Medical Journal of the Islamic Republic Of Iran
مجله پزشکی جمهوری اسلامی ایران
Med J Islam Repub Iran
Medical Sciences
http://mjiri.iums.ac.ir
2
journal2
1016-1430
2251-6840
8
10.18869/mjiri
14
8888
13
en
jalali
1397
11
1
gregorian
2019
2
1
33
1
online
1
fulltext
en
Medical malpractice in Iran: A systematic review
Health System
Health System
Review Article
Review Article
<br>
<strong>Background: </strong>Medical malpractice represents a serious problem in the health system and is one of the risk factors for patient safety which damages the patient and increases costs for the patient and the health care provider. The importance of these complaints against physicians is that litigation may continue for a long time and become problematic for patients and physicians. The objective of this study was to investigate the complaints of medical malpractices which were referred to Iran Medical Council to provide solutions to reduce the complaints and improve service delivery.<br>
<strong>Methods:</strong> Embase, PubMed/MEDLINE, ISI/Web of Science (WOS), Scopus, and Iranian databases, such as MagIran, SID, and Irandoc, were searched from 01/01/1990 to 07/01/2018. Also, the grey literature (via Google Scholar) was searched. Studies written in English or in Persian were searched, and keywords used included malpractice, negligence, medical malpractice, physician impairment, Iran, and professional impairment.<br>
<strong>Results: </strong>Nearly 1455 complaints (36%) of the total number of 3977 complaints were proved to be medical malpractice, and physicians were acquitted in 2542 (64%) cases. Most complaints were from gynaecologists, accounting for 43% of all complaints, followed by orthopaedic specialists who ranked second with 21.4% of the total complaints. The most type of failure was due to lack of skill (30.4%), followed by negligence (29.2%). Imprudence or indiscretion (26.3%) and noncompliance with governmental requirements (14.1%) were also in the next ranks, respectively.<br>
<strong>Conclusion:</strong> Improving patient and physician relationships, observing medical ethics, increasing the scientific and technical skills of the medical staff, and following the guidelines and medical protocols will prevent medical malpractice. Therefore, health policymakers can reduce errors and failures by adopting continuing education on medical, ethical, and legal issues.<br>
Medical malpractice, Iran, Health system
659
665
http://mjiri.iums.ac.ir/browse.php?a_code=A-10-4545-1&slc_lang=en&sid=1
Pouran
Raeissi
raeissi2009@yahoo.com
200319475328460062389
5484-0058-5464-8787
No
Department of Health Services Administration, School of Health Services Management and Medical Information Sciences, Iran University of Medical Sciences, Tehran, Iran
Masood
Taheri mirghaed
masood.mirghaed@gmail.com
200319475328460062390
200319475328460062390
Yes
Department of Health Services Administration, School of Health Services Management and Medical Information Sciences, Iran University of Medical Sciences, Tehran, Iran
Razieh
Sepehrian
Sepehrian90@gmail.com
200319475328460062391
4644-7878-8857-8875
No
Department of Health Services Administration, School of Health Services Management and Medical Information Sciences, Iran University of Medical Sciences, Tehran, Iran
Mahnaz
Afshari
mahnazafshar89@gmail.com
200319475328460062392
8966-4535-5544-5447
No
Department of Health Services Administration, School of Health Services Management and Medical Information Sciences, Iran University of Medical Sciences, Tehran, Iran
Mohammad Reza
Rajabi
rajabim2000@yahoo.com
200319475328460062393
8646-8978-5634-5453
No
Department of Nephrology and Cardiology, Faculty of Medicine, Shahed University, Tehran, Iran