Journal List > Korean J Neurotrauma > v.8(1) > 1058893

Analysis of Precedents Related to the Medical Accidents of Neurosurgery

Abstract

Objective:

The Korean government has legislated for Medical Dispute Mediation Act in 2011. As a member of medical accident appraisal board, the medical doctor should have well-balanced mind along with the thorough knowledge and experiences on his specialty.

Methods:

We evaluated precedents related to the medical accidents of neurosurgery in Korea. We searched precedents in the Korean Supreme Court web site. There were 60 suits of damages in 108 precedents related to the neurosurgery from 1978 to 2010. We found 23 precedents related to neurosurgical treatment.

Results:

Doctors or medical institutions were liable for damages in 12 precedents including 4 cases of partial responsibility such as solatium. In 11 precedents, liability for damages was disclaimed. The judgment was unrelated to the level of court, dead or disabled, main issue (11 medical error, 7 explanation, 5 negligence and others), or methods of treatment. Liability for damages was usually disclaimed (6 : 2) in 1980s, more frequently claimed (1 : 7) in 1990s, and it became almost same (4 : 3) in 2000s.

Conclusion:

Medical accident appraisal board should be fair in explorations of the accidents. We should prepare to get an expert medical investigator, who has balanced mind, knowledge on the law, and specialized knowledge with experiences on his specialty.

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TABLE 1.
Precedents related to the medical accidents of neurosurgery in Korea (1978-2010)
Types of suits District court High court Supreme court Total
Damage 12 17 31 060
Industrial compensation 01 03 02 006
Administrative litigation Murder 00 01 06 02 03 02 009 005
Murder Fraud 01 03 02 01 02 00 005 004
Fraud 03 01 00 004
Misadventure 00 00 03 003
Others 08 04 08 021
Total 25 33 49 108
TABLE 2.
Judgements of damage suits related to the medical accidents of neurosurgery in Korea (1978-2010)
Variables Not responsible Partially responsible Responsible Total
1978-1989 06 0 2 08
1990-1999 01 3 4 08
2000-2010 04 1 2 07
District court 02 2 3 07
High court 04 0 2 06
Supreme court 05 2 3 10
Death 06 1 4 11
Disabled 05 3 4 12
Fault 04 1 5 10
Explanation 02 2 3 07
Negligence & other 05 1 0 06
Diagnosis 02 1 2 05
Medication 02 1 0 03
Operation 04 2 4 10
Others 03 0 2 05
Total 11 4 8 23
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