Kerala Journal of Ophthalmology (Jan 2022)
How to minimize litigations and medical malpractice claims during ophthalmic practice?
Abstract
The health profession is considered to be one of the noblest professions in the world. While Indian medical infrastructure is being noticed and praised on the global map, on the contrary, the doctor-patient relationship is deteriorating, our internal medical setup is facing extensive problems with consumer cases/medical litigation fast becoming one of the most serious of all issues. The number of cases against ophthalmologists for malpractice is increasing. While very few cases may be legitimate and based on clinical negligence exercised by the doctors, most medical professionals are wrongfully accused because of the lack of public understanding. The eye care professionals must communicate empathetically, emphasize diligent service delivery and also maintain proper records about the patient history, examination, consent, treatment and follow-up, and referral. Eye camp surgery should be done only in the operation theater of the hospital set up and the permissible number of cataract-IOL surgery can be done following all checklist/protocols and precautions. Lawsuits for medical negligence in ophthalmic practice can be minimized or avoided by following surgical checklists, protocols, proper documentation (maintaining medical records), taking informed consent, communication about the cost and outcome of the procedure or treatment, timely referral of the patient (in case of any complication), and obtaining adequate professional liability insurance.
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