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Updates in Surgery
Published in: Updates in Surgery 4/2015

01-12-2015 | Review Article

Consequences of defensive medicine, second victims, and clinical-judicial syndrome on surgeons’ medical practice and on health service

Authors: Italia Maria Pellino, Gianluca Pellino

Published in: Updates in Surgery | Issue 4/2015

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Abstract

Increased knowledge in disease causes and progression, along with technological and technical advancements in their diagnosis and treatment, have led to increased expectations from physicians by patients and their relatives. The condition of “second victim” is known to affect caregivers that commit an error, and seriously impairs private life and subsequent practice. Besides, a condition has been described, the clinical-judicial syndrome, affecting caregivers at any moment during a medical litigation. In this scenario, physicians have started to practice “defensive medicine”, aimed at protect themselves from liability rather than actually advancing care of patients. This paper represents the first review on defensive medicine with specific focus on surgery in an Italian setting. We reviewed the literature on the topic, with particular focus on surgeons and Italian current status, and provide the readers with a snapshot on these relevant issues, proposing strategies to prevent and reduce the practice of defensive medicine, and to support patients and physicians suffering from medical errors.
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Metadata
Title
Consequences of defensive medicine, second victims, and clinical-judicial syndrome on surgeons’ medical practice and on health service
Authors
Italia Maria Pellino
Gianluca Pellino
Publication date
01-12-2015
Publisher
Springer Milan
Published in
Updates in Surgery / Issue 4/2015
Print ISSN: 2038-131X
Electronic ISSN: 2038-3312
DOI
https://doi.org/10.1007/s13304-015-0338-8

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