May 2020 / Revised: 23 May 2020 / Accepted: 25 May 2020 / Published: 27 May 2020
(This article belongs to the Special Issue Interdisciplinary Medicine)
Background and objectives. Medical malpractice is an increasing phenomenon all over the world, and Romania is not spared. This matter is of concern as it has a significant impact on the physicians and the patients involved, as well as on the health care system and society in general. The purpose of our study was to perform an insight analysis on the reasons for medical malpractice complaints as well as the factors that facilitate the complaints to identify specific ways to prevent them and, implicitly, to improve the medical practice. Materials and Methods. The authors conducted a retrospective study of the medical malpractice complaints registered in the period 2006–2019 at the Commission for monitoring and professional competence for malpractice cases in the region of Moldova, Romania, collecting data on both the patients and the medical professionals involved. Results. The authors analyzed 153 complaints directed against 205 medical professionals and identified 15 categories of reasons for complaints, the most significant being related to the occurrence of complications, and to the doctor–patient interaction (e.g., communication, behavior, informed consent). The most frequently reported medical specialties were obstetrics and gynecology, emergency medicine, general surgery, and orthopedics and traumatology. Emergency medicine was often involved in complaints suggesting an over utilization of this department in our country and the need for health policies, which could divert the large number of patients accessing emergency medicine towards primary care. Conclusions. Regarding the dysfunctions in the doctor–patient relationship frequently claimed by patients, the authors concluded that doctors need special undergraduate training and periodic updating during their practice for them to be able to adequately address the challenges of interacting with their patients. View Full-Text
Keywords: medical malpractice; doctor–patient relationship; communication; complications; diagnostic error; preventive measures; retrospective study medical malpractice; doctor–patient relationship; communication; complications; diagnostic error; preventive measures; retrospective study
MDPI and ACS Style

Hanganu, B.; Iorga, M.; Muraru, I.-D.; Ioan, B.G. Reasons for and Facilitating Factors of Medical Malpractice Complaints. What Can Be Done to Prevent Them? Medicina 2020, 56, 259.

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