Structure of commissions forensic-medical expertise In medical cases in Іvano-Frankivsk rbfme in 2014-2018

Abstract

The article presents an analysis of the indicators of the work of the department of forensic medical examinations of the Ivano-Frankivsk Regional Bureau of Forensic Medical Expertise for the period of 2014-2018. Aim: to conduct a statistical analysis of forensic medical examinations in relation to professional-occupational offenses of medical workers in dynamics for the period from 2014 to 2018. Materials and methods of research: annual reports of the Ivano-Frankivsk Regional Bureau of Forensic Examination on the Department of Commissions Expertise, which were processed using Microsoft Exel, Statistica 6.0. Results of the study: In medical matters, in 2011, 28 examinations (17.3%) were conducted, of which 3 (10%) of surgeons, 4 (14%) of obstetrician-gynecologists, 2 (7%) of dentists , anesthetists - 1 (3,5%), others - 18 (65,5%). In 2010, 26 commissioned forensic medical examinations were conducted (16.7%), of which 2 (8%) were for surgeons, 10 (38.5%) for obstetricians and gynecologists, 2 (8%) for dentists and 3 (11.5%) for anesthetists, others 9 (34%). In 2016, the total number of commissions forensic examinations was 103 (100%), of which 7 (6.8%) for medical affairs. Of these, 14.3% are in surgeons, 28.6% are obstetricians and gynecologists, 28.6% are anaesthesiologists, 0% are dermatologists and 28.6% are doctors of other specialties. In 2017, the Commission for Forensic Medical Examination conducted 100 examinations, of which the total number of commission assessments is 98 (98%), of which 20 (20.4%) for medical affairs. Among the "medical cases" concerning surgeons, 15% of commissioned forensic examinations were carried out, 20% of obstetricians and gynecologists, 5% of anesthetists, 0% of dentists and 60% of other specialties. In 2018, 55 expert examinations were conducted in the commission of forensic medical examinations, of which the total number of commission assessments was 53 (96.4%), of which for medicinal affairs -10 (18.9%). In the case of surgeons, 30% of examinations were carried out, 30% of obstetricians and gynecologists, 0% of anesthetists, 0% of dentists and 40% of other specialties. In all cases, the decision of the commission forensic medical examination raised questions regarding the correctness of the established diagnosis, the adequacy of the treatment performed, the timeliness of the provision of medical care. Most assessments also raised the issue of the adequacy of medical care at each stage of its provision (rapid medical care, district hospital, regional hospital, etc.). Conclusion: with each passing year, the number of commission assessments decreases, but their complexity increases. Nevertheless, in the number of medical examinations we see positive dynamics: in 2018, compared to 2014, it increased by 1.6%. The prevalence of commission forensic examinations for surgeons is steadily higher: for surgeons from 10% to 30%, and obstetrician-gynecologists from 14% to 30%, which is probably due to the greater demandingness of the population for the quality of surgical interventions and childbirth.