Abstract：
BACKGROUND: The identification of professional liability profiles related to the development of pressure injuries is a very thorny issue from a medico-legal perspective. This is because no matter how strict the applied prevention protocols applied may be, the development of such injuries is largely dependent on endogenous factors. This paper aims to investigate the medico-legal issues related to this topic through the exposition of one case of medico-legal litigation and a traditional review of the literature.
METHODS: We performed a literature search using three databases (Pubmed, Scopus, and Web Of Science), restricting the search to the period between 2001 and 2021. We used \"pressure ulcers\" and \"jurisprudence\" as the main keywords. From an initial library of 236 articles, our selection resulted in 12 articles, which were included in the review.
RESULTS: We identified the ever-increasing expectations of patients and the concept of automatic attribution of responsibility when a pressure ulcer develops as the primary reasons for the increase in litigation over the past 20 years. The related corrective measures are numerous: a strict adherence to guidelines, an adequate documentation of preventive measures, a risk assessment, family involvement, and a successful collaboration between physicians and government institutions.
CONCLUSIONS: The biological complexity of the pathogenetic development of pressure ulcers makes the subject very delicate from the medico-legal point of view. In principle, it is possible to state that a very large proportion of such injuries are preventable, but that there remains a percentage of them that cannot be prevented. In such cases, only a proper documentary demonstration of the adequacy of preventive measures can exclude liability profiles.
METHODS: We performed a literature search using three databases (Pubmed, Scopus, and Web Of Science), restricting the search to the period between 2001 and 2021. We used \"pressure ulcers\" and \"jurisprudence\" as the main keywords. From an initial library of 236 articles, our selection resulted in 12 articles, which were included in the review.
RESULTS: We identified the ever-increasing expectations of patients and the concept of automatic attribution of responsibility when a pressure ulcer develops as the primary reasons for the increase in litigation over the past 20 years. The related corrective measures are numerous: a strict adherence to guidelines, an adequate documentation of preventive measures, a risk assessment, family involvement, and a successful collaboration between physicians and government institutions.
CONCLUSIONS: The biological complexity of the pathogenetic development of pressure ulcers makes the subject very delicate from the medico-legal point of view. In principle, it is possible to state that a very large proportion of such injuries are preventable, but that there remains a percentage of them that cannot be prevented. In such cases, only a proper documentary demonstration of the adequacy of preventive measures can exclude liability profiles.
摘要：
背景：从医学法律的角度来看，与压力伤害发展相关的职业责任档案的识别是一个非常棘手的问题。这是因为无论应用的预防协议多么严格，这种损伤的发展在很大程度上取决于内源性因素。本文旨在通过对一个医学法律诉讼案例的阐述和对传统文献的回顾，来研究与该主题相关的医学法律问题。
方法：我们使用三个数据库（Pubmed，Scopus,和WebOfScience)，将搜索限制在2001年至2021年之间。我们使用“压疮”和“法学”作为主要关键词。从最初的236篇文章图书馆，我们的选择产生了12篇文章，包括在审查中。
结果：我们发现，在过去20年中，压力性溃疡发展时，患者的期望不断提高，责任自动归因的概念是诉讼增加的主要原因。相关的纠正措施很多：严格遵守准则，预防措施的适当文件，风险评估，家庭参与,以及医生和政府机构之间的成功合作。
结论：压力性溃疡发病机制的生物学复杂性使得本课题从医学-法律角度来看非常微妙。原则上,可以说，这种伤害中有很大一部分是可以预防的，但仍有一定比例的人无法预防。在这种情况下,只有适当的文件证明预防措施的充分性才能排除责任简介。
方法：我们使用三个数据库（Pubmed，Scopus,和WebOfScience)，将搜索限制在2001年至2021年之间。我们使用“压疮”和“法学”作为主要关键词。从最初的236篇文章图书馆，我们的选择产生了12篇文章，包括在审查中。
结果：我们发现，在过去20年中，压力性溃疡发展时，患者的期望不断提高，责任自动归因的概念是诉讼增加的主要原因。相关的纠正措施很多：严格遵守准则，预防措施的适当文件，风险评估，家庭参与,以及医生和政府机构之间的成功合作。
结论：压力性溃疡发病机制的生物学复杂性使得本课题从医学-法律角度来看非常微妙。原则上,可以说，这种伤害中有很大一部分是可以预防的，但仍有一定比例的人无法预防。在这种情况下,只有适当的文件证明预防措施的充分性才能排除责任简介。
