Volume 03 Issue 01-2023
29
International Journal of Medical Sciences And Clinical Research
(ISSN
–
2771-2265)
VOLUME
03
I
SSUE
01
P
AGES
:
29-32
SJIF
I
MPACT
FACTOR
(2021:
5.
694
)
(2022:
5.
893
)
OCLC
–
1121105677
Publisher:
Oscar Publishing Services
Servi
ABSTRACT
The article presents a retrospective analysis of the provision of medical care by otolaryngologists according to the
data of a forensic medical examination. The analysis revealed the predominance of defects in diagnosis and treatment,
which arose due to subjective reasons, more often in institutions of the prehospital and hospital stages, and in the
outcome contributed to the onset of death or did not have a significant impact on the outcome.
KEYWORDS
Otorhinolaryngologic, commission forensic medical examination, defects in diagnosis and treatment, subjective
causes, places of admission, outcomes.
INTRODUCTION
According to the incidence of acute processes,
otolaryngological diseases predominate among all
diseases. Unfortunately, experience shows that
although high conversion rates are not always timely.
Research Article
OTORHINOLARYNGOLOGY THROUGH THE EYES OF A FORENSIC EXPERT
Submission Date:
January 20, 2023,
Accepted Date:
January 25, 2023,
Published Date:
January 30, 2023
Crossref doi:
https://doi.org/10.37547/ijmscr/Volume03Issue01-05
Shamatov Islom Yakubovich
Assistant; Department Of Otorhinolaryngology, Samarkand State Medical University; Samarkand, Republic Of
Uzbekistan
Shopulotova Zarina Abdumuminovna
Assistant, Department Of Obstetrics And Gynecology #1, Samarkand State Medical University; Samarkand,
Republic Of Uzbekistan
Journal
Website:
https://theusajournals.
com/index.php/ijmscr
Copyright:
Original
content from this work
may be used under the
terms of the creative
commons
attributes
4.0 licence.
Volume 03 Issue 01-2023
30
International Journal of Medical Sciences And Clinical Research
(ISSN
–
2771-2265)
VOLUME
03
I
SSUE
01
P
AGES
:
29-32
SJIF
I
MPACT
FACTOR
(2021:
5.
694
)
(2022:
5.
893
)
OCLC
–
1121105677
Publisher:
Oscar Publishing Services
Servi
Often there is self-treatment of patients, and
sometimes incorrect work at the level of primary care
[7, 9, 13].
Unfavorable outcomes after the provision of medical
care contribute to the appeal of citizens to law
enforcement agencies [2, 10]. The assessment of illegal
actions of medical workers is carried out by judicial and
law enforcement agencies, according to the conclusion
of a commission forensic medical examination [1, 6].
Such examinations are also appointed by them upon
the discovery of improper provision of medical care,
which are examined from a forensic medical
standpoint and aspects of medical, organizational and
legal nature [11]. When identifying defects in medical
care, the expert commission, along with identifying the
nature, should establish the cause of occurrence, the
place of the defect and the outcome in the context of
specialties [3, 4, 9]. It should be noted that most often
their admission is facilitated by factors that depend on
the actions or inactions of medical workers [5, 7, 8].
The purpose of the study is to determine the nature of
the admitted defects in medical care among
otolaryngological specialists.
MATERIALS AND RESEARCH METHODS
As a material, we carried out a retrospective analysis of
the conclusions of the commission forensic medical
examinations appointed regarding professional
offenses of medical workers by law enforcement
agencies and conducted in 2022 in the Samarkand
regional branch of the Republican Scientific and
Practical Center for Forensic Medical Examination
together with the Department of Otolaryngology of
the Samarkand State Medical University.
RESEARCH RESULTS
During the study period, 58 examinations were carried
out in the branch regarding the offenses of medical
workers, of which defects in medical care were
revealed in 65.5% of cases. By specialty, 7.9% belonged
to general practitioners and otolaryngologists. By
nature, the following prevailed: failure to recognize the
underlying pathology 26.3% and its complications 5.3%,
late hospitalization 7.9%, as well as errors in prescribing
and conducting medical procedures 36.8%, violation of
transportation rules 2.6%. Among the reasons, there is
a clear predominance of subjective 73.7%, of which an
inattentive attitude towards the patient in 85.7% of
cases, an inadequate examination of the patient in
14.3%, and also a late visit to the doctor 18.4%. At the
prehospital stage in 7.9% of cases, of which in SVPs,
district polyclinics and at home, 2.6% each; at the
hospital stage 92.1%, of which 65.8% in the Central
District Hospital, 23.7% in the regional hospital and 2.6%
in self-supporting institutions.
In the outcome, they led to death in most cases
(68.4%), as well as to the onset of disability in 7.9% and
did not significantly affect the outcome in 23.7%.
СONCLUSIONS
Therefore, based on the analysis of the materials of the
forensic medical service, the defects in medical care
identified in the activities of otolaryngologists had the
following features - in particular, defects in diagnosis
and treatment prevailed in nature, which arose due to
subjective reasons, more often in institutions of the
prehospital and hospital stages, and in the outcome
contributed to the onset of death or did not
significantly affect the outcome.
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Volume 03 Issue 01-2023
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International Journal of Medical Sciences And Clinical Research
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VOLUME
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Publisher:
Oscar Publishing Services
Servi
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32
International Journal of Medical Sciences And Clinical Research
(ISSN
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2771-2265)
VOLUME
03
I
SSUE
01
P
AGES
:
29-32
SJIF
I
MPACT
FACTOR
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5.
694
)
(2022:
5.
893
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OCLC
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1121105677
Publisher:
Oscar Publishing Services
Servi
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