Abstract：
INTRODUCTION:The intoxicated person may cause harm to others, often requiring expert evaluation for the determination of guilt. The primary aim of this study was to determine the mechanisms of mistakes that led 17 doctors accused of working under the influence of alcohol to face malpractice. We also wanted to clarify what were the legal, professional, and financial consequences - depending on specific patient outcomes. METHOD:We based analysis on the review and meta-analysis of the past forensic evaluation reports of institution-run forensics programs. Furthermore, we apply thematic analysis using combination of grounded theory and Pierre Bourdieu's theoretical framework. RESULTS:During the 2010-2016 timeframe, the regional forensic service opinionated on 17 physicians (3F, 14M) subjected to disciplinary action due to providing treatment under the influence of alcohol. In total, there were 157 patients potentially affected by malpractice - out of those, four were harmed; only one qualified for compensation. In the remaining 153 patients - only 11 persons reported having had awareness about the doctors' intoxication and apparent inability to perform the job, yet they agreed to receive care. Overall, in over 90% of patients, the physician did not harm anyone to a degree threatening patient's life. The supporting staff did not report experiencing distress either. The results of a blood test for the presence of alcohol were available for only four cases. Therefore, it was impossible to analyze the correlation between intoxication level and performance in providing care. All in all, in our analysis - less than 10% of 157 patients' care were compromised by provider's intoxication, either due to a mistake in diagnosis, medical procedure, or lacking communication skills. CONCLUSION:For physicians, working under the influence of alcohol is an uncommon phenomenon, but when it occurs - patients are at risk for receiving poor treatment. Presented analysis indicates that patients - just as much as supporting staff - frequently agree to receive supervision and care from a drunk doctor, despite possible harm. Therefore, it is evident that patients as much as supporting staff fear retaliation, leading to underreporting of these cases.
journal_name
Forensic Sci Intjournal_title
Forensic science internationalauthors
Sendler DJdoi
10.1016/j.forsciint.2018.01.019subject
Has Abstractpub_date
2018-04-01 00:00:00pages
29-37eissn
0379-0738issn
1872-6283pii
S0379-0738(18)30033-1journal_volume
285pub_type
杂志文章abstract：:The persistence of fibres under outdoor conditions is seldom investigated. This research aimed to study simultaneously the influence of several factors (and their cross-interactions) on the persistence of fibres on static textile surfaces. In order to achieve this aim, a design of experiments was successfully implemen...
journal_title：Forensic science international
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journal_title：Forensic science international
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journal_title：Forensic science international
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journal_title：Forensic science international
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journal_title：Forensic science international
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journal_title：Forensic science international
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更新日期：2004-01-06 00:00:00
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journal_title：Forensic science international
pub_type： 杂志文章
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更新日期：2005-03-10 00:00:00
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更新日期：2018-04-01 00:00:00
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journal_title：Forensic science international
pub_type： 杂志文章
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journal_title：Forensic science international
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abstract：INTRODUCTION:The use of methadone in opioid maintenance treatment (OMT) is potentially associated with a number of adverse effects and the risk of fatal toxicity. Increased methadone availability may lead to an increase in methadone-related deaths. We have investigated methadone-related deaths in Norway over the period...
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journal_title：Forensic science international
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journal_title：Forensic science international
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更新日期：2009-07-01 00:00:00
