Investigation of Medical Complaint Dr. Layla Al Marzouqi Head of Clinical Governance Health Regulation Department (HRD). Medical Complaint. Expressions of dissatisfaction or concerns about a health care service made by consumers.
Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.
Investigation of Medical Complaint Dr. Layla Al MarzouqiHead of Clinical Governance
Health Regulation Department (HRD)
preventable medical errors kill 98,000 /year
100,0000 excess injure preventable medical errors : sixth leading cause of death in America
Aggressive case finding may identify injuries and errors that are not documented in a patient's chart
25% of all the doctors in USA get sued / annual
50 & 65% all doctors in USA sued at least once in their career
½ adverse events occurring inpatients resulted from surgery.
Complications from drug treatment, therapeutic mishaps, and diagnostic errors were the most common non-operative events.
epidemic of medical malpractice, not of malpractice lawsuits
Problem in medical errors is not bad people in health care—it is that good people are working in bad systems that need to be made safer
JCIA report :
Variations in healthcare provider training & experience
lower health care costs
reduce doctors’ insurance premiums
protect the health and well-being of patients & reduce hospital stay
We are aware of no study showing that medical care can be provided without error
After an error has occurred, what action to take? provided without error
How to conduct provided without error
To protect public health & safety by resolving investigation and prosecuting complaints about health care.
Complaints that can be resolved based on the assessment findings
Example: Patients with no injury or increased length of stay
Complaints require only assessment & might need to be investigated based on assessment findings.
Example: Increased length of stay as a result of incident, Surgical intervention required as a result of an incident.
Complaints that need to be investigated immediately by an investigation committee without assessment.
Example: Procedure involving wrong patient or body, part, Medication error leading to death.
Decision to investigate
Select investigation committee member ( private/public)
Facilitate their work
Conclude any member
Review investigation report
Each case will consists of following committee members from the same speciality of the case:
Decide on the meeting and send invitation
Lead the meeting / Distribute the role
Prepare investigation report
Sign all document
Interview is singed by doctors & complainant
Available to discuss/clarify out
Sign conflict of interest and confidentiality form
Attend all meetings
Respect/ introduction ( name. complaint)
Conduct Interviews- venue, time, date , attendee
Investigate medical aspect
No result to be given to complainant
Not interfere with each other decision
Ask question equally
Disclosure to third party
Consult other specialty
If compliant or healthcare professionals is not contactable
Reasons for decision
Mobiles not allowed
Sign the report
Is an error occurs due to
Unfamiliarity of the practitioner with technical aspects which each practitioner assumed to be familiar with
Paying insufficient efforts
The following shall not be considered medical liability, if:
damage was sustained due to the action of the patient
physician followed certain medical method in treatment
medical side effect & complications know in medical practice
Disciplinary action -law
Appeal occurs when the complainant or treating doctor is not satisfied with the outcome of the complaint
Appeals will be forwarded to higher authority for further action
Appeal decision not the disciplinary action
Appeal should fulfill the following conditions;
Whiting 15 days of receiving the final result of the investigation
appoints appeal committee members-three members at least
Reject the appeal
Decisions shall be final
One appeal per case
Disciplinary action implemented after 15 days
How effective ?
Rejected / submission of the license/ assessment
Decision of assessment panel ( same post/ privilege/ downgrade/ under supervision)
Return the license
Schedule assessment date
On line assessment ( 10 specialties) /interview
Business village Building B third floor Office number 333-335
THANK YOU HRD