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. 2023 Nov:65:102319.
doi: 10.1016/j.legalmed.2023.102319. Epub 2023 Aug 22.

Malpratice claims in cardiology and cardiac surgery: A medico-legal issue

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Malpratice claims in cardiology and cardiac surgery: A medico-legal issue

R Montisci et al. Leg Med (Tokyo). 2023 Nov.

Abstract

Medical liability has become a challenge in every physician's modern practice with the consequent loss of the physician's autonomy and an increase in "defensive medicine". From this perspective, the role of Legal Medicine in assessing medical liability has become increasingly specific and a homogenization of the methods of ascertainment is increasingly necessary, since such a process can contribute to strengthening the guarantees in professional liability procedures. Focusing on malpractice claims in the field of cardiology, the complexity of the management of cardiac pathologies and the frequency of severe adverse events implies the importance of a multi-disciplinary approach, together with the application of a shared ascertainment methodology. In particular, it is essential for the forensic pathologist to collaborate with experts in cardio-pathology, cardiology and/or cardiac surgery in cases of alleged medical liability in the cardiologic field and to follow the guidelines which have been produced to assist the expert dealing with deaths reflecting cardiac disease, in order to prevent criticism of case analysis in medico-legal environments and to promote the standardization of the structure of the juridical-legislative medical malpractice lawsuits.

Keywords: Autopsy; Cardiac disease; Cardiac surgery; Cardiology; Medical liability; Medical malpractice guidelines.

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Conflict of interest statement

Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.

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