Tuesday, November 7, 2006 12:09:24 Pdpersi, Jakarta - I have diabetes and kidney disease was about 10 years, I have been teratu treatment at a hospital in Jakarta. I examined the two groups of specialist doctors, namely for Diabetes and Kidney. My brother has a disease Hypertension, also was treated regularly since 7 years ago at a hospital in Bandung.
During this from experience we have the impression, hospital and physician groups that serve me and my family, we have given the value of excellent service. Sometimes things go wrong, but as explained at length so it was not kesalaan, but our understanding is not correct, for example, found a variety of symptoms of the disease. But I am concerned, on the other hand in many mass media called "malpractice", I am a bit confused because our family experience contrary to what the mass media reported. Notice that it is making faces perumahsakitan / doctor became very negative, but our experience as well as my friends did not. But it may be some things that are in the form of malpractice. I want to ask, what exactly is "malpractice", I also sometimes read the term "medical errors". I hope that the explanation of PERSI. (Achmad TJ, Kelapa Gading) Explanation: Yth. Sdr. Achmad Tj, Kelapa Gading, thanks for the question about Mr. malpractice. From the letter you, I conclude that there are contradictions between personal experiences and family of Mr. hospital services and physician with a description given by certain people and the media who recently blamed rampant Hospital (Hospital) or a doctor who does malpractice . Civil confused and ask for an explanation of what exactly is malpractice, and whether it is as bad as depicted in the practices of our health service today. The explanation below sedapatnya intended for, albeit in a limited space, providing insight / perception is correct about things pertaining to malpractice, thus hopefully help to reduce confusion / confusion that occurred. Introduction: Before explaining about medical malpractice and errors, I want to make some introductory notes. First: About the doctor-patient relationship. The relationship between treatment and cases which have treated thousands of years of tradition, since the treatment is still in a way "primitive" to the science and medical technology evolved into sophisticated now. Loyalty to the Civil Hospital and the same doctor in Jakarta for 10 years (and his older brother to the hospital and doctor in Bandung during the 7 years) course is built upon the foundation of mutual trust, mutual respect, and shared responsibility between doctors and patients. The things that characterizes the so-called professional interaction doctor-patient relationship is traditional. Second: About the institutionalization of health services. In modern times, more health services tend to be institutional. That is, examination and treatment measures are no longer dilaukan by one doctor to a patient in private practice or a patient's home. Inspection, maintenance, medical and support actions conducted in medical institutions such as health, specialist clinics, general hospitals, special hospitals, or other institutions. Of this institutional services become more complicated because it involves more elements of new resources (including the latest technology, new systems, new drugs, etc.) and new processes are performed by the patient More energy other professions in addition to physicians involved in patient management. Doctors also do not work alone anymore, but in a team bonding together with other specialists or consultants. Therefore, the nature of the doctor-patient relationship is traditional to wear off, because a doctor is no longer the only factors that determine the success-or failure-of a medical act. Third: About the risk of clinical services in an institution. Clinical farm is a complex process and prone to risks. Risk is the potential for clinical outcome (in the language of medicine called outcomes) is not expected from a clinical process. Outcome The most dramatic impact is if the patient's family to permanent disability or death. But it also dramatically impact the professional staff and for the institutions concerned. The risk can stem from many factors: the perpetrators of the action team, infrastructure / facilities / equipment / technology support system, the action itself, drugs or other materials used, and sometimes the patients themselves as objects of care (such as a too early age or too much information, the primary disease or other chronic diseases that accompany, personal vulnerability to drugs or other substances, behavior, etc.). Can be said of all the clinical process for patients there is a potential risk. Risk can be low (Low Risk) or high (High Risk), previously known or tida, predictable or not, can be overcome if it happens or not even attempted as much as possible, and even though the risks may occur and can not be explained why the tragedy of clinical certain unwanted happens. So it is not fair and a priori to have been accused of medical mal practice or medical errors (= error procedure) is generally straight first addressed to specific actors, who operate such patients. It was a "social verdict" due to court by NGOs or the Mass Media. And as described above, there are many factors that can produce clinical outcomes that are not expected. Mal practice Now about the main topic: Mal Practice is the notion Medico Legal. This means that the legal issues that arise related to or as a result of medical services to patients. Mal means bad or wrong. So Mai Medical Practice is a bad practice or wrong. Because plus Medical said, people usually directly interpreted as a mistake by the doctor practices. Padalah-as explained above, doctors are not the only determining factor in the hospital about the patient's outcome. The use of the term immediately Mal Practice (eg mass media) in certain cases by referral to a particular health care provider is violating the principle of legal presumption of innocence. Mal Practice existence must be proved with the four following legal criteria: • There are duty of care This means that the doctor or hospital shall submit claims to the patient's care. This is not difficult to prove. Once registered psien and doctors started doing the questions and answers, is there a medical contract or contracts between doctors and the treatment of patients, though not written. Medical contract means the doctor / hospital promised to do their best and the patient promises to follow the directions and treatment given doctor. • There's breach of duty means that the doctor / hospital does not perform duties as they should. Form of breach or violation is: 1. Mistake / error (error of commission, medical errors) in the medical actions, such as error diagnosis, interpretation of the results of investigations, indication of action, action does not match the standards of service, medication errors, transfusion errors, etc. 2. Severe negligence (gross neglicence, error of emission). Not doing the things that should be done according to the principles and standards of good medical practice. • There were injuries (harm, damage) in patients, in the form of physical injury, psychological, mental, until the heaviest if patients remain disabled or die. • There is a direct causation between grains 2 and 3, meaning injury to the patient is due to breach of duty on the health care provider. This is the most difficult to prove. Thus, the above descriptions may provide clarity. Wassalam
