Reporting of Medical Errors in Autopsied Cases

  • Bikash Sah Department of Forensic Medicine and Toxicology, B. P. Koirala Institute of Health Sciences, Dharan,Sunsari, Nepal.
  • B. N. Yadav Department of Forensic Medicine and Toxicology, B. P. Koirala Institute of Health Sciences, Dharan,Sunsari, Nepal.
  • Shivendra Jha Department of Forensic Medicine and Toxicology, B. P. Koirala Institute of Health Sciences, Dharan,Sunsari, Nepal.
  • Ashok Ayer Department of Conservative Dentistry and Endodontics, B. P. Koirala Institute of Health Sciences, Sunsari, Nepal.
  • Ajay Kumar Yadav Department of General Practice and Emergency medicine, B. P. Koirala Institute of Health Sciences, Sunsari, Nepal.

Abstract

This report describes the cases autopsied at B. P. Koirala Institute of Health Sciences- Nepal, during the period of two years in which the treatment provided falls below the accepted standard practice causing the death of the patient. Postmortem examination provides an opportunity to find out the actual cause of death in which the cause of death is suspicious. Sometimes the cause of death found through postmortem examination is different from the clinical cause of death. The autopsy finding on the cause of death will help doctors even to think about unusual conditions that lead to death and hence apply preventive measures for those unusual conditions. The cause of medical error is not always due to the doctor’s mistake, but sometimes also due to the obsolete hospital protocol. The autopsy reporting of medical errors can be used to identify lacunae in hospital protocols, problem-prone clinical processes and suggest interventions that may reduce negligence.
Keywords: Death; ectopic pregnancy; medical error; vacuum extraction delivery.

Published
2017-09-08
How to Cite
SAH, Bikash et al. Reporting of Medical Errors in Autopsied Cases. Journal of Nepal Health Research Council, [S.l.], v. 15, n. 2, p. 197-201, sep. 2017. ISSN 1999-6217. Available at: <http://jnhrc.com.np/index.php/jnhrc/article/view/1058>. Date accessed: 13 dec. 2017.