Cause-effect relations between defects of medical care and lethal outcome

Authors

Argam Hovsepyan, PhD
Director of the National Bureau of Expertises, National Academy of Sciences, Yerevan, Armenia

Rouben Hovhannesyan, PhD
Professor, Head of the Chair of Biomedicine, Yerevan State University, Yerevan, Armenia

Karen Mkhitaryan
Head of Forensic Medical Department of the National Bureau of Expertises, National Academy of Sciences, Yerevan, Armenia

DOI: https://doi.org/10.34836/pk.2020.310.4

Summary

The article discusses the issues of identifying and determining the cause-effect relations between defects in the provision of medical care and lethal outcome based on the materials of commission forensic medical expertise. In the presence of defects in the provision of medical care in 30.3% of cases a cause-effect relation was detected between the frequency of defects in medical care and the likelihood of lethal outcome. The likelihood of the occurrence of lethal outcome was most influenced by defects in diagnosis (RR = 2.41) and treatment (RR = 15.65).

Key words: defects in diagnosis, defects in treatment, defects in the organization of medical care; defects in maintenance of medical records, lethal outcome, inadequate medical care, relative risk