Differentiating Medical Malpractice From Medical Complications

  • Hrvoje Vojković
Keywords: Medical Malpractice, Medical Complication, Civil Liability of Medical Practitioners, Medical Law, Civil Law

Abstract

Determining the notion of medical complications leads to differentiating in particular complications that are the unwanted result of a medical procedure. In particular, the factual and medical cause is to be sought in the nature of the damage and the circumstances of its onset through no fault of the physician, from those complications that are the undesired consequence of unprofessional medical care. In the latter case law theory and practice recognizes a situation that is standing in a causal relationship with legally relevant damages and which makes the medical practitioner civilly liable for harmful consequences. Therefore, complications in medical treatment procedures are a harmful event occurring in the medical treatment of a patient which is caused by the undesired and unavoidable course of illness/injury or the patient’s overall state of health, despite the fact that the medical treatment was performed completely lege artis, and in accordance with moral and ethical principles of the healthcare profession and standards in modern medical science.

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References

Legislation

Healthcare Protection Act, Official Gazette no. 150/08, 155/09, 71/10, 139/10, 22/11, 84/11, 154/11, 12/12, 35/12, 70/12 and 144/12.

Litigation Proceedings Act (Official Gazette nos. 53/91, 91/92, 112/99, 129/00, 88/01 and 117/03).

Obligatory Relations Act, Official Gazette nos. 53/91, 73/91, 111/93, 3/94, 7/96, 91/96, 112/99 and 88/01.

Physicians Act, Official Gazette no. 121/03 and 117/08.

Overview of court practice

Republic of Croatia:

Constitutional Court of the Republic of Croatia, no. U-III-1062/2005 of 15 November 2007

Supreme Court of the Republic of Croatia, Rev 20/2009-2 of 05/10/2012

Supreme Court of the Republic of Croatia, Rev 39/2006-2 of 14 February 2006

Supreme Court of the Republic of Croatia, Rev 265/12-2 of 28 February 2012

Supreme Court of the Republic of Croatia, Rev 397/06-2 of 28 June 2006

Supreme Court of the Republic of Croatia, Rev 876/06-2 of 10 January 2007

Supreme Court of the Republic of Croatia, Rev 985/07-2 of 28 November 2007

Supreme Court of the Republic of Croatia, Rev 1217-2

Supreme Court of the Republic of Croatia, Rev 1216/06-2 of 11 July 2007

Supreme Court of the Republic of Croatia, Rev 1221/01-2 of 20 January 2004

Supreme Court of the Republic of Croatia, Rev – x 56/2011-2 of 31 August 2011

County Court in Bjelovar, Gž-2153/08-2 of 19 February 2009

County Court in Zagreb, Gž-1938/99 of 14 March 2000

Slovenia:

Supreme Court of the Republic of Slovenia, II Ips 385/2006 of 21 November 2008

United Kingdom

Smith v. National Health Service Litigation Authority [2001] Lloyd's Rep Med 90

References

Arlen, J. (2010) Contracting over Liability: Medical Malpractice and the Cost of Choice, University of Pennsylvania Law Review, 158(4), pp. 927-1023.

Arlen, J. (2013) Economic Analysis of Medical Malpractice Liability and its Reform. New York University Public Law and Legal Theory Working Papers, Paper 398, retrieved from: http://citeseerx.ist.psu.edu/viewdoc/download?doi=10.1.1.828.1313&rep=rep1&type=pdf (January 05, 2019).

Budak, J. (2014) Ocjena pacijenata o kvaliteti rada zdravstvenog osoblja, In: Vehovec, M. (ed.) O zdravstvu iz ekonomske perspektive (Zagreb: Ekonomski institut).

Crnić, I. (2009) Odgovornost liječnika za štetu (Zagreb: Organizator).

Ćepulić, E. (2007) Profesionalna odgovornost liječnika i skandinavski model osiguranja liječnika (nofault compensation system), lecture presented at Simpozij Profesionalna odgovornost liječnika (Hrvatska liječnička komora. Zagreb).

Domljan, Z. (2006) Komplikacija ili propust u dijagnostici i liječenju, Liječničke novine, 54.

European comission (2006) Medical errors: Special Eurobarometer 241/64.1 and 64.3 – TNS: opinion and social, medical error, retrieved from: http://ec.europa.eu/commfrontoffice/publicopinion/archives/ebs/ebs_241_en.pdf (March 20, 2019)

Fattorini, P., Peretti, A., Bergamini, P. & Valentini, R. (2007) Casistica ortopedica dell' osservatorio GISDI, Medical malpractice daily. Supplemento di Medicina Legale Quaderni Camerti, reg. Trib. Di Camerino.

Ferrara, S. D., Boscolo-Berto., R. & Viel, G. (eds.) (2013) Malpractice and Medical Liability (Berlin: Springer).

Flis, V. (2008) Medicinska napaka, In: Reberšek Gorišek, J., Rijavec, V., Flis, V., Planinšec, V., Kraljić, S., Peršuh, M., Gadžijev, E., Rudolf, C. & Repas, M. (eds.) Medicina in pravo – sodobne teme (Maribor: Pravna fakulteta), pp. 233-244

Grubb, A. (ed.) (2004) Principles of medical law (2nd ed.) (Oxford: Oxford University Press).

Kennedy I. (1985) England, In: Deutsch, E. & Schreiber, H.(eds.) Medical Responsibility in Western Europe: Research Study of the European Science Foundation (Berlin: Springer).

Klarić, P., & Vedriš, M. (2003) Građansko pravo (7. izmijenjeno i dopunjeno izd.) (Zagreb: Narodne novine).

Lewis, M. (2012) Medical malpractice costs continue to climb, Medical Economics, 11. Jan. 2012, retrieved from: https://www.medicaleconomics.com/articles/medical-malpractice-costs-continue-climb%20 (January 05, 2019).

Petrić, S. (2005) Građanskopravna odgovornost zdravstvenih djelatnika, Zbornik Pravnog fakulteta Sveučilišta u Rijeci, 26(1), pp. 81-145.

Schiemann, G. (1981) Argumente und Prinzipien bei der Fortbildung des Schadensrechts (München: Beck).

Škavić, J. & Zečević, D. (2008) Komplikacija i greška – sudskomedicinski pristup. In :Barbić, J. (ed.), Građanskopravna odgovornost u medicini: okrugli stol održan 27. 2. 2008. u HAZU (Zagreb: Hrvatska akademija znanosti i umjetnosti).

Tarantino, U., Giai Via, A., Macri, E., Eramo, A., Marino, V. & Marsella, L. T. (2013) Profesional Liability in Orthopaedics and Traumatology in Italy, Clinical Orthopaedics and Related Research, 471(10), pp. 3349-3357, doi: 10.1007/s11999-013-3165-6.

Traina, F. (2009) Medical Malpractice: the experience in Italy, Clinical Orthopaedics and Related Research, 467(2), pp. 434-442, doi: 10.1007/s11999-008-0582-z.

Virchow, R. (1879) Gesammelte Abhandlungen aus dem Gebiete der öffentlichen Medizin und Seuchenlehre (Vols. 1-2) (Berlin: Hirschwald).

Published
2019-04-26
How to Cite
Vojković H. (2019). Differentiating Medical Malpractice From Medical Complications. Medicine, Law & Society, 12(1), 39-64. https://doi.org/10.18690/mls.12.1.39-64.2019
Section
Articles