Causality between defects in medical care and fatalities

Ovsepyan A.N.; Ovanesyan R.A.; Mkhitaryan K.G.

doi:https://doi.org/10.17116/sudmed20226501110

Ovsepyan A.N.

National Bureau of Expertises of the National Academy of Sciences

Ovanesyan R.A.

Yerevan State University

Mkhitaryan K.G.

National Bureau of Expertises of the National Academy of Sciences

Causality between defects in medical care and fatalities

Authors:

Ovsepyan A.N., Ovanesyan R.A., Mkhitaryan K.G.

More about the authors

Journal: Forensic Medical Expertise. 2022;65(1): 10‑13

DOI: 10.17116/sudmed20226501110

Read: 1961 times

Download PDF (RU)

Contact the author

Table of contents

To cite this article:

Ovsepyan AN, Ovanesyan RA, Mkhitaryan KG. Causality between defects in medical care and fatalities. Forensic Medical Expertise. 2022;65(1):10‑13. (In Russ.)
https://doi.org/10.17116/sudmed20226501110

Подписка 2026 Судебно-медицинская экспертиза (Forensic Medical Expertise)

Использование инфографики авторами научных работ

Close metadata

Recommended articles:

On the need to develop medical criteria of cause and effect relationship in cases related to improper provision of medical care. Forensic Medical Expertise. 2024;(6):5-11

Criminal-legal assessment of causality in violations of medical care committed at different stages. Forensic Medical Expertise. 2025;(1):5-10

To determination of the causal relationship between the actions of medical professionals and the occurrence of adverse outcome in expertises on medical malpractice cases. Forensic Medical Expertise. 2025;(4):11-15

Risk of ischemic heart diseases adverse outcomes in the working age men and women taking part in the prospective epidemiological surveillance. Russian Journal of Preventive Medicine. 2025;(6):60-66

Abstract:

The study objective was to identify the causality between defects in medical care (MC) and the occurrence of fatal outcomes (FO). The object of the study was 209 reports of commission forensic medical examinations of the National Bureau of Expertises of the Republic of Armenia for the period from 2013 to 2020. Defects in MC were classified as follows: diagnostic defects, treatment defects, defects in the organization of medical care, defects in the maintenance of medical records. According to the data of 160 reports of forensic medical examinations, 313 defects in HC were recorded. Diagnostic defects and treatment defects were the most common, while the least common were defects in the organization of HC. Causality between the incidence of defects in HC and the likelihood of fatal outcome was revealed.

Keywords:

defects in medical care

fatal outcome

relative risk

causality

Authors:

Ovsepyan A.N.

National Bureau of Expertises of the National Academy of Sciences

Ovanesyan R.A.

Yerevan State University

Mkhitaryan K.G.

National Bureau of Expertises of the National Academy of Sciences

Received:

19.05.2021

Accepted:

22.06.2021

Close metadata

References:

Hovhannesyan RA. Problems of standardization and quality control of medical care in the Armenian health care system. Armyanskiy meditsinskiy referativnyu zhurnal. 2016;12:107-116. (In Russ.). https://www.medlib.am/Jurnal/2016/RU/7.pdf
Sharabchiev YuT. Medical errors and defects in medical care: socio-economic aspects and public health losses. Mezhdunarodnye obzory: klinicheskaya praktika i zdorov’e. 2013;6(6):14-31. (In Russ.). https://cyberleninka.ru/article/n/vrachebnye-oshibki-i-defekty-okazaniya-meditsinskoy-pomoschi-sotsialno-ekonomicheskie-aspekty-i-poteri-obschestvennogo-zdorovya
Sergeev YuD. Inadequate provision of medical assistance — the most important scientific and practical problem for the experts in the field of medical law. Meditsinskoe pravo: teoriya i praktika. 2016;2(4):13-19. (In Russ.). https://www.med-law.ru/files/348/2016-2-4-tom-2.pdf
Ovsyannikov IV. The validity and evidentiary value of expert opinion. Sudebno-meditsinskaya ekspertiza. 2019;62(6):18-22. (In Russ.). https://doi.org/10.17116/sudmed20196206118
Kovalev AV, Kadochnikov DS, Martem’yanova AA. The definition of a failure to render assistance to the patient in the forensic medical practice. Sudebno-meditsinskaya ekspertiza. 2015;58(1):4-7. https://doi.org/10.17116/sudmed20155814-7
Shevchuk EP. The Relationship of Cause and Effect how Condition of Delict Responsibility at Provision of Medical Services. Sibirskiy yuridicheskiy vestnik. 2009;2:60-64. (In Russ.). https://cyberleninka.ru/article/n/prichinno-sledstvennaya-svyaz-kak-uslovie-deliktnoy-otvetstvennosti-pri-okazanii-meditsinskih-uslug
Shmarov LA. Problems of causality in forensic medical examinations on «medical cases». Sudebno-meditsinskaya ekspertiza. 2021;64(1):5-11. (In Russ.). https://doi.org/10.17116/sudmed2021640115
Shevchuk EP. «Medical error» and «accident in the Obligation» on Compensation of Harm when Rendering medical services. Sibirskiy yuridicheskiy vestnik. 2012;2:88-92. (In Russ.). https://cyberleninka.ru/article/n/vrachebnaya-oshibka-i-neschastnyy-sluchay-v-obyazatelstvah-po-vozmescheniyu-vreda-pri-okazanii-meditsinskih-uslug
Ovsepyan AN. Kompleksnaya ocenka defektov meditsinskoy pomoshchi s uchetom veroyatnosti razvitiya sindroma emocional’nogo vygoraniya: Dis. ... kand. med. nauk. Yerevan. 2010.
Grzhibovski AM. Analysis of nominal data (independent observations). Ekologiya cheloveka. 2008;6:58-68. (In Russ.). https://cyberleninka.ru/article/n/analiz-nominalnyh-dannyh-nezavisimye-nablyudeniya