Profile of civil litigation requirements for medical error claims in Gynecology and Obstetrics in the State of São Paulo

Detalhes bibliográficos
Autor(a) principal: Spina, Viviam Paula Lucianelli
Data de Publicação: 2015
Outros Autores: Sá, Eduardo Costa
Tipo de documento: Artigo
Idioma: por
Título da fonte: Saúde, Ética & Justiça (Online)
Texto Completo: https://www.revistas.usp.br/sej/article/view/102820
Resumo: Introduction: society concern about doctors’ performance goes far back in history to the most ancient civilizations; the Code of Hammurabi (1790-1770 BC) was the first document that made reference to criminalization of medical action for damage caused to a patient. Currently, with the increasing legal aspects of Medicine, there has been an increase in indemnity demands as a consequence of judicial malpractice. Gynecology and Obstetrics are among the medical specialties with the highest number of complaints. Objective: To identify the profile of litigation of the State Court of São Paulo for civil liability in cases judged as medical errors in Obstetrics and Gynecology. Methods: the first instance processes referenced were analyzed in 16 judgments of the São Paulo State Court of Justice between June 1, 2013 and May 31, 2014, and research was carried out on the databases Medline, Pubmed and Lilacs. Results: The plaintiffs were seven (44%) patients, eight (50%) patients and spouse, the defendants were nine (56%) doctors, thirteen (81%) hospitals, eleven (69%) cases in Obstetrics, in five (31%) in Gynecology, the expert evidence found causation in four (25%) cases, no causal link in nine (56%) cases. Conclusion: the profile of litigation showed that the plaintiffs were mostly patients and spouses, the defendants were mostly hospitals, the medical specialty most involved was the Obstetrics, the expert evidence favored the defendant, the cases were dismissed most of the time, damages arbitrated in cases of conviction of the defendant vary between R$ 40,000.00 and R$ 466,500.00.
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spelling Profile of civil litigation requirements for medical error claims in Gynecology and Obstetrics in the State of São PauloPerfil das demandas judiciais cíveis por erro médico em Ginecologia e Obstetrícia no Estado de São PauloErros MédicosReponsabilidade CivilGinecologiaObstetrícia.Medical ErrorsDamage LiabilityGynecologyObstetrics.Introduction: society concern about doctors’ performance goes far back in history to the most ancient civilizations; the Code of Hammurabi (1790-1770 BC) was the first document that made reference to criminalization of medical action for damage caused to a patient. Currently, with the increasing legal aspects of Medicine, there has been an increase in indemnity demands as a consequence of judicial malpractice. Gynecology and Obstetrics are among the medical specialties with the highest number of complaints. Objective: To identify the profile of litigation of the State Court of São Paulo for civil liability in cases judged as medical errors in Obstetrics and Gynecology. Methods: the first instance processes referenced were analyzed in 16 judgments of the São Paulo State Court of Justice between June 1, 2013 and May 31, 2014, and research was carried out on the databases Medline, Pubmed and Lilacs. Results: The plaintiffs were seven (44%) patients, eight (50%) patients and spouse, the defendants were nine (56%) doctors, thirteen (81%) hospitals, eleven (69%) cases in Obstetrics, in five (31%) in Gynecology, the expert evidence found causation in four (25%) cases, no causal link in nine (56%) cases. Conclusion: the profile of litigation showed that the plaintiffs were mostly patients and spouses, the defendants were mostly hospitals, the medical specialty most involved was the Obstetrics, the expert evidence favored the defendant, the cases were dismissed most of the time, damages arbitrated in cases of conviction of the defendant vary between R$ 40,000.00 and R$ 466,500.00.Introdução: a sociedade se preocupa com a atuação do médico desde as civilizações mais antigas. O Código de Hamurabi (1790-1770 a.C.) foi o primeiro documento que fez referência à penalização da atuação médica frente ao dano provocado ao paciente. Atualmente, com a crescente judicialização da Medicina, nota-se um aumento das demandas judiciais indenizatórias por erro médico. Dentre as especialidades médicas com maior número de denúncias está a Ginecologia e Obstetrícia. Objetivo: identificar o perfil das demandas judiciais do Tribunal de Justiça do Estado de São Paulo por responsabilidade civil em casos julgados por erro médico em Ginecologia e Obstetrícia. Material e Métodos: Análise dos processos de primeira instância referenciados em 16 acórdãos do Tribunal de Justiça do Estado de São Paulo entre 01 de junho de 2013 e 31 de maio de 2014 e pesquisa nos bancos de dados Medline, Pubmed e Lilacs. Resultados: os autores foram sete (44%) pacientes, oito (50%) pacientes e cônjuge, os réus foram em nove vezes (56%) os médicos, em treze (81%) o hospital, em onze (69%) na especialidade de Obstetrícia, em cinco (31%) na Ginecologia, a prova pericial verificou nexo de causalidade em quatro (25%) casos, considerou sem nexo de causalidade nove (56%) casos. Conclusão: o perfil das demandas judiciais foi: os autores na sua maioria eram pacientes e cônjuges, na maior parte dos casos o Hospital foi o réu, a especialidade médica mais acionada foi a Obstetrícia, a prova pericial favoreceu o réu, os processos foram julgados improcedentes na maioria das vezes, as indenizações arbitradas nos casos de condenação do réu variaram entre de R$ 40.000,00 e R$ 466.500,00.Universidade de São Paulo. Faculdade de Medicina. Departamento de Medicina Legal, Ética Médica e Medicina do Trabalho.2015-08-25info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionART.application/pdfhttps://www.revistas.usp.br/sej/article/view/10282010.11606/issn.2317-2770.v20i1p15-20Saúde Ética & Justiça ; v. 20 n. 1 (2015); 15-202317-2770reponame:Saúde, Ética & Justiça (Online)instname:Universidade de São Paulo (USP)instacron:USPporhttps://www.revistas.usp.br/sej/article/view/102820/101109Copyright (c) 2015 Saúde, Ética & Justiçainfo:eu-repo/semantics/openAccessSpina, Viviam Paula LucianelliSá, Eduardo Costa2016-02-03T15:49:22Zoai:revistas.usp.br:article/102820Revistahttps://www.revistas.usp.br/sej/indexPUBhttps://www.revistas.usp.br/sej/oairevistasej@fm.usp.br||2317-27701414-218Xopendoar:2016-02-03T15:49:22Saúde, Ética & Justiça (Online) - Universidade de São Paulo (USP)false
dc.title.none.fl_str_mv Profile of civil litigation requirements for medical error claims in Gynecology and Obstetrics in the State of São Paulo
Perfil das demandas judiciais cíveis por erro médico em Ginecologia e Obstetrícia no Estado de São Paulo
title Profile of civil litigation requirements for medical error claims in Gynecology and Obstetrics in the State of São Paulo
spellingShingle Profile of civil litigation requirements for medical error claims in Gynecology and Obstetrics in the State of São Paulo
Spina, Viviam Paula Lucianelli
Erros Médicos
Reponsabilidade Civil
Ginecologia
Obstetrícia.
Medical Errors
Damage Liability
Gynecology
Obstetrics.
title_short Profile of civil litigation requirements for medical error claims in Gynecology and Obstetrics in the State of São Paulo
title_full Profile of civil litigation requirements for medical error claims in Gynecology and Obstetrics in the State of São Paulo
title_fullStr Profile of civil litigation requirements for medical error claims in Gynecology and Obstetrics in the State of São Paulo
title_full_unstemmed Profile of civil litigation requirements for medical error claims in Gynecology and Obstetrics in the State of São Paulo
title_sort Profile of civil litigation requirements for medical error claims in Gynecology and Obstetrics in the State of São Paulo
author Spina, Viviam Paula Lucianelli
author_facet Spina, Viviam Paula Lucianelli
Sá, Eduardo Costa
author_role author
author2 Sá, Eduardo Costa
author2_role author
dc.contributor.author.fl_str_mv Spina, Viviam Paula Lucianelli
Sá, Eduardo Costa
dc.subject.por.fl_str_mv Erros Médicos
Reponsabilidade Civil
Ginecologia
Obstetrícia.
Medical Errors
Damage Liability
Gynecology
Obstetrics.
topic Erros Médicos
Reponsabilidade Civil
Ginecologia
Obstetrícia.
Medical Errors
Damage Liability
Gynecology
Obstetrics.
description Introduction: society concern about doctors’ performance goes far back in history to the most ancient civilizations; the Code of Hammurabi (1790-1770 BC) was the first document that made reference to criminalization of medical action for damage caused to a patient. Currently, with the increasing legal aspects of Medicine, there has been an increase in indemnity demands as a consequence of judicial malpractice. Gynecology and Obstetrics are among the medical specialties with the highest number of complaints. Objective: To identify the profile of litigation of the State Court of São Paulo for civil liability in cases judged as medical errors in Obstetrics and Gynecology. Methods: the first instance processes referenced were analyzed in 16 judgments of the São Paulo State Court of Justice between June 1, 2013 and May 31, 2014, and research was carried out on the databases Medline, Pubmed and Lilacs. Results: The plaintiffs were seven (44%) patients, eight (50%) patients and spouse, the defendants were nine (56%) doctors, thirteen (81%) hospitals, eleven (69%) cases in Obstetrics, in five (31%) in Gynecology, the expert evidence found causation in four (25%) cases, no causal link in nine (56%) cases. Conclusion: the profile of litigation showed that the plaintiffs were mostly patients and spouses, the defendants were mostly hospitals, the medical specialty most involved was the Obstetrics, the expert evidence favored the defendant, the cases were dismissed most of the time, damages arbitrated in cases of conviction of the defendant vary between R$ 40,000.00 and R$ 466,500.00.
publishDate 2015
dc.date.none.fl_str_mv 2015-08-25
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
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dc.identifier.uri.fl_str_mv https://www.revistas.usp.br/sej/article/view/102820
10.11606/issn.2317-2770.v20i1p15-20
url https://www.revistas.usp.br/sej/article/view/102820
identifier_str_mv 10.11606/issn.2317-2770.v20i1p15-20
dc.language.iso.fl_str_mv por
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dc.relation.none.fl_str_mv https://www.revistas.usp.br/sej/article/view/102820/101109
dc.rights.driver.fl_str_mv Copyright (c) 2015 Saúde, Ética & Justiça
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2015 Saúde, Ética & Justiça
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dc.publisher.none.fl_str_mv Universidade de São Paulo. Faculdade de Medicina. Departamento de Medicina Legal, Ética Médica e Medicina do Trabalho.
publisher.none.fl_str_mv Universidade de São Paulo. Faculdade de Medicina. Departamento de Medicina Legal, Ética Médica e Medicina do Trabalho.
dc.source.none.fl_str_mv Saúde Ética & Justiça ; v. 20 n. 1 (2015); 15-20
2317-2770
reponame:Saúde, Ética & Justiça (Online)
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