Obstetric litigation: the importance of the quality of clinical files and its influence on expertise conclusions

Detalhes bibliográficos
Autor(a) principal: Domingues, AP
Data de Publicação: 2015
Outros Autores: Moura, P, Vieira, DN
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/10400.4/2012
Resumo: To appreciate the Portuguese circumstances concerning situations of obstetric medico-legal conflicts and to evaluate the influence of the quality of files in expert conclusions, an analysis of all cases of obstetric medical responsibility from 2001-11 was carried out. File quality was evaluated by absence or insufficiency of clinical information supplied, by poor quality of document copies and by the registered incongruities among all the health professionals involved. Clinical files sent for forensic analysis were defective in most cases (89.5%). In about 11% of cases, expert opinion was inconclusive as a result of the poor quality of the clinical files sent for technical and scientific analysis. This situation is particularly serious in cases where the reason for the dispute was asphyxia, traumatic lesions of the newborn following instrumented delivery or shoulder dystocia and maternal sequelae, where the lack or absence of information, and poor quality copies were significantly associated with inconclusive opinions.
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spelling Obstetric litigation: the importance of the quality of clinical files and its influence on expertise conclusionsTraumatismos do NascimentoProva PericialComplicações na GravidezDiagnóstico PrenatalResponsabilidade LegalTo appreciate the Portuguese circumstances concerning situations of obstetric medico-legal conflicts and to evaluate the influence of the quality of files in expert conclusions, an analysis of all cases of obstetric medical responsibility from 2001-11 was carried out. File quality was evaluated by absence or insufficiency of clinical information supplied, by poor quality of document copies and by the registered incongruities among all the health professionals involved. Clinical files sent for forensic analysis were defective in most cases (89.5%). In about 11% of cases, expert opinion was inconclusive as a result of the poor quality of the clinical files sent for technical and scientific analysis. This situation is particularly serious in cases where the reason for the dispute was asphyxia, traumatic lesions of the newborn following instrumented delivery or shoulder dystocia and maternal sequelae, where the lack or absence of information, and poor quality copies were significantly associated with inconclusive opinions.RIHUCDomingues, APMoura, PVieira, DN2017-01-05T11:46:08Z2015-022015-02-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10400.4/2012engJ Obstet Gynaecol. 2015 Feb;35(2):146-9.10.3109/01443615.2014.948816info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-07-11T14:23:18Zoai:rihuc.huc.min-saude.pt:10400.4/2012Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T18:04:27.253600Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Obstetric litigation: the importance of the quality of clinical files and its influence on expertise conclusions
title Obstetric litigation: the importance of the quality of clinical files and its influence on expertise conclusions
spellingShingle Obstetric litigation: the importance of the quality of clinical files and its influence on expertise conclusions
Domingues, AP
Traumatismos do Nascimento
Prova Pericial
Complicações na Gravidez
Diagnóstico Prenatal
Responsabilidade Legal
title_short Obstetric litigation: the importance of the quality of clinical files and its influence on expertise conclusions
title_full Obstetric litigation: the importance of the quality of clinical files and its influence on expertise conclusions
title_fullStr Obstetric litigation: the importance of the quality of clinical files and its influence on expertise conclusions
title_full_unstemmed Obstetric litigation: the importance of the quality of clinical files and its influence on expertise conclusions
title_sort Obstetric litigation: the importance of the quality of clinical files and its influence on expertise conclusions
author Domingues, AP
author_facet Domingues, AP
Moura, P
Vieira, DN
author_role author
author2 Moura, P
Vieira, DN
author2_role author
author
dc.contributor.none.fl_str_mv RIHUC
dc.contributor.author.fl_str_mv Domingues, AP
Moura, P
Vieira, DN
dc.subject.por.fl_str_mv Traumatismos do Nascimento
Prova Pericial
Complicações na Gravidez
Diagnóstico Prenatal
Responsabilidade Legal
topic Traumatismos do Nascimento
Prova Pericial
Complicações na Gravidez
Diagnóstico Prenatal
Responsabilidade Legal
description To appreciate the Portuguese circumstances concerning situations of obstetric medico-legal conflicts and to evaluate the influence of the quality of files in expert conclusions, an analysis of all cases of obstetric medical responsibility from 2001-11 was carried out. File quality was evaluated by absence or insufficiency of clinical information supplied, by poor quality of document copies and by the registered incongruities among all the health professionals involved. Clinical files sent for forensic analysis were defective in most cases (89.5%). In about 11% of cases, expert opinion was inconclusive as a result of the poor quality of the clinical files sent for technical and scientific analysis. This situation is particularly serious in cases where the reason for the dispute was asphyxia, traumatic lesions of the newborn following instrumented delivery or shoulder dystocia and maternal sequelae, where the lack or absence of information, and poor quality copies were significantly associated with inconclusive opinions.
publishDate 2015
dc.date.none.fl_str_mv 2015-02
2015-02-01T00:00:00Z
2017-01-05T11:46:08Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://hdl.handle.net/10400.4/2012
url http://hdl.handle.net/10400.4/2012
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv J Obstet Gynaecol. 2015 Feb;35(2):146-9.
10.3109/01443615.2014.948816
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.source.none.fl_str_mv reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron:RCAAP
instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron_str RCAAP
institution RCAAP
reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
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