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1.
N Z Med J ; 132(1488): 49-54, 2019 01 18.
Artigo em Inglês | MEDLINE | ID: mdl-31851661

RESUMO

AIM: To describe disciplinary cases for inappropriate prescribing of drugs of dependence by doctors in New Zealand, 1997-2016. METHODS: A retrospective analysis of disciplinary decisions to describe characteristics of cases (setting, drugs, outcome) and doctors (sex, specialty, years since qualification). RESULTS: There were 25 disciplinary decisions involving 24 doctors. Disciplined doctors were mostly male (19;76%), working in general practice (19;76%), and older (mean 24 years in practice). Pharmacists were the most common source of notification to the authorities (6;24%); medical colleagues reported only four (16%). The alleged misconduct often involved behaviour in addition to inappropriate prescribing. In all cases the doctor was found guilty of professional misconduct. Penalties were severe: six doctors were removed from practice, 11 were suspended, and of the remainder all but one had restrictions on practice imposed. In many decisions there was no patient harm documented. CONCLUSION: Disciplinary cases for inappropriate prescribing of drugs of dependence by doctors in New Zealand are not common, but the consequences can be dire. The role of discipline in doctors with drug dependence is unclear.


Assuntos
Prescrição Inadequada , Médicos/legislação & jurisprudência , Padrões de Prática Médica/legislação & jurisprudência , Má Conduta Profissional/legislação & jurisprudência , Feminino , Humanos , Prescrição Inadequada/economia , Prescrição Inadequada/legislação & jurisprudência , Masculino , Nova Zelândia/epidemiologia , Estudos Retrospectivos , Transtornos Relacionados ao Uso de Substâncias
2.
Br J Nurs ; 28(14): 955, 2019 Jul 25.
Artigo em Inglês | MEDLINE | ID: mdl-31348710

RESUMO

Sam Foster, Chief Nurse, Oxford University Hospitals, reflects on the responsibility employers have to ensure that disciplinary procedures and processes are fit for purpose.


Assuntos
Disciplina no Trabalho/normas , Enfermeiras e Enfermeiros/legislação & jurisprudência , Medicina Estatal/organização & administração , Competência Clínica/legislação & jurisprudência , Humanos , Má Conduta Profissional/legislação & jurisprudência , Sociedades de Enfermagem , Reino Unido
3.
J Leg Med ; 39(1): 15-34, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31141457

RESUMO

Medical regulators have a responsibility to protect, promote, and maintain the health and safety of patients. Here, we compare and contrast the processes for addressing concerns about doctors in four countries with legal systems based on English common law: the UK, Australia, the United States, and Canada. The legal provisions underpinning each jurisdiction's disciplinary processes depict distinctive outlooks from the different authorities as each works toward the same goal. The initial stages of the investigation process are broadly similar in all of the jurisdictions examined. Each process, however, has subtle differences with regard to its comparators. Factors include how matters of discipline are framed, the constitution of disciplinary panels, and how the perceived independence of these panels all philosophically affect the public safety remit of each regulator. This work constitutes the first comparison of international regulatory frameworks for the profession of medicine.


Assuntos
Disciplina no Trabalho/legislação & jurisprudência , Médicos/legislação & jurisprudência , Médicos/normas , Garantia da Qualidade dos Cuidados de Saúde/legislação & jurisprudência , Garantia da Qualidade dos Cuidados de Saúde/normas , Austrália , Canadá , Humanos , Internacionalidade , Jurisprudência , New York , Segurança do Paciente , Inabilitação do Médico/legislação & jurisprudência , Má Conduta Profissional/legislação & jurisprudência , Responsabilidade Social , Reino Unido
5.
J Forensic Leg Med ; 65: 1-4, 2019 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-31009838

RESUMO

Article 2 of the European Convention of Human Rights (ECHR) protects the Right to Life that is invoked in an inquest where the diseased has expired in circumstances of custody or control by an agency of state. The High Court in 2012 ordered the second inquest in the Hillsborough case where the correct directions to the jury were read as to when there is a breach of such a duty. The inquest findings resulted in criminal charges being brought against two former senior police officers, who were indicted linked to the disaster. This paper examines the inquest process where there is a jury and considers the framework of the Coroners Court in the context of Article 2 where death has occurred under circumstances of duress.


Assuntos
Médicos Legistas/legislação & jurisprudência , Polícia/legislação & jurisprudência , Lesões por Esmagamento/mortalidade , Desastres , Direitos Humanos/legislação & jurisprudência , Humanos , Má Conduta Profissional/legislação & jurisprudência , Futebol , Reino Unido
9.
Am J Bioeth ; 19(1): 16-34, 2019 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-30676904

RESUMO

Serious ethical violations in medicine, such as sexual abuse, criminal prescribing of opioids, and unnecessary surgeries, directly harm patients and undermine trust in the profession of medicine. We review the literature on violations in medicine and present an analysis of 280 cases. Nearly all cases involved repeated instances (97%) of intentional wrongdoing (99%), by males (95%) in nonacademic medical settings (95%), with oversight problems (89%) and a selfish motive such as financial gain or sex (90%). More than half of cases involved a wrongdoer with a suspected personality disorder or substance use disorder (51%). Despite clear patterns, no factors provide readily observable red flags, making prevention difficult. Early identification and intervention in cases requires significant policy shifts that prioritize the safety of patients over physician interests in privacy, fair processes, and proportionate disciplinary actions. We explore a series of 10 questions regarding policy, oversight, discipline, and education options. Satisfactory answers to these questions will require input from diverse stakeholders to help society negotiate effective and ethically balanced solutions.


Assuntos
Análise Ética , Ética Médica , Prescrição Inadequada/estatística & dados numéricos , Licenciamento em Medicina/legislação & jurisprudência , Imperícia/estatística & dados numéricos , Médicos/legislação & jurisprudência , Má Conduta Profissional/estatística & dados numéricos , Delitos Sexuais/estatística & dados numéricos , Disciplina no Trabalho , Humanos , Prescrição Inadequada/ética , Prescrição Inadequada/legislação & jurisprudência , Licenciamento em Medicina/ética , Licenciamento em Medicina/estatística & dados numéricos , Imperícia/legislação & jurisprudência , Médicos/ética , Má Conduta Profissional/ética , Má Conduta Profissional/legislação & jurisprudência , Delitos Sexuais/ética , Delitos Sexuais/legislação & jurisprudência , Estados Unidos
17.
Fertil Steril ; 110(6): 1012-1016, 2018 11.
Artigo em Inglês | MEDLINE | ID: mdl-30396537

RESUMO

Professionals who discover misconduct or other undisclosed information that would be material to the participation of another party (such as a donor, gestational carrier, intended parent, or lawyer) in an assisted reproductive technology arrangement should encourage disclosure to that party. In some instances, it is ethically permissible for the physician either to disclose material information to the affected party or to decline to provide care. In all cases involving the legal status or rights of the parties, referral to legal professionals is advised. This document replaces the document of the same name, last published in 2014 (Fertil Steril 2014;101:38-42).


Assuntos
Comissão de Ética/ética , Má Conduta Profissional/ética , Técnicas de Reprodução Assistida/ética , Consentimento do Representante Legal/ética , Doação Dirigida de Tecido/ética , Doação Dirigida de Tecido/legislação & jurisprudência , Comissão de Ética/legislação & jurisprudência , Feminino , Humanos , Masculino , Papel do Médico , Má Conduta Profissional/legislação & jurisprudência , Técnicas de Reprodução Assistida/legislação & jurisprudência , Mães Substitutas/legislação & jurisprudência , Consentimento do Representante Legal/legislação & jurisprudência
19.
Sud Med Ekspert ; 61(3): 44-48, 2018.
Artigo em Russo | MEDLINE | ID: mdl-29863720

RESUMO

The objective of the present study was to elucidate the characteristic features and peculiarities in the dynamic of the civil legal proceedings concerning the quality of the stomatological aid to the population of the Russian Federation during the period from 1993 to 2017. We have undertaken the analysis of the official sources containing the court reports on the statements of claim launched by the patients. The study gave evidence of the currently well apparent sustained tendency toward the increase in the number of such civil lawsuits. The probabilities of legal proceedings in connection with the unfavourable outcomes of the dental treatment are roughly identical in all areas of the stomatological practice. The maximum number of the respective civil lawsuits arise from the claims of the patients against the dental surgeons employed by the healthcare settings designated as the limited liability companies. The majority of the statements of case coming from the patients contain the demanding financial claims for the compensation of the moral damage. It is concluded that the aforementioned tendencies in the strategy of the development of the stomatological aid for the population of the Russian Federation dictate the necessity of the priority development of the quality standards (including the clinical guidelines, protocols, etc.) designed to improve the medical assistance for the patients presenting with dental problems, the modernization of the validated methods for the evaluation of the effectiveness of the stomatological aid for the population, the implementation of the measures needed to introduce the mechanisms of professional liability insurance into the routine stomatological practice. These measures are believed to allow to meet the demand of the population of this country for the high-quality stomatological services.


Assuntos
Serviços de Saúde Bucal , Responsabilidade Legal , Má Conduta Profissional , Serviços de Saúde Bucal/legislação & jurisprudência , Serviços de Saúde Bucal/normas , Humanos , Má Conduta Profissional/legislação & jurisprudência , Má Conduta Profissional/estatística & dados numéricos , Melhoria de Qualidade , Federação Russa
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