Sepsis and Nosocomial Infections: The Role of Medico-Legal Experts in Italy

被引：9

作者：

Tattoli, Lucia ^{[1
]}

Dell'Erba, Alessandro ^{[2
]}

Ferorelli, Davide ^{[2
]}

Gasbarro, Annarita ^{[3
]}

Solarino, Biagio ^{[2
]}

机构：

[1] SC Med Legale U Azienda Osped Univ Citta Salute &, I-10126 Turin, Italy

[2] Univ Bari A Moro, Sch Med, Dept Med DIM, Inst Legal Med, I-70124 Bari, Italy

[3] Pharm Univ Hosp Policlin, I-70124 Bari, Italy

来源：

ANTIBIOTICS-BASEL | 2019年 / 8卷 / 04期

关键词：

sepsis; septic shock; inflammation; nosocomial infection; risk management; forensic; postmortem diagnosis; malpractice; medico-legal expert; C-REACTIVE PROTEIN; LIPOPOLYSACCHARIDE-BINDING PROTEIN; CARE ACQUIRED INFECTIONS; POSTMORTEM DIAGNOSIS; HEALTH-CARE; SERUM-LEVELS; PROCALCITONIN; MARKERS; DEATH; MALPRACTICE;

D O I：

10.3390/antibiotics8040199

中图分类号：

R51 [传染病];

学科分类号：

100401 ;

摘要：

Sepsis is a leading cause of morbidity and mortality worldwide. It is defined as the presence of a Systemic Inflammatory Response Syndrome, and it represents a significant burden for the healthcare system. This is particularly true when it is diagnosed in the setting of nosocomial infections, which are usually a matter of concern with regard to medical liability being correlated with increasing economic costs and people's loss of trust in healthcare. Hence, the Italian governance promotes the clinical risk management with the aim of improving the quality and safety of healthcare services. In this context, the role of medico-legal experts working in a hospital setting is fundamental for performing autopsy to diagnose sepsis and link it with possible nosocomial infections. On the other hand, medico-legal experts are party to the clinical risk management assessment, and deal with malpractice cases and therefore contribute to formulating clinical guidelines and procedures for improving patient safety and healthcare providers' work practices. Due to this scenario, the authors here discuss the role of medico-legal experts in Italy, focusing on sepsis and nosocomial infections.

引用

页数：12

共 62 条

[21] National Policies for Risk Management in Italy [J].

Ghirardini, A. ;

Cardone, R. ;

De Feo, A. ;

Leomporra, G. ;

Cannizzaro, G. D. ;

Sgro, A. ;

Palumbo, F. .

TRANSPLANTATION PROCEEDINGS, 2010, 42 (06) :2181-2183

[22] The Italian strategy for patient safety [J].

Ghirardini, Alessandro ;

Murolo, Giuseppe ;

Palumbo, Filippo .

CLINICA CHIMICA ACTA, 2009, 404 (01) :12-15

[23] Comparative evaluation of postmortem serum concentrations of neopterin and C-reactive protein [J].

Ishikawa, Takaki ;

Hamel, Marianne ;

Zhu, Bao-Li ;

Li, Doncy-Ri ;

Zhao, Dong ;

Michiue, Tomomi ;

Maeda, Hitoshi .

FORENSIC SCIENCE INTERNATIONAL, 2008, 179 (2-3) :135-143

[24] Transforming healthcare: a safety imperative [J].

Leape, L. ;

Berwick, D. ;

Clancy, C. ;

Conway, J. ;

Gluck, P. ;

Guest, J. ;

Lawrence, D. ;

Morath, J. ;

O'Leary, D. ;

O'Neill, P. ;

Pinakiewicz, D. ;

Isaac, T. .

QUALITY & SAFETY IN HEALTH CARE, 2009, 18 (06) :424-428

[25]

Leape Lucian L, 2012, Front Health Serv Manage, V28, P3

[26]

Lucas S., 2007, Curr. Diagnos. Pathol, V13, P375, DOI [DOI 10.1016/J.CDIP.2007.06.001, 10.1016/j.cdip.2007.06.001]

[27] Clinical and economic outcomes of involving pharmacists in the direct care of critically ill patients with infections [J].

MacLaren, Robert ;

Bond, C. A. ;

Martin, Steven J. ;

Fike, David .

CRITICAL CARE MEDICINE, 2008, 36 (12) :3184-3189

[28] Postmortem diagnosis of sepsis: A preliminary immunohistochemical study with an anti-procalcitonin antibody [J].

Maiese, Aniello ;

Del Nonno, Franca ;

Dell'Aquila, Marco ;

Moauro, Mario ;

Baiocchini, Andrea ;

Mastracchio, Antonio ;

Bolino, Giorgio .

LEGAL MEDICINE, 2017, 28 :1-5

[29] Point prevalence surveys on healthcare acquired infections in medical and surgical wards of a teaching hospital in Rome [J].

Marani, A. ;

Napoli, C. ;

Berdini, S. ;

Montesano, M. ;

Ferretti, F. ;

Di Ninno, F. ;

Orioli, R. ;

De Luca, A. ;

Sommella, L. ;

Tarsitani, G. ;

Orsi, G. B. .

ANNALI DI IGIENE MEDICINA PREVENTIVA E DI COMUNITA, 2016, 28 (04) :274-281

[30] Hospital-acquired infections - when are hospitals legally liable? [J].

McQuoid-Mason, David .

SAMJ SOUTH AFRICAN MEDICAL JOURNAL, 2012, 102 (06) :353-354

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