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:: Volume 29, Issue 1 (Scientific Journal of Kurdistan University of Medical Sciences 2024) ::
SJKU 2024, 29(1): 98-109 Back to browse issues page
Frequency and Causes of Gynecology and Midwifery Malpractice in the Cases Presented in the Medical Council of Kurdistan Province During the Years 2016-2020
Hana Sohrabi1 , Vahid Yousefinejad2 , Shole Shahgheibi3 , Khaled Rahmani4 , Roonak Shahoei5
1- School of Nursing and Midwifery, Kurdistan University of Medical Sciences, Sanandaj, Iran
2- liver and Digestive Research Center, Research Institute for Health Development, Kurdistan University of Medical Sciences, Sanandaj, Iran.
3- Department of Obstetrics and Gynecology, Faculty of Medicine, Kurdistan University of Medical Sciences, Sanandaj, Iran.
4- Liver and Digestive Research Center, Research Institute for Health Development, Kurdistan University of Medical Sciences, Sanandaj, Iran.
5- Department of Midwifery, Clinical Care Research Center, Research Institute for Health Development, School of Nursing and Midwifery, Kurdistan University of Medical Sciences, Sanandaj, Iran, , rshaho@yahoo.com
Abstract:   (1751 Views)
Background and Aim: Medical malpractice is one of the major concerns of the health system in the profession of midwifery and gynecological nursing which can lead to death and injury in two vulnerable groups of mothers and babies and can make it difficult for doctors and midwives who had committed malpractice to return to their usual medical practice and provide service to other patients. This study was conducted to determine the frequency of malpractice in the field of midwifery and gynecological nursing and factors related to it in the cases presented in the medical council of Kurdistan province in 2016-2020.
Materials and Methods: In this retrospective descriptive-analytical study, all complaint files related to midwifery in the medical council of Kurdistan province in 2016-2020 were reviewed. The data collection tool included a checklist that was prepared and completed by the researcher by using the patient files. Using SPSS software (version 24), Data were analyzed by descriptive statistical tests and chi-square and.
Results: Among 68 cases raised in the medical council, 32 were acquitted and 36 were convicted. The mean age of the plaintiffs was 32.35±6.43 years and most of them had primary education (38.2%). 94.1% of plaintiffs had no history of illness. The most common complaint was physical injury (41.2%) and the most common malpractice was maternal defect (32.4%). Most cases of malpractice were related to gynecologists (55.6%). The most common cause of malpractice was imprudence (40.0%). In addition, most cases of malpractice occurred in a teaching hospital (91.7%), in the maternity ward (63.9%) and in the night shift (41.7%). The frequency of malpractice showed a significant relationship with the city (P<0.001) and the education level of the patients (P=0.002). Furthermore, among the factors related to malpractice, only the results of malpractice showed a significant relationship with the characteristics of malpractice (P=0.042).
Conclusion: The results of this study showed that most cases of medical malpractice occurred due to imprudence. Moreover, the most common cause of maternal and fetal death was due to imprudence and the most common cause of maternal and fetal defects was ineptitude. Therefore, we recommend necessary measures to increase the clinical skills of gynecologists and midwives in educational programs, and also workshops for increasing clinical skills according to the national protocols for those who have these professions.

 
Keywords: Obstetrics, Gynecology, Midwifery, Malpractice
Full-Text [PDF 374 kb]   (337 Downloads)    
Type of Study: Original Research | Subject: Medicine - Obstetrics and Gynecology
Received: 2022/11/22 | Accepted: 2023/03/13 | Published: 2024/04/16
References
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2. Mosadeghrad AM, Isfahani P, Yousefinezhadi T. Medical errors in Iranian hospitals: systematic review. TUMS . 2020;78(4):239-47.
3. Ayoubian A, Mahmoodabadi HB, Dehaghi ZH. Midwifery errors: a descriptive study in isfahan forensic medicine general department. Mater Sociomed. 2013;25(3):175-7. [DOI:10.5455/msm.2013.25.175-177] [PMID] []
4. Azimi K, Poorbakhtiar M, Taghizadeh Z, Soltani K, Ghadipasha M, Daneshparvar H. A Survey on Various Types of Medical Malpractice in Relation With Pregnancy and Delivery, Referred to Relevant Commissions of the Iranian Legal Medicine Organization. Iran. J. Forensic Med . 2017;23(2):132-41.
5. Hejazi S, Zinal M, Farrokh Islamloo H. Study of pediatric malpractice claims registered at Urmia Medical Council during 10 year period (1375-1385). Studi Med Sci. 2009;20(2):123-30.
6. Kamiab F, Afshari P, Keikhahi B, Tadayon M, Vahabi Shekarloo T, Haghighizadeh MH. A Review of Reasons of Malpractice of Obstetricians, Gynecologists and Midwives. Iran. J. Forensic Med . 2016;22(3):165-71.
7. Haghshenas M, Vahidshahi K, Amiri A, Rezaee M, Rahmani N, Pourhossen M, et al. The Frequency of Malpractice Lawsuits Referred to Forensic Medicine Department and Medical Council. JMUMS . 2012;21(86):253-60.
8. Moin A, Ostad Ali Makhmalbaf M, Davati A. Study of medical malpractice complaints in the field of dermatology and cosmetic, in the coroner's Office of Forensic Medicine, province of Tehran, during 2002 to 2010. JDC . 2011;2(1):17-29.
9. Sheikhazadi A, Ghadyani MH, Kiani M. Review of inquest, sue and punishment of dentistry malpractice & errors in Iran. Iranian Journal Of Forensic Medicine. 2007;13(3):171-80.
10. Bazaz Benisi Z, Saadatmand M, Hassanzadeh M, Khosravi M. Frequency and Causes of Medical Malpractice in the Field of Gynecology and Midwifery Referred to the General Directorate of Legal Medicine in Qom Province. Iran J Forensic Med . 2021;27(2):115-26.
11. Akhlaghi M, Towfighi Zavareh H, Samadi F. Analysis of medical malpractice complaints in gynecology and obstetric reffered to the medical commission of L.M.O in Tehran from 2001-2002; causes & preventative resolutions. Forensic Medicine. 2005;10(34):70-4.
12. Schifrin B, Cohen W. The effect of malpractice claims on the use of caesarean section. Best Pract Res Clin Obstet Gynaecol. 2013;27(2):269-83. [DOI:10.1016/j.bpobgyn.2012.10.004] [PMID]
13. Khodakarami N, Jan Nesari S. Evaluating mothers' awareness about pregnant women's rights. J Med Ethics Hist Med. 2009;2(1):51-8.
14. Biranvand S, Valizadeh F, Hosseinabadi R, Safari M. Disclosing medical errors and its relationship to disclosure of actual and hypothetical errors: nursing staff's attitude. J Med Ethics Hist Med. 2014;7(1):53-64.
15. Bayrami R, Pezeshki MZ, Ebrahimi M. A study of the influence of implementing patients rights workshop for midwives on the womens viewpoint about parturient rights respect. Nurs Midwife J. 2007;5(3):93-101.
16. Aghakhani N, Cheraghi R, Zarei A, Alinejad V, Nazimi N, Rahbar N, et al. Study of Causes of Health Providers' Malpractices in Records Referred to Forensic Medicine Organization in Urmia, during 2009-2013. Med Law J. 2017;11(42):83-100.
17. Tadayon M, Kamiab, Fatemeh, Afshari P, Keikhahi B, Vahabi Shekarloo T, Haghighizadeh MH. Malpractice Claims against Gynecology and Midwifery Staff in Medical Council and Forensic Centre in Khosezstan Province and Related Factors, 2006-2012. J Mazandaran Uni Med Sci. 2016;25(132):320-3.
18. Fardmohammad F, Hemmati A, Gods K, Delgandi M, Mir MohammadKhani M. The study of the distribution of causes of patient's complainta from physicians about medical records of semnan in ten years period: 2001 -2011. J Med Counc Islam Repub Iran. 2014;32(4):320-7.
19. Aldakhyel L. Obstetric and Gynecologic Malpractice Claims in Saudi Arabia: Incidence and Cause. J Forensic Leg Med. 2016;40:8-11. [DOI:10.1016/j.jflm.2016.02.001] [PMID]
20. Darabi F, Amlai K, Osareh zadegan M, Seifi F, Rezlansari H, Forest K, et al. Frequency of Nursing and Midwifery errors in referred cases to the Iranian Medical Council and Imam Reza Training Hospital in Kermanshah. J Kermanshah Univ Med Sci. 2009;13(3):261-.
21. Bagherian Mahmoud Abadi H, Lohrasbi F, Setareh M, Lotfi M. Frequency and causes of midwifery negligence in cases referred to the department General forensic medicine of Isfahan during the years 2005 to 2009. IJOGI. 2014;17(99):13-20.
22. Vatani A, Tavajohi A, Piri Amirhajiloo F. The Necessity of Disclosure of Medical Errors: Basics, Systems and Obstacles. Iran. J. Forensic Med. 2020;26(2):121-9.
23. Mosadeghrad AM, Isfahani P, Yousefinezhadi T. Medical errors in Iranian hospitals: systematic review. TUMS . 2020;78(4):239-47.
24. Ayoubian A, Mahmoodabadi HB, Dehaghi ZH. Midwifery errors: a descriptive study in isfahan forensic medicine general department. Mater Sociomed. 2013;25(3):175-7. [DOI:10.5455/msm.2013.25.175-177] [PMID] []
25. Azimi K, Poorbakhtiar M, Taghizadeh Z, Soltani K, Ghadipasha M, Daneshparvar H. A Survey on Various Types of Medical Malpractice in Relation With Pregnancy and Delivery, Referred to Relevant Commissions of the Iranian Legal Medicine Organization. Iran. J. Forensic Med . 2017;23(2):132-41.
26. Hejazi S, Zinal M, Farrokh Islamloo H. Study of pediatric malpractice claims registered at Urmia Medical Council during 10 year period (1375-1385). Studi Med Sci. 2009;20(2):123-30.
27. Kamiab F, Afshari P, Keikhahi B, Tadayon M, Vahabi Shekarloo T, Haghighizadeh MH. A Review of Reasons of Malpractice of Obstetricians, Gynecologists and Midwives. Iran. J. Forensic Med . 2016;22(3):165-71.
28. Haghshenas M, Vahidshahi K, Amiri A, Rezaee M, Rahmani N, Pourhossen M, et al. The Frequency of Malpractice Lawsuits Referred to Forensic Medicine Department and Medical Council. JMUMS . 2012;21(86):253-60.
29. Moin A, Ostad Ali Makhmalbaf M, Davati A. Study of medical malpractice complaints in the field of dermatology and cosmetic, in the coroner's Office of Forensic Medicine, province of Tehran, during 2002 to 2010. JDC . 2011;2(1):17-29.
30. Sheikhazadi A, Ghadyani MH, Kiani M. Review of inquest, sue and punishment of dentistry malpractice & errors in Iran. Iranian Journal Of Forensic Medicine. 2007;13(3):171-80.
31. Bazaz Benisi Z, Saadatmand M, Hassanzadeh M, Khosravi M. Frequency and Causes of Medical Malpractice in the Field of Gynecology and Midwifery Referred to the General Directorate of Legal Medicine in Qom Province. Iran J Forensic Med . 2021;27(2):115-26.
32. Akhlaghi M, Towfighi Zavareh H, Samadi F. Analysis of medical malpractice complaints in gynecology and obstetric reffered to the medical commission of L.M.O in Tehran from 2001-2002; causes & preventative resolutions. Forensic Medicine. 2005;10(34):70-4.
33. Schifrin B, Cohen W. The effect of malpractice claims on the use of caesarean section. Best Pract Res Clin Obstet Gynaecol. 2013;27(2):269-83. [DOI:10.1016/j.bpobgyn.2012.10.004] [PMID]
34. Khodakarami N, Jan Nesari S. Evaluating mothers' awareness about pregnant women's rights. J Med Ethics Hist Med. 2009;2(1):51-8.
35. Biranvand S, Valizadeh F, Hosseinabadi R, Safari M. Disclosing medical errors and its relationship to disclosure of actual and hypothetical errors: nursing staff's attitude. J Med Ethics Hist Med. 2014;7(1):53-64.
36. Bayrami R, Pezeshki MZ, Ebrahimi M. A study of the influence of implementing patients rights workshop for midwives on the womens viewpoint about parturient rights respect. Nurs Midwife J. 2007;5(3):93-101.
37. Aghakhani N, Cheraghi R, Zarei A, Alinejad V, Nazimi N, Rahbar N, et al. Study of Causes of Health Providers' Malpractices in Records Referred to Forensic Medicine Organization in Urmia, during 2009-2013. Med Law J. 2017;11(42):83-100.
38. Tadayon M, Kamiab, Fatemeh, Afshari P, Keikhahi B, Vahabi Shekarloo T, Haghighizadeh MH. Malpractice Claims against Gynecology and Midwifery Staff in Medical Council and Forensic Centre in Khosezstan Province and Related Factors, 2006-2012. J Mazandaran Uni Med Sci. 2016;25(132):320-3.
39. Fardmohammad F, Hemmati A, Gods K, Delgandi M, Mir MohammadKhani M. The study of the distribution of causes of patient's complainta from physicians about medical records of semnan in ten years period: 2001 -2011. J Med Counc Islam Repub Iran. 2014;32(4):320-7.
40. Aldakhyel L. Obstetric and Gynecologic Malpractice Claims in Saudi Arabia: Incidence and Cause. J Forensic Leg Med. 2016;40:8-11. [DOI:10.1016/j.jflm.2016.02.001] [PMID]
41. Darabi F, Amlai K, Osareh zadegan M, Seifi F, Rezlansari H, Forest K, et al. Frequency of Nursing and Midwifery errors in referred cases to the Iranian Medical Council and Imam Reza Training Hospital in Kermanshah. J Kermanshah Univ Med Sci. 2009;13(3):261-.
42. Bagherian Mahmoud Abadi H, Lohrasbi F, Setareh M, Lotfi M. Frequency and causes of midwifery negligence in cases referred to the department General forensic medicine of Isfahan during the years 2005 to 2009. IJOGI. 2014;17(99):13-20.
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Sohrabi H, Yousefinejad V, Shahgheibi S, Rahmani K, Shahoei R. Frequency and Causes of Gynecology and Midwifery Malpractice in the Cases Presented in the Medical Council of Kurdistan Province During the Years 2016-2020. SJKU 2024; 29 (1) :98-109
URL: http://sjku.muk.ac.ir/article-1-7691-en.html
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Volume 29, Issue 1 (Scientific Journal of Kurdistan University of Medical Sciences 2024) Back to browse issues page
مجله علمی دانشگاه علوم پزشکی کردستان Scientific Journal of Kurdistan University of Medical Sciences
مجله علمی دانشگاه علوم پزشکی کردستان Scientific Journal of Kurdistan University of Medical Sciences
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