Vol. 11 No. 57 (2022)
Articles

Problems of investigation of medical crimes in Ukraine

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  • Ruslan Stepaniuk,
  • Mikhailo Shcherbakovskyi,
  • Vasyl Kikinchuk,
  • Iryna Petrova,
  • Vadym Babakin
Ruslan Stepaniuk
Kharkiv National University of Internal Affairs, Kharkiv, Ukraine.
Author Biography

Doctor of Law, Professor, Professor of the Department of Criminalistics and Forensic Science, Faculty № 1, Kharkiv National University of Internal Affairs, Kharkiv, Ukraine.

Mikhailo Shcherbakovskyi
Kharkiv National University of Internal Affairs, Kharkiv, Ukraine.
Author Biography

Doctor of Law, Professor, Manager of the Department of Criminalistics and Forensic Science, Faculty № 6, Kharkiv National University of Internal Affairs, Kharkiv, Ukraine.

Vasyl Kikinchuk
Kharkiv National University of Internal Affairs, Kharkiv, Ukraine.
Author Biography

Candidate of Law, Associate Professor, Manager of the Department of Criminalistics and Forensic Science, Faculty № 1, Kharkiv National University of Internal Affairs, Kharkiv, Ukraine.

Iryna Petrova
National Scientific Centre «Hon. Prof. M. S. Bokarius Forensic Science Institute», Kharkiv, Ukraine.
Author Biography

Doctor of Law, Professor, Honored Lawyer of Ukraine, Principal Researcher of the Laboratory of Theoretical Studies, Editorial and Publishing and Scientific and Methodological Activities, National Scientific Centre «Hon. Prof. M. S. Bokarius Forensic Science Institute», Kharkiv, Ukraine.

Vadym Babakin
Ukrainian National University of Civil Defense, Kharkiv, Ukraine.
Author Biography

Doctor of Law, Associate Professor, Lecturer of the Department of Applied Mechanics and Environmental Protection Technologies of the Faculty of Technogenic and Ecological Safety of the National University of Civil Defence of Ukraine, Kharkiv, Ukraine.

DOI: https://doi.org/10.34069/AI/2022.57.09.4

Published 2022-11-08

Keywords

  • Medical errors. Medical crimes. Medical malpractice. Problems of proving medical malpractice. Investigation of medical crimes.

How to Cite

Stepaniuk, R., Shcherbakovskyi, M., Kikinchuk, V., Petrova, I., & Babakin, V. (2022). Problems of investigation of medical crimes in Ukraine. Amazonia Investiga, 11(57), 39–47. https://doi.org/10.34069/AI/2022.57.09.4

Abstract

In the article, the authors identified the main reasons for the low level of investigation of medical crimes in Ukraine based on the analysis of 78 criminal cases of medical malpractice considered by courts since 2013, the study of statistical information, scientific literature on the problems of investigating medical crimes, national legislation. It was concluded there are significant problems with the investigation of medical crimes in Ukraine. Less than one percent of the number of initiated criminal cases is sent to court. Most of the cases sent to court end with a guilty verdict, however, medical workers are released from real deprivation or restriction of freedom for various reasons. According to the specialties of medical workers, the most criminogenic are obstetrics and gynecology, surgery, anesthesiology, and emergency care for injuries and internal diseases. Methods of committing medical crimes are associated with using incorrect methods of providing medical care and with the untimely or incorrect diagnosis of the disease. The problems of investigating medical crimes in Ukraine are due to a number of reasons, including the closeness of the results of the post-mortem examination of the corpse to relatives of the deceased, the lack of independent forensic medical examination institutions in Ukraine, and gaps in the legal regulation of the protection of medical records from unauthorized access. This greatly complicates the establishment of a causal relationship between the actions or inaction of medical workers and the negative consequences that have occurred.

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References

Alkhenizan, A. H., & Shafiq, M. R. (2018). The process of litigation for medical errors in Saudi Arabia and the United Kingdom. Saudi Med J, 39(11), 1075-1081.

Bernain, G. R., Rodríguez, L. B., Tissie, D. L., & Gómez, L. C. (2019). Analysis of Chilean Supreme Court rulings in medical malpractice cases, 2014–2015. Spanish Journal of Legal Medicine, 45-3, 108-113.

Burkhard, M., & Preuß, J. (2009). Medical malpractice as reflected by the forensic evaluation of 4450 autopsies. Forensic Science International, 190, 1–3, 58-66. DOI: https://doi.org/10.1016/j.forsciint.2009.05.013

Cakmak, C., Demir, H., & Kidak, L.B. (2017). A research on examination of medical errors through court judgments. J Turgut Ozal Med Cent, 24(4), 443-9. DOI: https://doi.org/10.5455/jtomc.2017.06.089

Chen, L. J., Lian, Y. L., Li, L. Z., Yue, X., Qiao, D. F., Li, D. R., Wang, H. J., & Wang, Q. (2019). Retrospective Analysis of 291 Cases of Medical Malpractice Involving Death. Fa Yi Xue Za Zhi, 35(6), 701-705. DOI: https://doi.org/10.12116/j.issn.1004-5619.2019.06.010. [In Chinese]

Danchenko, K., & Taran, O. (2020). Criminal Liability of Medical Profecionals Negligience: Comparative Analysis. Cuestiones Políticas, 38: Especial II, 251-263. DOI: https://doi.org/10.46398/cuestpol.382e.19

Danshyn, M.V., Bespalova, O.I., Denisov, S.F., Denisova, T.A., & Kostenko, M.V. (2019). Iatrogenic crimes: issues of investigation methodology. Georgian Medical News, 5(290), 163-170. Recovered from https://cdn.website-editor.net/480918712df344a4a77508d4cd7815ab/files/uploaded/V290_N5_May_2019.pdf [In Russian].

Dettmeyer, R., Egl, M., & Madea, B. (2005) Medical Malpractice Charges in Germany - Role of the Forensic Pathologist in the Preliminary Criminal Proceeding. Journal of Forensic Sciences, 50(2), JFS2004136-5. DOI: https://doi.org/10.1520/JFS2004136

Franchuk, V. V., & Trach Rosolovska, S. V. (2018). Demographics and professional characteristic of Ukrainian physicians involved in criminal negligence. German Science Herald, 5, 3–6.

Giraldo, P., Sato, L., Martínez-Sánchez, J.M, Mercè, C., Dwyer K., Sala, M., & Castells, X. (2016). Eleven-year descriptive analysis of closed court verdicts on medical errors in Spain and Massachusetts. BMJ Open, 6, e011644. DOI: https://doi.org/10.1136/bmjopen-2016-011644

Griffiths, D. & Sanders, A. (2012). The road to the dock: prosecution decision-making in medical manslaughter cases. Bioethics, Medicine and the Criminal Law: Medicine, Crime and Society, 2, Cambridge University Press, Cambridge, 117-158.

Grynko, L. P., Grynko, P. O., Teremetskyi, V. I., & Batrin, O. V. (2018). Problematic issues of appointing and conducting forensic medical examination in iatrogenic crimes. Medical Affairs, 3-4, 175-179. Recovered from https://doi.org/10.31640/3-4.2018(29) [In Ukranian]

Gutorova, N., Zhytnyi, O., & Kahanovska, T. (2019). Medical negligence subject to criminal law. Wiad Lek, 72, 11 cz. I, 2161-2166. DOI: https://doi.org/10.36740/WLek201911118

H?r?t?u, A. (2017). Theoretical and case-law considerations on the professional negligence of doctors that could result in criminal, not only civil, liability. Challenges of the Knowledge Society, 7, 166–173.

Institute of Medicine (US) Committee on Quality of Health Care in America, Kohn, L. T., Corrigan, J. M., & Donaldson, M. S. (Eds.). (2000). To Err is Human: Building a Safer Health System. National Academies Press (US). DOI: https://doi.org/10.17226/9728

Kharytonov, E., Kharytonova, O., Kharytonova, T., Kolodin, D., & Tolmachevska, Y. (2019). Human rights as the basic value of the concept of private law in modern Europe. Amazonia Investiga, 8(20), 477-485. Retrieved from https://amazoniainvestiga.info/index.php/amazonia/article/view/177

Khizhnyak, V.V., Olkhovskyi, V.O., Morgun, A.O., Kutsenko, K.V., Morgun, O.O. (2018). Forensic medical support of "medical cases". Theory and practice of forensic examination and criminology, 18, 558-567. Recovered from https://doi.org/10.32353/khrife.2018.65 [In Ukranian].

Leflar, R. B., & Iwata, F. (2005). Medical Error as Reportable Event, as Tort, as Crime: A Transpacific Comparison. Widener Law Review, 12, 189-225. Available at SSRN: https://ssrn.com/abstract=920991

Merry, A. F. (2009). How does the law recognize and deal with medical errors? Journal of the Royal Society of Medicine, 102(7), 265–271. DOI: https://doi.org/10.1258/jrsm.2009.09k029

Order No. 1877. The procedure for conducting a pathological autopsy. Approved by order of the Ministry of Health of Ukraine, dated September 6, 2021. Recovered from https://zakon.rada.gov.ua/laws/show/z1239-21#Text [In Ukranian].

Order No. 6. Instructions on conducting a forensic medical examination. Approved by of the Ministry of Health of Ukraine dated January 17, 1995. Recovered from https://zakon.rada.gov.ua/laws/show/z0254-95#Text [In Ukranian].

Starkey, L.J., & Maeda, S. (2010). Doctor as criminal: reporting of patient deaths to the police and criminal prosecution of healthcare providers in Japan. BMC Health Serv Res 10, 53. DOI: https://doi.org/10.1186/1472-6963-10-53

Topchiy, V.V. (2020) Directions for improving the investigation of crimes in the medical field. Scientific Bulletin of the Uzhhorod National University. Series Law, 60, 186-190. [In Ukranian].

Tsigengagel, O. P., Glushkova, N. E., Samarova, U. S., Begimbetova, G. A., & Khismetova, Z. A. (2020). Prevalence and management of medical errors (review). Georgian Medical News, 11(308), 153-160. Recovered from https://www.geomednews.com/v-308-november-2020.html [In Russian].

Wu, K. H., Cheng, S. Y., Yen, Y. L., Wu, C. H., Tsai, M. T., & Cheng, F. J. (2016). An analysis of causative factors in closed criminal medical malpractice cases of the Taiwan Supreme Court: 2000–2014. Legal Medicine, 23, 71-76.