Alleged Medical Errors Reporting of Autopsied Cases as a Quality Improvement Tool

  • Bikash Sah BP Koirala Institute of Health Sciences, Dharan
  • Shivendra Jha BP Koirala Institute of Health Sciences, Dharan
  • Ajay Kumar Yadav BP Koirala Institute of Health Sciences, Dharan
  • Bishwanath Yadav BP Koirala Institute of Health Sciences, Dharan
  • Bijaya Devi Aryal BP Koirala Institute of Health Sciences, Dharan
Keywords: Informed Consent, Medical Negligence, Legal Duty

Abstract

Information obtained from autopsy is a source of continued learning for which the cases which were brought for autopsy at tertiary care center of eastern Nepal from 1st January 2016 to31st December 2017 with an allegation of death due to the medical negligence are being reported. Case 1 was filed on a doctor with an allegation of death because of not realizing about ectopic pregnancy in case of post abortion care but the doctor was saved when histopathological examination could not establish product of conception. Case 2 is with an allegation that the patient could have been saved if specific poison determination would have been done. In this case, legal duty of a doctor to take dying declaration had also not been done. In case 3, patient's request for surgical delivery was not heard and she died during normal delivery. Case 4 died following his gastro-intestinal endoscopic examination.

 Conclusion: This research has shown the importance of autopsy in quality improvement of medical practice.

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Author Biographies

Bikash Sah, BP Koirala Institute of Health Sciences, Dharan

Department of Forensic Medicine & Toxicology

Shivendra Jha, BP Koirala Institute of Health Sciences, Dharan

Professor, Department of Forensic Medicine and Toxicology

Ajay Kumar Yadav, BP Koirala Institute of Health Sciences, Dharan

Associate Professor, Department of General Practice and Emergency Medicine

Bishwanath Yadav, BP Koirala Institute of Health Sciences, Dharan

Professor, Department of Forensic Medicine and Toxicology

Bijaya Devi Aryal, BP Koirala Institute of Health Sciences, Dharan

Associate Professor, Department of General Practice and Emergency Medicine

Published
2020-07-27
How to Cite
Sah, B., Jha, S., Yadav, A., Yadav, B., & Aryal, B. (2020). Alleged Medical Errors Reporting of Autopsied Cases as a Quality Improvement Tool. Journal of BP Koirala Institute of Health Sciences, 3(1), 123-128. https://doi.org/10.3126/jbpkihs.v3i1.30346
Section
Case Series