• Title/Summary/Keyword: Medical mistake

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Research of 3D Information processing for Robot Surgery (로봇 수술을 위한 3차원 구조계산의 필요성 조사)

  • Jung, Jae-Eun;Choi, Seok-Yoon
    • Korean Journal of Digital Imaging in Medicine
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    • v.11 no.1
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    • pp.43-50
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    • 2009
  • Geometry calculation Using Abdominal internal organ image from traditional laparoscopy or robotic surgery system we can make depth informations through measured 3D structure informations is very helpful to doctors, depth information is mare useful then others that use traditional laparoscopy or robotic surgery system to many doctors. however, traditional method are incomplete. less experienced doctors make much mare prohability of mistake. Hence, 3D information of organ is very helpful to the less experienced doctors. it will be greate role of reducing medical accidents and surgical time. We can get 3D informations using geometrical calculation method in robotic surgical system. also suggested method is needed in traditional surgical method without the need to create a new system, finally, We can get 3D information from traditional system without any new system, it take advantage in cost and create high efficiency. mare information will provided to many doctors.

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Review of the Need for Conversion of Proving Responsibility in Hospital Infection and the Duty of Safety Management as the Basis of it (병원감염 사건에서 사실상 증명책임 전환의 필용성 및 그 근거로서 안전배려의무에 관한 검토)

  • Yoo, Hyun Jung
    • The Korean Society of Law and Medicine
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    • v.15 no.2
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    • pp.123-163
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    • 2014
  • As results of analyzing judicial precedents about infection in hospitals in connection with mistakes and causality in medical litigations shows that the Mitigation of Law Principles To Prove responsibility in medical litigation has not been able to play its role compared to its intended purposes. And Major sentiment from those judgments is that a mistake can't be proved only by the fact that certain infection in hospital occurred in connection with hospital infection. Therefore, the number of indirect facts to deny estimation is overwhelmingly high. Like this, especially for hospital infection which is difficult to prove indirect facts themselves to estimate mistake, major sentiment from those judgments have a problem that impute sharing of losses caused by hospital infection to patient. In accordance with the Principles of equitable and proper sharing of losses, it's required to prepare legal interpretation and theoretical methods to largely mitigate patient's responsibility to prove medical mistakes compared to other medical litigations in connection with existing Mitigation of Law Principles To Prove responsibility and conventional theory of estimation. In connection with this, the results of review that duty of safety management in hospital infection cases can be the base of conversion of proving responsibility, the duty that prevent hospital infection, corresponding the duty of safety management in hospital infection is not conventional duty of safety management based on duty of good faith but secondary obligation of medical contract. The breach of duty preventing hospital infection is the violation of medical contract, but there is no logical necessity that convert proving responsibility from the obligation of contract itself. Therefore, the duty of preventing hospital infection from the obligation of medical contract, corresponding the duty of safety management in hospital infection cases cannot be the base of conversion of proving responsibility alone. But, it's still required to conversion of proving responsibility in hospital infection, we need further studies on cases of Germany which applies legal estimation of proving responsibilities in hospital infection.

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Driver's Protection Method of Ambulance Car Accident (응급구조 교통사고에 대한 운전자의 보호방안)

  • Park, Hi-Jin;Kwon, Hayrran;Lee, Young-Hyun
    • The Korean Journal of Emergency Medical Services
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    • v.4 no.1
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    • pp.63-71
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    • 2000
  • Exceptive clause of ambulance stated in Road Traffic Laws of ambulance car accidents is not properly applied and emergency staffs who transfer over 85% of emergency cases are to be forced to start out to the emergency field with unstable conditions which they may be punished on the criminal and civil laws. Hereby this study makes the following suggestions to activate the duties of transferring emergency cases by emergency staffs, promote their morale and diminish the victim of emergency staffs due to traffic accidents. 1) It is prescribed that ambulance car drivers should be protected legally by applying the exceptive clauses thoroughly regulated in special case clauses because ambulance cars are used for the purpose of saving the human life. 2) On the traffic accidents occurred during the transfer of emergency cases, the special insurance system is created for treating the ambulance car accidents, not to bind the emergency staff's mistake to traffic law and the victims are compensated by the nation on the basis of insurance system and emergency staffs have the systematic security. 3) On the road over six lanes, emergency lane is set on the center and ambulance car should be used as the exclusive lane. 4) Ambulance car drivers must have the habit of transferring emergency cases rapidly within the range of legal operation.

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The origin of the word of sunflower (해바라기(향일규(向日葵), 향일화(向日花))의 어원(語源)에 대하여)

  • Kim, Jong Dug;Koh, Byung Hee
    • The Journal of Korean Medical History
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    • v.14 no.1
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    • pp.31-47
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    • 2001
  • According to the customary, naming is done after the subject is in existence. But the name "Haebaragi"(Hyangilgyu, Hyangilhwa) has been used as an alias of Hibiscus manihot L, long before Helianthus annuus L was brought in to Korea, and now the usage of the name has been conversed since then. Since the incorrect record of Gyugwak and Gyuhwa as Haebaragi in "Chosunesajun"(Dictionary of Chosun language) published under Chosunchongdokbu in 1920, the mistake has been carried on and this must be corrected from now on. Incorrect record of hollyhock(Chokgyuwha) as Haebaragi in "Mong-u" (1810) took a role in this incorrect trend.

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Sternalis Muscle Encountered during Immediate Breast Reconstruction: 2 Case Reports (유방절제술 후의 유방재건술 중 발견한 복장근: 2례 보고)

  • Kim, Eun Key;Lee, Taik Jong
    • Archives of Plastic Surgery
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    • v.33 no.1
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    • pp.113-115
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    • 2006
  • The sternalis muscle is an uncommon variation in the anterior chest wall which is located superficial to the pectoralis major, coursing vertically almost parallel to the sternum. It exists unilaterally or bilaterally, as thin muscle strips or a broad band of muscles. We report two cases of skin sparing mastectomy and immediate breast reconstruction in which the sternalis muscle was encountered. This unusual variation might puzzle radiologists to mistake it for a tumor or an abnormal bulging of the pectoralis. Surgeons also must not be surprised to encounter this muscle during surgery of the breast or pectoralis and keep the appropriate dissection plane.

The Development History Of Disease Bi(痞病) Reflected In "Euhakibmun(醫學入門)" ("의학입문(醫學入門)"에 반영된 비병(痞病)의 발전과정(發展過程))

  • Jo, Hak-Jun
    • Journal of Korean Medical classics
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    • v.24 no.5
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    • pp.131-145
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    • 2011
  • I had come at the conclusion of the development history of Disease Bi(痞病) reflected in Yi Cheon (李梴)'s work, "Euhakibmun(醫學入門)" in the respects of the causes, mechanism, symptoms, differential diagnosis and treatments. The causes of Disease Bi(痞病) mentioned at "Euhakibmun(醫學入門)" followed the Ju Dan-Gyeo(朱丹溪)'s theory. The mechanism of it went after the viewpoints of "Nae-Gyeong(內經)", Jang Jung-Gyeong(張仲景), Yi Dong-Won(李東垣) and Wang Ho-Go(王好古). The symptoms of it kept the Ju Dan-Gyeo(朱丹溪)'s theory. Yi Cheon distinguished Disease Bi(痞病) from Gyeol-Hyung(結胸) according to Jang Jung-Gyeong's theory. He knew it from abdominal dropsy(脹滿) according to Ju Dan-Gyeo's theory. He also divided it into two respects of deficiency(虛) and excessive(實) from Yi Dong-Won's viewpoint. Jang Jung-Gyeong first suggested that treatments of it could be selected according to the difference of deficiency, excessive(實), cold(寒), hot(熱), sputum(痰), fluid(飮), blood(血) and food(食). Yi Dong-Won insisted many doctors could make a mistake because they only used herbs for Gi(氣藥) instead of herbs for blood(血藥) together. Wang Ho-Go(王好古) maintained his opinion that treatments of both digestion(消導) and assistance(補益), remedies of bitter and hot herbs can recover patients from Disease Bi(痞病). Yi Cheon followed their theories properly.

A Comparative Analysis about Various Editions of Donguibogam (판본별 교감을 통한 『동의보감』의 정본화)

  • Lee, Jeong-Hyeon;Oh, Junho
    • The Journal of Korean Medical History
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    • v.31 no.1
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    • pp.57-70
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    • 2018
  • Much research has already been done on Donguibogam. However, comparison of specific characters was not done because researchers found it difficult to compare different editions of the text in one place. Recently, important editions have been published on the Internet, making comparison possible. In this paper, researchers compare eight editions Donguibogam, including the original edition published in 1613 and seven other editions corrected by the Naeuiwon (Joseon Dynasty National Medical Center). The comparison results were summarized and tabulated. The results of the comparison are analyzed and presented in this article as a chart. The result of comparing the characters and the analyzed graph were in agreement. The authors propose that all written and electronic publications of Donguibogam should refer to other editions implied, quoted or referenced within the text and including with proper citations, and reference the original and first edition. Inadequate referencing will pollute future knowledge of this foundational text of Traditional Korean Medicine and may result in perpetration of mis-information. Based on accumulated knowledge and study of historical Korean Medicine texts, the Namsan edition made a mistake in the editing process. The year of publication of Gabsul-yoengyoeng-gegan Edition needs to be studied again and corrections made where appropriate.

A Study on Telemedicine Service Issues (원격의료 서비스의 쟁점사항에 관한 연구)

  • Jung, Yong Gyu;Kim, Jang IL;Kwon, Jun Cheol;Choi, Young Jin
    • Journal of Service Research and Studies
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    • v.4 no.2
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    • pp.57-67
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    • 2014
  • Because telemedicine is also the medical care, it is limited by law to allow medical personnel only physician because there would cause a risk to health and hygiene. Since the work dealing with the life and honor the human body involving a small mistake, it may be difficult to recover the damages can be recovered even if the telemedicine. Therefore, systematically it is to allow remote medical care only proven national healthcare only clinical practice starting with basic medical medicine, and received training as a systematic study of the body and life of humans. The patient information could get far away in the distance to provide medical information and professional advice to the remote system, even if you can not be reached due to several issues such as the number of differences that occur in time. We Mentioned various opinions on regulatory issues and information gathered for the development of the medical industry in this respect.

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The Study on the legal System of medical mistake and conflicts -Centering around the methods of a herb doctor's copying with- (의료과오(醫療過誤) 및 분쟁(紛爭)의 법률적체계(法律的體系)에 관한 연구 -한의사의 대처방법(對處方法)에 관하여-)

  • Lee, Sun-Dong
    • The Journal of Korean Medicine
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    • v.18 no.1
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    • pp.101-125
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    • 1997
  • Man pursues health as his basic right. Therefore, the government should try to preserve the right of the people's health and carry out the policy of medical treatment for that. But the system of our medical care is advantageous to the medical institutions, which produce medical goods each people buys and sells freely, more than to the maintenance and improvement of their health. That is to say, the first aim of the institution is not the healthy preservation of the people but their accumulation of riches. The medical conflicts are the social situation which is happening between those who produce medical treatment and the patients who consume it. Its behinning comes from the lack of belief by the inhuman relationship between patients and doctors. According to thelatest investigation, the patients of oriental clinics look more content than those who go to common hospitals. The reasons are as follows; fitness to one's physical constitution, the kind altitude of doctors and the view of oriental medicine toward human body. Though the content degreee is higher than western medicine, such conclusions result from the present condition the number of the patients is less. In short, the first, since the right of patients is higher and the fields make more variors and popular, the conflicts and mistakes go on increasing. The second, in their activity of treatment, the legal importance of atlention and explanatory obligation should be considered seriously so as not to break out medical mistakes. The third, in the center of technical books which are accepted by the academic world, the clinical exertion doing treatment is needful. The fourth, as the direct order of medical justification the self-determination of patients should be respected. The fifth, because the process and record of treatment become important in the time of emergency legally, the conversations and movements as well as the details of treatment must be recorded. The sixth, the academic effort about the settlement institution or the legal system is necessary.

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Judicial Analysis on Supreme Court Precedents Related to Criminal Malpractice and Acceptance of Causal Relation (형사상 의료과실 및 인과관계 인정과 관련된 대법원 판례분석)

  • Park, Young-Ho
    • The Korean Society of Law and Medicine
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    • v.15 no.2
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    • pp.435-459
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    • 2014
  • Supreme Court of Korea has been mitigating the burden of proof on the malpractice and causal relation by a patient in accordance with the practical transfer of such burden of proof on causal relation as well as relieving a doctor's burden of proof on mistake in the civil damage claim suits on the malpractice. However, a prosecutor shall strictly prove the causal relation between malpractice and unfavorable results as well as a doctor's mistake in the criminal cases for making a doctor accept the professional negligence resulting in death or injury in accordance with In Dubio Pro Reo principles. Furthermore, it shall not be allowed to relieve the burden of proof on malpractice and causal relation which has been frequently applied in the civil proceedings. Nevertheless, it was widely known that the front-line courts accepted the malpractice and causal relation by quoting the legal principles on relieving the burden of proof on malpractice and causal relation applied in the civil cases even in criminal cases with no or insufficient proof on malpractice or causal relation. However, the latest precedents in Supreme Court explicitly declared the opinion that there was no reason to apply the legal principle to relieve the burden of proof on the malpractice and causal relation in the criminal cases requiring the proof 'which doesn't cause any reasonable doubt' on malpractice and causal relation in accordance with the legal principles 'favorable judgment for a defendant in case of any doubt' on the basis of the strict principle of 'nulla poena sine lege.' Accordingly, Supreme court definitely clarified that there would be no reason to relieve the burden of proof on malpractice and causal relation in criminal cases by reversing several original judgments accepting malpractice and causal relation even though there were no strict evidence.

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