Transcript Percutaneous Technique for Recanalization of Portal Vein

DEFENSIVE CLINICAL
PRACTICE
Prof. M. Nabegh El-Mahallawi, MD, PhD
Professor and Head of the Department of Ob/Gyn.
Consultant Professor of Intercontinental OGASH Academy CSPP
Ain Shams University. Cairo, Egypt
CHAIRMAN OF EGYPT OGASH, EGOOS COORDINATOR,
HONORARY ACADEMICIAN OF OGASH
DEFENSIVE CLINICAL PRACTICE
Defensive medicine is medical responses undertaken to avoid
legal liability rather than to benefit the patient. Physicians may
order tests, perform procedures, or avoid high-risk patients or highrisk surgery primarily to reduce their exposure to malpractice
liability. This is self-serving practice for the physician. However,
defensive medical practice could be utilized to improve health
service and examples well be presented in the text. The proper
clinical practice and decision making should consider legal liability
but should benefit the patient than the physician. The aim should
be "ideal medical practice" rather than defensive practice.
Actually physicians practice defensive medicine all the time. Some
of us know it, acknowledge it, and accept it. Others believe this to
be quite untrue and find the concept morally unconscionable. At
traditional practice the conscientious practitioner would not
otherwise take precautions as the yield of litigation is too low.
DEFENSIVE CLINICAL PRACTICE
Medical malpractice is considered an epidemic that continues to
spread in Egypt. Members of the legal profession and patients
should be warned that abuse of malpractice may retard patient
safety. Public should be aware that there are many reasons for bad
outcomes in medical practice not all of which are related to
negligence by a health care provider.
The medical issues have become more complex, rulings in the
courts and in the legislatures have extended beyond the simplistic
questions. The profession will do well to review, remember, arid
practice based on both ethical and clinical care standards. The law
requires measures. The need for such measures stimulated the
responsible medical authorities to develop guidelines and
consensus forms for clinical practice that help medical profession at
court.
Legal pitfalls of each topic in the clinical practice need to be learned
and included at regular teaching and considered at the standard
DEFENSIVE CLINICAL PRACTICE
practice. Hospital administrative duties should include guidelines
instructions based on the possible allegation.
The common causes of allegation in obstetrics and gynecology
include; delay in diagnosis, anesthesia error, improper consent
before a medical procedure, surgical error, failure to diagnose a
medical condition, improper treatment of an illness or disease, birth
injury, including cerebral palsy and brain damage, prescription drug
error and negligence.
PRIZEWINNER OF HERA's GOLDEN PRIZE - 2007,
PRIZEWINNER OF ERNST THEODOR RIPPMANN
INTERNATIONAL PRIZE - 2007,
PRIZEWINNER OF PROFESSOR IOSEB JORDANIA
INTERNATIONAL PRIZE-2007