

Professional responsibility of a medical professional and patient safety from the perspective of a clinician
https://doi.org/10.21508/1027-4065-2024-69-4-5-10
Abstract
Responsibility of medical professionals has been discussed with varying degrees of intensity for many years among healthcare professionals and in the media. The established practice of holding a medical professional accountable when claims are received from patients and their legal representatives in the event of unfavorable treatment outcomes indicates that the guilt of a specialist in most cases is determined by his or her actions or inactions. The authors give arguments and discuss that, along with errors that occur directly to the medical professional, there are factors that influence the outcome of the treatment, including those caused by the characteristics of the patient himself, which cannot be foreseen and which generally remain unknown to the society.
Keywords
About the Authors
V. V. LazarevRussian Federation
Moscow
A. I. Krapivkin
Russian Federation
Moscow
References
1. Cornock M. Legal principles of responsibility and accountability in professional healthcare. https://oro.open.ac.uk/49089/3/Legal%20principles%20of%20responsibility%20and%20accountability%20in%20healthcare.pdf
2. Crimes in medicine. (in Russ.) https://zdrav.expert/index.php/
3. Criminal liability of a medical worker: when does treatment become a crime? (in Russ.) https://www.garant.ru/article/1626099
4. Gorbachev V.I., Utkin N.N., Netesin E.S., Gorbachev S.V., Malygina A.V., Lavrentyev A.M., Urbazaev A.A. Criminal cases against anesthesiologists and resuscitators in Russia for 2019–2022: a retrospective observational study. Vestnik intensivnou terapii im. A.I. Saltanova 2024; 2: 54–61. (in Russ.) URL: https://intensive-care.ru/index.php/acc/article/view/566
5. Rosen M.A., DiazGranados D., Dietz A.S., Benishek L.E., Thompson D., Pronovost P.J., Weaver S.J. Teamwork in health-care: Key discoveries enabling safer, high-quality care. Am Psychologist 2018; 73(4): 433–450. DOI: 10.1037/amp0000298
6. Elendu C., Amaechi D.C., Elendu T.C., Jingwa K.A., Okoye O.K., John Okah M. et al. Ethical implications of AI and robotics in healthcare : A review. Medicine (Baltimore). 2023; 102(50): e36671. DOI: 10.1097/MD.0000000000036671
7. The professionals decide. (in Russ.) https://medvestnik.ru/content/articles/Reshaut-professionaly.html
8. Gritsenko I.Yu. Criminal liability of medical workers. (in Russ.) https://www.arfpoint.ru/wp-content/uploads/2018/08/ugolovnaja-otvetstvennost-medicinskih-rabotnikov-kor.-1.pdf
9. Nagornaya I.I. Criminal liability for professional crimes of medical workers: a new approach. Rossiiskii yuridicheskii zhurnal, 2021; 1: 147–157. (in Russ.)
10. Guerra F., Guzzo A.S., La Rosa P., Miatto I., Vergati D., Miredi F. et al. Risk management and Healthcare responsibility. How to guarantee legal protection in Medicine. Clin Ter, 2021; 171(1): e63–e66. DOI: 10.7417/CT.2021.2285
11. van Dijke I., van El C.G., Lakeman P., Goddijn M., Rigter T., Cornel M.C., Henneman L. Dynamics of reproductive genetic technologies: Perspectives of professional stakeholders. PLoS One, 2022; 17(6): e0269719. DOI: 10.1371/journal.pone.0269719
12. Mironova O.Yu., Berdysheva M.V., Elfimova E.M. MicroRNA: a clinician’s view of the problem. Part 1. History of the issue. Evraziiskii kardiologicheskii zhurnal 2023; 1: 100–107. (in Russ) DOI: 10.38109/2225–1685–2023–1–100–107
13. Collado A., Jin H., Pernow J., Zhou Z. MicroRNA: A mediator of diet-induced cardiovascular protection. Curr Opin Pharmacol, 2021; 60: 183–192. DOI: 10.1016/j.coph.2021.07.022
14. Zobeiri M., Parvizi F., Kalhori M.R., Majnooni M.B., Farzaei M.H., Abdollahi M. Targeting miRNA by Natural Products: A Novel Therapeutic Approach for Nonalcoholic Fatty Liver. Evid Based Complement Alternat Med, 2021; 2021: 6641031. DOI: 10.1155/2021/6641031
15. Chevillet J.R., Lee I., Briggs H.A., He Y., Wang K. Issues and prospects of microRNA-based biomarkers in blood and other body fluids. Molecules 2014; 19(5): 6080–6105. DOI: 10.3390/molecules19056080
16. Chernevskaya E.A., Beloborodova N.V. Gut microbiota in critical illness (review). Obshhaja reanimatologija 2018; 14(5): 96–119. (in Russ.) DOI: 10.15360/1813–9779–2018–5–96–119
17. Kim J.H. Medical professionalism-on social responsibilities viewed from historical perspective. Korean J Gastroenterol 2015; 65(3): 165–172. DOI: 10.4166/kjg.2015.65.3.165.
18. Working Party of the Royal College of Physicians. Doctors in society. Medical professionalism in a changing world. Clin Med (Lond) 2005; 5(6 Suppl 1): S5–40.
19. Romanovsky N.V. Interfaces of sociology and cyberspace. Sotsiologicheskie issledovaniya 2000; 1: 16–23. (in Russ.)
20. Chua G.-P. Challenges confronting the practice of nursing in Singapore. Asia Pac J Oncol Nurs 2020; 7(3): 259–265. DOI: 10.4103/apjon.apjon_13_20
21. Alexandrova O.A., Nenakhova Yu.S., Yarasheva A.V. Transformation of Russian healthcare: the role of nurses. Problemy sotsial’noi gigieny, zdravookhraneniya i istorii meditsiny 2021; 29 (special issue): 1251–1257. (in Russ.) DOI: 10.32687/0869–866X-2021–29-s2–1251–1257
22. Aiken L.H., Sermeus W., Van den Heede K., Sloane D.M., Busse R., McKee M. et al. Patient safety, satisfaction, and quality of hospital care: Cross-sectional surveys of nurses and patients in 12 countries in Europe and the United States. Br Med J 2012; 344: e1717. DOI: 10.1136/bmj.e1717
23. Kutney-Lee A., McHugh M., Sloane D. M., Cimiotti J.P., Flynn L., Neff D.F. et al. Nursing: a key to patient satisfaction. Health Affair (Millwood) 2009; 28(4): w669–w677. DOI: 10.1377/hlthaff.28.4.w669
24. Laschinger H.K.S., Leiter M.P. The impact of nursing work environments on patient safety outcomes: the mediating role of burn-out/engagement. J Nurs Admin 2006; 36(5): 259–267. DOI: 10.1097/00005110–200605000–00019
25. Goroshko E.I. Linguistics of the Internet: formation of a disciplinary paradigm. Genres and types of text in scientific and media discourse. Orel: Kartush, 2007; (issue 5): 223–237. (in Russ.)
26. “Like” as a sign of a special culture of communication in social networks. Cross-Cultural Studies: Education and Science (CCS&ES). 2016; 3(III): 43–52. (in Russ.)
Review
For citations:
Lazarev V.V., Krapivkin A.I. Professional responsibility of a medical professional and patient safety from the perspective of a clinician. Rossiyskiy Vestnik Perinatologii i Pediatrii (Russian Bulletin of Perinatology and Pediatrics). 2024;69(4):5-10. (In Russ.) https://doi.org/10.21508/1027-4065-2024-69-4-5-10