Legal responsibility of the pathologist in tunisia

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Published Dec 20, 2017
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Vol. 95 No. 6 (2017): Issue Jun 2017

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Mona Mlika
Mehdi Ben Khelil
Moncef Hamdoun
Faouzi Mezni

Abstract

The role of the pathologist has been highlighted by the medias since the recent years and the Tunisian law system suffers from a huge and there are no rules or jury verdicts concerning the e responsability  of the doctors in general with emphasis on pathologists. One might think that the lack of laws benefits to the pathologist, on the other hand, we can consider this as dangerous either for the patients or the pathologists. This lack of laws makes the judge dependant on the expert view. Other countries like European ones and the United States, has available data furnished by the insurance bodies that enrich the jury verdicts and the different laws that are available. Our aim was to help the pathologists understand their legal responsibilities and the law system. The latter may seem as complex for the pathologist as a pathologic report for a judge.

Keywords:

responsibilities, pathology, law, law verdicts

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References

  1. Gromb S. Aspects médico-légaux : responsabilité médicale. 2006;1-5.
  2. Allen TC. Medicolegal issues in pathology. Arch Pathol Lab Med. 2008;132(2):186-91.
  3. Reisch LM, Carney PA, Oster N V., Weaver DL, Nelson HD, Frederick PD, et al. Medical malpractice concerns and defensive medicine: A nationwide survey of breast pathologists. Am J Clin Pathol. 2015;144(6):916-22.
  4. Allen TC, Stafford M, Liang BA. Academic and trainee empirical review of cases by state of Texas physicians. Am J Clin Pathol. 2014;141(4):501-9.
  5. Bmj CD, Abergavenny RD. Pathologist in Parents warned to curb rise in measles cases by vaccinating their children Agency warns about dosing error for amphotericin. World. 2007;335(September).
  6. Frable WJ. Surgical pathology - Second reviews, institutional reviews, audits, and correlations: What's out there? Error or diagnostic variation? Arch Pathol Lab Med. 2006;130(5):620-5.
  7. Crowson a N. Medicolegal aspects of neoplastic dermatology. Mod Pathol. 2006;19 Suppl 2:S148-54.
  8. Foucar E. The pathologist in Tortland: When is ignorance about “Med-Mal” rational, when is it unavoidable, and when is it a problem to be corrected? Am J Clin Pathol. 2014;141(4):455-8.
  9. D'Angelo R, Mejabi O. Getting it right for patient safety: Specimen collection process improvement from operating room to pathology. Am J Clin Pathol. 2016;146(1):8-17.
  10. Troxel DB. Diagnostic errors in surgical pathology uncovered by a review of malpractice claims: part VI--urinary bladder and branchial cleft cyst. Int J Surg Pathol. 2001;9(3):227-9.
  11. Epstein JI. Pathologists and the judicial process: how to avoid it. Am J Surg Pathol [Internet]. 2001;25(4):527-37.
  12. Kornstein MJ, Byrne SP. The medicolegal aspect of error in pathology: A search of jury verdicts and settlements. Arch Pathol Lab Med. 2007;131(4):615-8.
  13. Bartoli C, Coulibaly B, Leonetti G, et al. Les erreurs diagnostiques de l'analyse extemporanée en pratique anatomo-pathologique. Revue de Praticien. 2004 ; 1 :697-701
  14. Brown RW, Speranza V Della, Alvarez JO, Eisen RN, Frishberg DP, Rosai J, et al. Uniform labeling of blocks and slides in surgical pathology: Guideline from the college of American pathologists pathology and laboratory quality center and the national society for histotechnology. Arch Pathol Lab Med. 2015;139(12):1515-24.
  15. Dunn EJ, Moga PJ. Patient Misidentification in Laboratory Medicine. Arch Pathol Lab Med [Internet]. 2010;134(2):244-55.
  16. Nakhleh RE, Idowu MO, Souers RJ, Meier FA, Bekeris LG. Mislabeling of Cases, Specimens, Blocks, and Slides. :969-74.
  17. Comanescu M, Annaratone L, D'Armento G, Cardos G, Sapino A, Bussolati G. Critical Steps in Tissue Processing in Histopathology. Recent Pat DNA Gene Seq. 2012;6(1):22-32.
  18. Groenen PJTA, Blokx WAM, Diepenbroek C, Burgers L, Visinoni F, Wesseling P, et al. Preparing pathology for personalized medicine: Possibilities for improvement of the pre-analytical phase. Histopathology. 2011;59(1):1-7.
  19. Professionnelles R. Recommandations de bonnes pratiques en anatomie et cytologie pathologiques v2. Ann Pathol. 2010;30(1):58-67.
  20. Detterbeck FC, Moran C, Huang J, Suster S, Suster S, Huang J, et al. Which Way is Up ? Policies and Procedures for Surgeons and Pathologists Regarding Resection Specimens of Thymic Malignancy. J Thorac Oncol. 2011;6(7 Suppl3):S1730-8.
  21. Markides GA, Newman CM. Medical malpractice claims in relation to colorectal malignancy in the National Health Service. Color Dis. 2014;16(1):48-56.
  22. Dintzis SM, Stetsenko GY, Sitlani CM, Gronowski AM, Astion ML, Gallagher TH. Communicating pathology and laboratory errors: Anatomic pathologists' and laboratory medical directors' attitudes and experiences. Am J Clin Pathol. 2011;135(5):760-5.
  23. Lehr HA, Bosman FT. Communication skills in diagnostic pathology. Virchows Arch. 2016;468(1):61-7.
  24. Dewar R, Parkash V, Forrow L, Truog RD. "Apologies" from pathologists: why, when, and how to say "sorry" after committing a medical error. Int J Surg Pathol. 2014 May; 22(3):242-6.
  25. Dry S, Grody WW, Papagni P. Stuck between a scalpel and a rock, or molecular pathology and legal-ethical issues in use of tissues for clinical care and research: What must a pathologist know? Am J Clin Pathol. 2012;137(3):346-55.
  26. Leung ST, Kaplan KJ. Medicolegal aspects of telepathology. Hum Pathol [Internet]. Elsevier B.V.; 2009;40(8):1137-42.