Perhaps society, most of us at least once experienced what the doctor error. Someone had a late quality medical care — and as a result of an acute illness with a chronic. Someone at the time of tooth extraction, or even where the surgical procedure carried the infection that caused the complications. Some people incorrectly accounted bone after fracture. Someone poured the blood of poor quality. Someone put the wrong diagnosis, without the need to remove the breast or uterus. The consequences of such errors are very different. According to statistics from the World Health Organization (WHO), from medical errors kill more people than traffic accidents. For example, in the United States of wrong diagnosis each year brook 1.5 million (of which die 80-100 thousand) in the UK — almost 850,000 in Australia — 400,000 in Canada — about 185,000.
As the European Commissioner for Health Androulla Vassiliou, EU medication harms approximately every tenth patient. Moreover, the highest rates were observed in young countries of the Union, the lowest — in countries such as the Netherlands, Denmark, Luxembourg, Sweden, Germany.
In Belarus, the official statistics of medical errors do not exist
If you take the post-Soviet space, in Russia, according to official data, every year from poor quality of care 50,000 people die, even more because of the disabled. In Belarus the topic of medical errors can be called closed. Nevertheless the relevance of it can be seen from the data, which from time to time publish the State Service of medical forensic examinations of Belarus. According to him, at the beginning of the century the number of forensic designated law enforcement authorities in cases of improper medical care is increasing by 15-20% annually. In 2000, these investigations were conducted sixty-fifth
In its publication in the pages of a specialized publication "Medical Bulletin" one of the leading medical experts Andrey Fomenko suggested that the official statistics of medical errors do not exist, and the available information about them is "incomplete and inaccurate." At the same time, According to the expert, "the head of every hospital and clinic knows that errors and adverse situation in native medicine — are not uncommon."
According to the data relied upon by the expert Fomenko, "turning to the courts, as a rule, less than 5% of the victims, so it can be expected that the actual number of adverse events in health care in Belarus is much greater."
In the CIS, the first position among the branches of medicine in the number of civil suits is stamatalegiya. In second place — Obstetrics and ginekalegiya (often lekarskie errors here can lead to death or disability), followed anesteziyalegiya and reanimatalegiya, plastic surgery, emergency operating surgery, vascular surgery, aftalmalegiya, kardyyalegiya.
The reasons for this alarming phenomenon experts call a lack of qualified medical personnel.
In Belarus, the last few years, with annual health goes 1,5-1,7 thousand. The rate of the training of doctors, despite the increase in admission to medical schools do not meet the outflow of specialists and their lack of a system of the Ministry of Health. In Belarus, the need for medical personnel and pravizarskih of about 5,000 people, of which 1737 — dedicated experts.
The high number of medical errors can be attributed to lack of funding and medicine. According to the Ministry of Health, for the successful development of the industry on her need to spend 7-8% of GDP. In Belarus, the figure is 4.2% (compared to the U.S. account for 14% of costs in Moldova — 1.6% of GDP).
Meanwhile Moscow-based expert on the Russian Alexander Saversky League of patient names and other reasons, "We have had such effect in the system, which we call the" industry disability community. "
Get effective help in the clinic is very difficult, the experts must be recorded in the months ahead.
"In these circumstances, the person continues to work without attending clinics. Essentially, it is brought to a hospital, where he did not start to heal, but to save them. So the person becomes disabled," — says Saversky.
According to experts, to achieve high-quality medical care without addressing patient safety is impossible. In turn, the Belarusian expert Andrey Fomenko considers it desirable to develop and make the country an effective reporting system, "which will combine the functions of supervision and training of all who stand in the service of health."
What needs to know the patient
A role played by such factors as patient medical culture, knowledge of their rights. Thus, the patient is entitled to expect that the doctor fully inform him about the disease and its possible complications, treatment options for the disease, the possible risks, and the consequences if he refuses the proposed treatment.
In addition, the patient should be aware that it can not be treated against their will. Of course, if this is not mentally ill, whose stay in the community poses a risk. In fact, in these paragraphs rights of Belarusian patients do not differ from those of patients with a number of developed Western countries. Another thing — that the Belarusian patient more limited choice in obtaining medical care. For example, it can get to a hospital exclusively at his residence, while the residents of EU countries have the right to free choice of doctor — though close to home, but in a different city.
Every patient has the right to see your medical history and make a copy of it. At the same time he is the only exception of the doctor, who has access to such information. The disclosure of personal data of patients, their transfer to third parties, for example, the employer is not allowed and may be punishable by the courts.
Patients also the EU have the right to respectful treatment from the medical staff, for example, a doctor and a nurse are required to take into account the religious needs of the patient. Visit the sick in the same German hospital can be at almost any time of the day, of course, if the patient is not in the intensive care unit.
In turn, the same German physician responsible for their actions and, by law, shall be liable for any damage to the health of his patient. The patient has the right to demand satisfaction from the doctor for negligence, misdiagnosis or incorrect treatment. In this case, the amount of compensation can be quite large: it is made and the cost of additional treatment and compensation for lost opportunities, and moral compensation.