• Title/Summary/Keyword: 의료과오

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Convergence Factors Influencing on Perception of Medical Errors Report Related to Patient Safety of Healthcare Workers in a General Hospital (일개 종합병원 의료종사자들의 환자안전과 관련된 의료과오보고 인식에 영향을 미치는 융합요인)

  • Kang, Jung-Mi;Kwon, Jeong-Ok
    • Journal of the Korea Convergence Society
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    • v.9 no.8
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    • pp.61-70
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    • 2018
  • The purpose of this study was to identify the of patient safety related to perception of Hospital environment, Organizational culture, Reporting system and Factors Influencing on Perception of Medical Errors Report Related to Patient Safety of Healthcare Workers in a General Hospital. Healthcare Workers in a General Hospital in B City who signed on the written consent participated in this study between February 12 and 28, 2017. A total of 244 copies were collected and were analyzed using the SPSS 22.0 program. The result mean score perception of Hospital environment was 3.26(${\pm}0.31$)point on a scale of 0 to 5, and Organizational culture 3.74(${\pm}0.54$)point, Reporting system 3.64(${\pm}0.57$)point. Factors influencing on perception of medical errors report is sex(${\beta}=.137$, p=.023), Type of occupation(${\beta}=289$, p=.001), Department of Nursing(${\beta}=-.196$, p=.023), Hospital environment(${\beta}=.327$, p=<.001), Organizational culture(${\beta}=.288$, p=<.001). Therefore management and hospital management efforts should be made to establish a system that enables healthcare workers to report without fear of medical errors reporting, and appropriate staffing and open communication.

A study on the Shift of Burden of Proof in Medical Malpractice - Ruling of Jeonju Appellate Court 2017Na9346 - (의료과오소송에서의 증명책임에 대한 소고 -전주지방법원 2017. 7. 21. 선고 2017나9346판결-)

  • Lee, Soo-Kyoung;Yoon, Seok-Chan
    • The Korean Society of Law and Medicine
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    • v.22 no.2
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    • pp.49-79
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    • 2021
  • Due to defendant's wrongful act by implant surgery, plaintiff has been suffered serious damages to his face and teeth, and pain caused by establishing implanted teeth. Jeonju Appellate Court sentenced to pay future medical expenses and alimony to the plaintiff in compensation for breach of duty or torts. The ruling is designed to relieve the burden of proof because it is extremely difficult for non-experts to determine whether dentists violated their 'duty of care' or whether there was a causal relationship between damages to medial treatment. It was judged that if symptoms that contributed to the patient's significant outcome occurred during or after surgery, such symptoms could be presumed to have been caused by medical negligence if indirect facts were proven to be other than medical negligence. Originally, the shifting of burden of proof in Germany, has already been developed in medical malpractice case since 1940s. In order to guarantee the patients' right, §630h German Civil Code (BGB) - presumption of negligence in the realization of controllable risk- has been also legislated. BGH (Bundesgerichtshof) has been interested in ensuring that the principle of equality between patients and doctors. So, in this study, we wanted to refer to German precedent cases to analyzing Korean medical malpractice lawsuit. In particular, the decision could be significant in that it approaches closer to allows the shifting burden of proof in drastically growing dental malpractice cases. This is clearly confirmed in the judgment of the dentist's "fault" that "if indirect facts about the symptom or occurrence are proven to be cause other than medical negligence, such symptoms can be presumed to be due to medical negligence."

CT and MRI Features of Middle Ear Fibrous Hamartoma of Infancy: A Case Report (중이에서 발견된 영유아 섬유성 과오종의 영상 소견: 증례 보고)

  • Sang Hun Baek;Sanghyeon Kim;Kyungjae Lim
    • Journal of the Korean Society of Radiology
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    • v.83 no.2
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    • pp.420-424
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    • 2022
  • Fibrous hamartoma of infancy in the middle ear is extremely rare. We report the case of a 26-month-old male patient who presented with a mass in the left middle ear. A temporal bone CT scan showed complete opacification of the left middle ear and mastoid air cells without ossicular erosion. On MRI, the mass revealed heterogeneous signal intensities indicative of fat and fibrous components. A definitive diagnosis was made postoperatively based on the histological results. Although rare, fibrous hamartoma of infancy should be considered as a differential diagnosis of a middle ear mass during childhood.