Pratica Medica & Aspetti Legali
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Dermatologia e tatuaggi
Get PDFMedical-legal aspects of tatooing are of topical interest, concerning many matters of discussion. Tattooing is an invasive procedure and can be associated with infectious and noninfectious complications, expecially when done by inexperienced. This article emphasizes the need for legal regulation of tattooing
I beta-bloccanti nella terapia dello scompenso cardiaco: revisione della letteratura
Get PDFThe incidence of medical malpractice litigation is increasing. Most of errors can be defined as “medication errors”, that is to say inappropriate use and prescription of drugs. For this reason it is essential that physicians, and especially those who practices as specialists, know in-depth the effects of drugs that they prescribe. In cardiology, one important field is the risk of inappropriate prescription of beta blockers in the treatment of heart failure. Aim of this paper is to review the status of beta blockers prescription, searching for information concerning their inappropriate use (underuse or misuse). The research was made searching the most well-known juridical and medical databases according to these keywords: “beta blockers”, “inappropriate use” and “heart failure”. The aim is to awake cardiologists in all the risks related to errors in this therapy, to meet the right standard of care and to avoid clinical risks
La posta elettronica come strumento di informazione e non come “arma impropria”
Get PDFThe benefits to physicians of using the internet are known: most of the biomedical resources are available online and many of them are free. Besides, internet it is also a virtual community, where it is easy to contact specialists or to start a discussion on a medical forum. Anyway, also the web has its own rules of behaviour: the so called “netiquette”, that is to say code of conduct that governs behaviour on the internet. Even on the web a polite and adequate conduct should not be forgiven, to maintain confidentiality and privacy on discussion lists and e-mails, and to avoid legal consequences. This article gives some guidelines to improve the quality of discussions and communication on the internet, illustrating Sentences of the Italian Court concerning this topic
Fattori associati all’insuccesso della colonscopia
Get PDFColonoscopy represents the gold standard in the diagnosis of the colorectal cancer. Nevertheless in a small percentage of cases such procedure may result not diagnostic. To decrease the number of incomplete colonoscopies, it is necessary to be extremely careful not only during the procedure but also during the stage that precedes the exam, teaching the patients the correct use of the preparation. The clinical history of the patient (age, sex, and body index) especially searched for previous pelvic or abdominal surgery together with concomitant pathological processes, can be useful to the endoscopist to select complex cases that require specific caution. A further help can be offered by the use of conscious sedation to reduce patient’s discomfort and to facilitate the procedure. Nevertheless there are cases in which every attempt to obtain a diagnostic colonoscopy results vain; for such reason is necessary to consider alternative not invasive procedures like radiological examinations such as computed tomographic colonography or double-contrast barium enema
Aspetti medico-legali e giuridico-deontologici del trattamento sanitario obbligatorio
Get PDFHealth treatments usually need a consenting patient but in cases as infective diseases, industrial accidents or mental diseases physicians can apply to MT (Mandatory Treatment). In Italy the first laws concerning obligatory treatment of psychiatric diseases date back to the beginning of 20th century and have been recently modified to have more guarantees of patient’s life and health. In order to allow a MT we need 3 conditions: an emergency situation caused by a health diseases, a non-consenting patient, impossibility to begin an adequate therapy outside hospitals. Any physician can “suggest” a MT to his patient describing briefly the disease and his clinical conditions. The “proposal” must be sent to the Mayor and has to be approved by another doctor working in the ASL (local public health unit). Then the Mayor has 48 hours to send everything to a judge who will validate or not the MT. Health treatment is carried out by Police. MT cannot last longer than 7 days
Ambiguità e aggiramento dei problemi come fattori contribuenti all’errore medico
Get PDFAdministration of the wrong medication is a serious and understudied problem. This article analyzes two cases. The first one describes a patient with iatrogenic hypoglycemia due to administration of the wrong medication: insulin instead of heparin was used to flush the patient’s arterial line. In the second one a woman, who was admitted to a teaching hospital for cerebral angiography, mistakenly underwent an invasive cardiac electrophysiology study. The articles analyses strategies to improve patients safety focusing on how removing ambiguity and workarounds can be useful in preventing medication errors