جستجوی مقالات مرتبط با کلیدواژه « شکایت » در نشریات گروه « پزشکی »

Medical malpractice increases with the increase of cosmetic surgeries. This study aimed to investigate the medical demands (physician's commitment and patient satisfaction) of injured people seeking cosmetic surgery from a forensic medicine commission.

 In this descriptive-analytical cross-sectional study, 276 subjects whose medical malpractice was confirmed twice by the Forensic Medical Commissions of Tehran province in 2019 and 2020 were included. After being approved by Islamic Azad University, this study was also approved by Forensic Medicine Commissions of Tehran province (IR.IAU.SAB.REC.1400.290). A researcher-made questionnaire was used to check the physician's commitment and patient satisfaction of the participants. SPSS version 22 software was used for data analysis.

 The mean age of the patients was 37 years. Regarding gender, 18 respondents (6.5%) were male and 258 respondents (93.5%) were female. Regarding the frequency of surgery, 49.6% of the respondents had cosmetic surgery once and 31.9% had cosmetic surgery twice, and the mean number of surgeries was 2 times and the maximum was 8 times. The number of complaints among married women and respondents with high education was higher than other groups. Most respondents had liposuction surgery (18.8%) and rhinoplasty (18.1%). The results of the research indicated that between the amount of complaints about cosmetic surgery and medical demands; patient satisfaction (r=0.528) and physician commitment (r=0.751) have an inverse and significant relationship. In fact, with the decrease in patient satisfaction and physician commitment, the amount of complaints about cosmetic surgery also increases.

 According to the results of the study, two components of medical demands, including physician's commitment and patient satisfaction, are important predictors for cosmetic surgery complaints. Physician's commitment has the greatest impact on the amount of cosmetic surgery complaints. As each component of medical demands increases, the likelihood of a complaint after cosmetic surgery decreases and vice versa.

Today, the body has found a special place as the clearest and most obvious carrier and plays an important role in presenting itself in daily life and interactions. In fact, the body can be considered as an essential aspect of self-presentation, this is the same issue that Bourdieu calls physical capital. Harmful results caused by medical mistakes, in addition to material damage, include spiritual damage such as pain and suffering, emotional damage, loss of special power, loss of life's pleasures, change in the appearance of the human body, sadness and the suffering caused by a person's death for his relatives etc., which is sometimes irreparable, and the compensation of spiritual losses related to therapeutic operations, along with the ambiguities and complexity regarding the way of evaluating and compensating them, legal systems also have a specific method. Medical malpractice increases with the increase of cosmetic surgeries. For this purpose, by examining this research, it is possible to find out what are the individual demands (social acceptance, self-expression and improvement of appearance quality) of the injured and damaged cosmetic surgery patients from the forensic doctor and what most clients evaluate the malpractice in, so that Based on that, he presented a scientific and practical solution to reduce injuries caused to the victims of cosmetic surgery and the Taliban.

In this descriptive-analytical cross-sectional study, the effect of the components of social acceptance, the amount of self-presentation (self-presentation) and the improvement of appearance quality (matching the surgery to the desired model of the patient) with the complaints of people about cosmetic surgery in the structure of forensic medical commissions of Tehran province was examined. All the people studied were cosmetic surgery victims who filed complaints to the Forensic Medicine Commission in 2018 and 2019 and their medical malpractice was confirmed twice. After preparing the list of plaintiffs (980 people), the forensic doctor organization contacted 276 of the plaintiffs who were available and completed the mentioned questionnaire with them. The sample size was calculated according to Morgan's formula. Three components of social acceptance, improvement of appearance quality and self-expression were investigated. A researcher-made questionnaire was used to check the social acceptance, self-expression and improvement of the appearance quality of the participants. SPSS version 22 software was used for data analysis.

The mean age of the patients was 37 years; 18 respondents (6.5%) were male and 258 respondents (93.5%) were female. Regarding the frequency of surgery, 49.6% of the respondents had cosmetic surgery once and 31.9% had cosmetic surgery twice, and the mean number of surgeries was 2 and the maximum was 8 times. The number of complaints among married women and respondents with high education was higher than other groups. Most respondents had liposuction surgery (18.8%) and rhinoplasty (18.1%). The results of the research indicated that there is an inverse and significant relationship between social acceptance (r=-0.364), self-expression (r=-0.271), and appearance quality (r=-0.395). In fact, with the reduction of social acceptance, self-expression, appearance quality (incompatibility of surgery with the patient's wishes), the amount of complaints about surgery also increases.

The decrease in the quality of life and the quality of appearance and the support received after the operation and the incompatibility of people's expectations with the reality and the malpractices in the surgery increase the level of dissatisfaction and complaints, and in this case, the person incurs additional material and emotional costs. Surgery applicants go for cosmetic surgery with the aim of achieving a better life and appearance and achieving their dreams. As the results also show, the life situation of the plaintiffs has worsened after the surgery, and besides the cost of reconstructive and care surgeries, the person also loses his previous position in work or family life and suffers more mental and spiritual damage. See that this cannot be compensated at any cost. A significant part of the complaint is due to the failure to achieve individual demands, and individual demands were both a reason for the trend towards cosmetic surgery and a factor in increasing the complaints of the injured. Most of the respondents find popularity, acceptability, approval and social acceptance from family, friends, peers and society and improve their living conditions and achieve better life and career opportunities and attract others and find social respect and dignity and present a favorable image and representation. The special image is based on the advertising criteria of cosmetic surgery. According to the results of the study, the three components of individual demands, including social acceptance, self-expression, and improvement of appearance quality, are important predictors for complaints about cosmetic surgery, so with the increase of each component of individual demands, the probability of complaints after cosmetic surgery decreases, and vice versa. It is better to consider some measures in future studies in this regardin including developing coherent indices in the country to measure the complaints and demands of cosmetic surgery victims, to access the file of complaints. Lack of cultural perspectives and the roadmap of cultural organizations in recognizing and introducing the amount of cosmetic surgery and medical malpractice (number malpractice and physisians with malpractice cases and causes) should be resolved.

Despite technical advances in medical diagnosis and treatment, the malpractice of health providers has increased, which can lead to a decrease in people's trust. Medical malpractice means unintentional failure to perform a task, which includes misdiagnosis, treatment plan error, or disease management error. This study was conducted in 2018 to investigate the causes of health providers’ malpractices in cases referred to Forensic Medicine Organization in Yazd.

This was a cross-sectional and applied study conducted in 2019 in Yazd province. The research population included all the cases of complaints about health providers’ malpractices in cases referred to Forensic Medicine Commission of Yazd Province in 2108. Data were collected by a two-part checklist and were analyzed by SPSS 16 software.

Out of 96 cases examined in 2018, 53 of the plaintiffs were men, and 43 of them were women. Most of them were in the age group of 20-40, and the most of complaints were related to government hospitals. Regarding the cause of malpractice, the highest frequency was related to carelessness, non-compliance with government regulations, and a combination of several factors, negligence and lack of proficiency, respectively. Moreover, obstetricians and gynecologists (18.8 %), surgery (13.5 %), and anesthesia (10.4 %) reported the highest number of malpractice cases. Only 58.3 % of the cases were proved.

Identifying the root causes of medical malpractice, changing individual approach to systemic approach in dealing with error factors, increasing the awareness of the treatment staff of the rules and consequences of malpractice, and notifying health care providers of guidelines through safety committees can reduce malpractice of treatment staff, and consequently, reduce complaints from them.

The emergency department is one of the most important departments of any hospital, where patients or their companions may not be satisfied with the services provided due to various reasons. This study aims to investigate the causes of the complaints of patients visiting the emergency department at Be’sat Hospital in Hamedan, Iran in 2018-2019.

In this cross-sectional study, all the complaints made over the years 2018 and 2019 from the emergency department of Ba’ath Hospital in Hamedan, Iran were investigated. Demographic information, causes of complaint, sources of complaint, results of complaints and the complaint section were collected.

One hundred and seventy complaints were filed in two years. One hundred and nineteen cases (68.4%) were filed by the patient’s companions. Half of the patients who complained had university education. The postponement in the visit and assignment of the patient by the doctor, inappropriate treatment of the treatment staff, medical malpractice and wrong diagnosis were the most important reasons for the client complaints. In 45% of the cases, the patient or the patient’s companion was right. Meanwhile, 39.1% of patients had no convincing reason to complain and 15.5% of their complaints were unsuccessful. A significant relationship was observed between the outcome of the complaint and education. Most of the registered complaints that were right with the patient were relevant to people with university education (P=0.001).

The findings of this study showed that postponement in the visit and assignment of the patient by the doctor, inappropriate treatment of the emergency personnel with the patient, medical malpractice, and wrong diagnosis are the most important causes of client complaints. Almost in half of the cases, the patient was right, which had a significant relationship with the level of education of the patients.

National studies on the prevalence of skin problems of the Iranian are very limited. The aim of this study was to determine the skin complaints of adult male population.

In this cross-sectional study, 1419 men over 35 years from 32 provinces participated by invitation. Demographic information, underlying disease history and presence of skin problems/diseases were collected by dermatologists. The participants were evaluated in terms of the presence of skin complaints (itching, burning, dry skin, redness, scaling, and skin color change); and any skin complaints with type, severity and location.

About one third 31.6% of the Iranian male middle-aged and elderly, had an underlying disease (n=449). High blood pressure, diabetes, and neurological disorders constituted 79.7% of the chronic diseases. In total, n=344 persons (24.2%) were rated as having skin complaint. Most people who had a skin complaint reported more than one skin complaint 75.6% (n=260). The most common skin complaints were related to itching 14.6% (n=207) and dry skin 5.6% (23.3%) in studied population, which were mostly mild 59.3% (n=204) and localize 58.4% (n=201). The use of corticosteroids was stated in 7.2%(n=103) and the most common types of usage was oral 62.1% (n=64). There was significant correlation between skin complaint and occupational exposure (P=0.01); lower education level (P=0.05); corticosteroid usage in general (P<0.001) and both oral (P=0.02) and topical (P<0.001) corticosteroid.

Skin complaint is common among middle-aged and elderly Iranian men. The most common skin complaint are mostly mild and localized itching and dry skin.

 One of the problems and challenges posed in the dentistry field is to file a lawsuit against dentist that causes discontent ، wasting time and cost and energy for both of them.   This study can be useful for students and dentists because it will enable them to identify cases that lead to the lawsuits and treatment and contact with patients adhere to the principles of professional ethics. purpose of this study was to investigate the relationship between adhere to the principles of professional ethics with lawsuits in Isfahan city between 2010 to 2020.

 In this Cross-Sectional study, 706 files of lawsuits in Isfahan medical records archives and deputy of treatment during 2010-2020 were evaluated and the required information was extracted. The data were analyzed by descriptive statistics test.

A rising trend was observed in the rate of lawsuits. The most cause of lawsuits was related to not having the knowledge, skill and experience, consultation and referral, overbilling, disruptive behavior in the workplace. Frequency of male dentists and general dentists were higher.

 Dental complaints had a rising trend, and the most commonly reported cases related to not having the knowledge, skill and experience, consultation and referral.

investigate the complaints raised by nurses in health care systems can clarify the weaknesses  to identify these weaknesses and provide ways to deal with them to solve these problems. The aim of the present study was to determine the frequency and type of complaints and related factors in the years 2016-2020in the Complaints Unit of Imam Reza (AS) Center in Kermanshah.

This descriptive-analytical study was conducted in 1399 with a sample size of 222 cases. Data were collected by reviewing the complaints submitted by nurses to this unit. The data collection tool was a checklist including demographic information and the type of complaint submitted. The obtained data were analyzed by SPSS software version 16 using statistical tests including Chi-square and Kolmogorov–Smirnov test.

The most common complaints were verbal violence(27.8%) and patient dissatisfaction with the treatment process(22.6%), followed by physical violence(19.3%). Complaints were raised in the surgical and internal wards, nurses between the ages of 31 and 40, female nurses, nurses working in rotating shifts, people with a history of 0 to 10 years, and nurses with formal employment status. There was a significant relationship between the type of violence and the year of review of complaints, as well as between the type of complaint and shift work .

  Considering that violence was one of the highest number of complaints raised by nurses, it is necessary to carry out the necessary planning and training in this field

Falling is one of the most common events that threats physical and psychological safety in patients, as well a factor that increases duration of hospitalization and treatment costs. Unfortunately, there is a little relatively evidence of reports of factors contributing to inpatient falls or the effectiveness of hospital fall prevention programs. Therefore, this study was conducted to determine the most important factors affecting complaints of hospital beds during treatment referred to forensic medicine in Fars province during the years from 2011 to 2019. Material &

This study was a descriptive cross-sectional and retrospective study. All cases of complaining of falling out of a hospital bed during treatment referred to forensic medicine in Fars province during the years from 2011 to 2019 were reviewed and the information contained in them was collected and recorded based on the prepared checklist. After collecting the data, the information was converted into a sheet code and analyzed by SPSS software version 21 and descriptive statistical aspirations.

The results of the present study showed that more falls occurred in men and in the age group over 70 years. Also, most cases of bed falls occurred in the morning shift (45.9%) witnessed falls in the majority of cases, nurses (55.7%) and (55.7%) of patients after the fall alone was not able to ask.

Given the high rate of falling patients’ incidence, it is essential to offer effective management strategies to provide more safety situation for patients.

Today, increasing people's efforts for beauty and rejuvenation has led to the promotion of plastic surgeries, which has provided the basis for increasing malpractition and patients' dissatisfaction with the results.

The present study was a descriptive study based secondary data analysis. Examining the existing cases in the forensic medicine of Fars province, a total of 132 cases referred to this organization were in the Plastic Surgery Commission, of which 58 were related to complaints from plastic surgeons.Out of 58 suspects, 24 (41.4%) were acquitted and 34 (58.6%) were convicted, and 55 (94.8%) were man and 3 (5.2%) were woman. The highest cause of negligence was incompetence, which included 16 cases (66/6%). In addition there was carelessness with 20.8% and compound negligence (8.3%); also, the most common cause of complaints was cosmetic defects with 58.6%.

In general, this study showed that the most common reason for complaining to plastic surgeons is cosmetic defects and dissatisfaction with the results of the operation, and this requires plastic surgeons to explain the results of the operation for the patient better. ; Moreover, the most common cause of litigation was incompetence, which indicates the importance of skills acquisition by surgeons.

Today, despite the efforts of the medical community and health staff, the rate of dissatisfaction and complaints among patients is increasing and this highlights the importance of evaluating its related factors. The aim of this study was to analytically investigate complaints against ophthalmologists which were referred to the Legal Medicine Organization of Iran in Tehran during 2017-2019.

In this cross-sectional (analytical-descriptive) study, the demographic data of patients and physicians including age, gender, marital status and academic degree, type of treatment measures leading to complaints, last decision of the medical commission, characteristics of protesting of patients and vote of revision commissions for all the complaints of ophthalmology were recorded and analyzed.

During 3 years, 176 complaints were recorded in the field of ophthalmology. Of these, 90(51.1%) complaints were from medical interventions which took place in university or government hospitals and clinics. Also, 27(15.3%) cases of malpractice were reported, among which negligent was the most common type, with 22 cases (81.5%). The highest number of complaints was for cataract surgery and the most frequent treatments with malpractice of the physicians were cornea transplantation. Although the most protests to the first decision were from the patients, the effectiveness of physicians’ protest was significantly higher (P<0.001).

Nowadays, with advances in treatment methods and technologies in ophthalmology and enhancement in the knowledge of patients about their rights, their expectations from medical staff have changed. The findings of the present study suggest that due to the rise in the number of complaints in ophthalmological treatment while a decrease in malpractice rate, applying intervention actions such as good communication between physicians and patients and patient’s right perception of treatment and possible side effects can lead to less number of complaints. In addition, due to different opinions in consecutive commissions, utilizing a single approach based on new information and evidence seems necessary.

The rise of medical errors has become a public concern among health policymakers. Due to the importance of knowing the causes of medical errors and preventing their continuation, especially in the emergency department, so this study was conducted to investigate the frequency of negligence of emergency medicine specialists referred to forensic medicine in Fars province from 2012 to 2019.

The present study was a descriptive study based secondary data analysis. The study population included all negligence referred to the office of the Medical Commission of the General Directorate of Forensic Medicine of Fars Province with the subject of complaints from emergency medicine specialists during the years 2012 to 2020. The method of data collection is based on a questionnaire and the use of information in the files of the Medical Commission of the General Directorate of Forensic Medicine of Fars Province. Data collection form including patient's age, patient's education, patient's occupation, underlying illness, causes of negligence, type of treatment center, cause and motive of complaint, type of service provided, how to obtain information about negligence, location of injury, type of injury and amount of injury is. Data analysis was performed using SPSS software version 21 and descriptive Statistics.

Out of 92 cases, 91 were male physicians (98.9%) and 1 was a female physician (1.1%). The highest frequency of voting was in 1398 with 40 votes (43.5%) and in 1397 with 28 votes (30.4%). 54 (58.7%) of the complainants died and 19 (20.7%) had disabilities. Also, the number of complainants was improving 11 (0.12%) and improved 6 (6.5%). Of the 92 cases reviewed, 77 (83.7%) were finally acquitted and 15 (16.3%) were convicted. The highest frequency of confirmed negligence was negligence negligence 9 (9.8%) and negligence 2 (2.2%).

The results of this study indicated that the most common cause of medical malpractice in emergency medicine specialists is negligence. Therefore, it is suggested to reduce this type of negligence by holding training workshops for emergency medicine specialists.

Medical malpractice is an act committed by a medical or healthcare professional who deviates from the standards in his or her profession and causes harm to the patient. Meanwhile, medical malpractice in the field of obstetrics and gynecology includes a wide range of complaints against physicians, and prevention of this type of malpractice requires an understanding of its epidemiology. In this study, medical errors in gynecology and obstetrics departments of Jahrom city were investigated.

A cross-sectional-descriptive study was conducted to investigate medical errors related to referral cases to Jahrom Forensic Medicine Organization in the gynecology and obstetrics departments between 2002 and 2018. The method of data collection was based on the questionnaire and the use of the information in the files in the medical commission of the General Directorate of Forensic Medicine of Jahrom city. The data were analyzed in SPSS software.

Sixteen complaints have been lodged against Obstetrician and gynecologist specialists in the evaluated period; Of the 14 cases (82.35%) related to childbirth, 1 case (5.88%) was related to genital infection and 1 case (5.88%) was related to breast tumor. The average age of the plaintiffs was 29.81. The youngest complainant was 24 years old and the oldest was 45 years old. Votes issued for 9 cases (52.94%) of complaints leading to failure to prove negligence, 3 cases (17.64%) indicating negligence of obstetrician and gynecologist, 2 cases (11.76%) of the ban on prosecution due to the time, 1 case (5.88%) resulted in a written cautation to gynecologist and 1 case (5.88%) resulted in the plaintiff's consent to the obstetrician. There were three cases of negligence, one involving the placement of surgical instruments during a cesarean section, one involving the death of a baby during childbirth, and one involving the absence of a diagnosis of a breast tumor.

Most of the medical malpractice charges in cases against obstetricians and gynecologists are related to labor management. This demonstrates the need to provide courses based on complex cases leading to complaints for the obstetrics and gynecology department.

Dental complaints have been growing in the world. These complaints have led to an increase in dentists’ stress as well as financial and time burden for the community. Hence, a careful examination of complaints can serve as guidance for improving university dental education programs and increasing the awareness of dentists.

In this descriptive cross-sectional study, 359 dental treatment files in Isfahan medical records archives (2011-17) were evaluated and the required information was extracted. The data were entered into two separate SPSS files (one based on records and one based on teeth) and analyzed by descriptive statistical test.

A rising trend was observed in the rate of complaints from 2011 to 2017. The most treatment procedures complained were endodontics (35.9%), prosthodontics (31.5%) and surgery (20.6%). General dentists (89.7%), female patients (58.8%), and posterior teeth (72.2%) were more common. The prevalence of male dentists (84%) was far more than female counterparts (16%). 32.9% of complaints were related to treatment in private dental offices and 39.6% were related to treatment in dental clinics.

Dental complaints had a rising trend, and the most commonly reported cases of treatment were endodontics, prosthodontics and surgical procedures.

In spite of scientific and technologic developments in medical diagnosis and treatment, health providers’ malpractices increased that can decrease confidence of the people to them and cause stress and anxiety. The study is carrued out to determine the compliant about health providers’ malpractices in records referred to forensic medicine organization in Urmia, during 2009-2013.
In this descriptive cross-sectional study, 134 malpractices claim records registered in legal medicine organization were assessed. Demographic characteristics of the patients and health providers, the place and the kind of malpractices and the kind of injuries were gathered by a checklist and analyzed by SPSS 18.
Findings: During these 4 years, 134 claimed documents had been studied. 101 (75.4%) of samples were men and the others were women (24.3%). Mean age of them were 35.1±19.2 years. Most of records were related to doctors’ malparctices (37.3%) and other health care providers (62.7%). The most of complaints were related to carelessness (39.5%), lack of skill (28.9%), negligence (26.3%) and non-compliance with government regulations (5.3%). Orthopedic surgeons (16.4%), gynecologists (12.7%) and general surgeons (11.2%) and ear nose and throat specialists (11%) had the highest malpractice cases. As a result of complaints cases referred to in (74.6%) resulted in acquittals and in (25.4%) cases resulted in a conviction.
Although most of the health care providers were acquitted, scientific skills and a good communication with patients about their treatments and reduction of possible side effects and paying attention to medical ethics can prevent many complaints.

Patients safety in operation room is one of the most important issues. Cutaneous bums during operation is the cause of many complaints from the health staffs and it leads to legal following due to not be expected and associated problems. Recently it has been found other reasons for this happen except the problems in cautery equipments. Which needs to evaluate the causes and find the ways of prevention.
Matrial and In this study 12 documents of military boards of Isfahan forensic medicine center was assessed from 2007 to 2013 and the data were gathered based on the difined variables.
Most of the burnings was on back and the upper limbs with the type of third degree. Almost the half of them was due to cauter burning and the rest induced by chemicals such as Betadine and H2O2- some of them made by pressure ulcers resulted from prolonyed surgeries.
In addition to the technical considerations of medical equipments in operation rooms, it is necessary to control the disinfectants quality and avoiding their skin contact for along time during the surgery.

Background and Despite numerous advances in diagnosis and treatment of diseases, complaints against doctors and medical assistants are increasing. The aim of this study was to investigate the complaints of patients against orthopedic surgeons in Mazandaran province, Iran.
A cross-sectional study was done on the complaints of orthopedic malpractice cases made to Department of Forensic Medicine in Mazandaran province between 2011 and 2014.
A total of 64 complaints was made in which the doctors were convicted in 49 cases (76.6%). The patients in these cases included 37 (75.5%) males and 12 (24.5%) females. The mean age of patients was 34.4 years. The most common complaint was malfunction Lack of organ function (39%, n=25). Among the cases 21 (42.9%) were admitted in state hospitals while 28 (57.7%) were hospitalized in private hospitals.
A considerable number of orthopedic malpractice claims was proved. In order to prevent such cases, appropriate planning is required.

The health complaint is an expression of dissatisfaction by patient or its family that is required to responding. This research is done to achieve the Portrait of country medical complaints in the last decade.
In this systematic review by searching keywords in 6 knowledge base and to get help from Google search engine, articles in the field of health complaints in the period 1385 to 1395, were searched. The outcome of this search was 1270 Persian and English articles. Then the research team studied the title and abstracts and they removed 1120 irrelevant articles or without full text. In the next step, after the study of full texts, removed 131 duplicates or irrelevant with the issue. Eventually, research team achieved to the 19 articles that were completely relevant with the issue.
Generally, according to a specified pattern, highest percentage of the complaints were related to inappropriate behavior of medical staff and the lowest was related to costs. More than 60 percent of complaints were related to period 1390 to 1392. All complaints and registered articles were related to medical centers and hospitals affiliated to the Ministry of Health and medical education.
Serious determination of health authorities about application of complaints as a tool to quality improve, can play a role in taking advantage of this great and valuable source of information to promotion health society.

One of the most important professional problems for doctors is patient grievances and complaints to the judiciary and its consequences in their personal and professional lives. Despite the efforts of doctors and medical staff in service delivery to patients and specific sanctity of the field, complaint rate is growingly increasing. Advances in obstetrics and gynecology have increased expectations of human society. Therefore, the present study aimed to investigate the incidence of medical errors in the field of obstetrics and gynecology in accordance with disciplinary court records in Mashhad Medical Council in the years 2013-2014.
This is a retrospective and cross-sectional study conducted based on census. In this study, all records of complaints in the field of obstetrics and gynecology registered in Disciplinary Court of Mashhad Medical Council was investigated from the beginning of 2013 until the end of 2014. Data included plaintiff’s gender, education, complaint topic, the organization referring the dossier and the type of decision.
Between 2013 and 2014, 701 complaints were registered in Disciplinary Court of Mashhad Medical Council among which 135 complaints were related to the field of obstetrics and gynecology. 17.8% of plaintiffs were men and 82.2% of them were women. Of the 135 complaints of obstetrics and gynecology, most of them related to the death of children (25%), natural childbirth complications in infants (15%) and maternal mortality (10%), respectively. Most referral litigation cases of obstetrics and gynecology in the years 2013-2014 related to private plaintiffs (47.4%). According to expert bodies, 69% of plaintiffs received a sentence of acquittal and 11% were found guilty. In addition, consent was obtained from 2.2% of plaintiffs and 17.8% of files were archived according to experts.
According to the complaints of obstetrics and gynecology and determination of their causes, following practices are essential in order to reduce complaints and increase patient satisfaction: improved doctor-patient relationships, doctors paying more attention to symptoms, tests, medical history and condition and pregnant mothers’ statements, detailed examination of the pregnant mother in late pregnancy (the individual being under the supervision, monitoring, NST test and checking the fetal heart rate) and the presence of a midwife bedside pregnant women in late pregnancy.

One of the most important job stressors that dentists could be faced in their career is patient complaint. The aim of this study was to present profile of dental Practitioners’ malpractice in Mashhad, Iran.
Complaint records about dentists in the Mashhad Medical Council, were evaluated during 2001to 2011.Variables such as location of treatment, gender of patient and dentist, type of dental treatment and causes of complaint. Data analysis was performed by SPSS software15.
Findings: between 250 cases in 62.4%, dentists were not found guilty. Most dentists that they had complained of were male. Frequency of complaints related to general dentists (87.2%), endodontics (4.4%) and periodontics (2.4%), respectively. The most frequent failures were related to private offices (62/8%), private dental clinics (28.4%), charity clinics (3.2%) and finally hospital clinics (2.8%), respectively. The most frequent treatment-related side effects were loss of tooth by dentists (24.4%).
Based on findings of the study, most of the defendants (dentists) were not faulty. Most of patients who complain against dentists were female and most of defendants were general men dentists. Majority of complaints concerned to private sectors, and periodontal surgery procedures.

This study was designed to investigate the medical malpractice claims referred to the Board of Appeal of Disciplinary Court in Mashhad Medical Council (MMC). In this descriptive-analytical study, cases referred to the Board of Appeal in the years 2008 to 2013 were reviewed and extracted data were entered into a checklist. During this six-year period, 1943 malpractice claims were initially filed in the Disciplinary Court of MMC. Subsequent to issuing the initial verdict by the Council of Magistrates, after objection of the plaintiff or defendant, or both; 628 cases were referred to the Board of Appeal. The majority of claims were filed against gynecologists (16.1%), followed by orthopedists (13.1%) and general practitioners (12.3%). Most of the verdicts issued by the Council of Magistrates were innocence (46.3%), article “g” (23.5%), and article “b” (11.3%). Appellant in 52.6% of cases were the plaintiff, 39.3% were the defendant and in 8% were both the plaintiff and the defendant. In most cases (83.4%) the initial verdict was confirmed, while in 16.6% cases, the initial verdict was challenged. As a result, after the objection, the number of innocence (non-faulty) verdicts increased by 11.7%. The average time from the moment of submission of the claim till the initial verdict by Council of Magistrates was 147±103 days and the average time from the moment of objection to the initial verdict till the decision of the Board of Appeal was 248±113 days. In this study, it was found that about one-third of the verdicts issued by the Council of Magistrates were objected and referred to the Board of Appeal, but only in about one-sixth of objected cases or one-eighteenth of the total cases, the initial verdict was challenged. Medical community members should respect medical ethics in dealing with patients to achieve their satisfaction and trust; and they should strictly comply with treatment and legal protocols to prevent any legal and penal consequences in case of disease complications and failures in medical procedures.