This document discusses medical litigations as an upcoming crisis in Saudi Arabia's health system. It notes that doctors, especially in high-risk specialties like obstetrics and surgery, face growing litigation risks. Factors contributing to lawsuits include medical errors, poor communication, high costs, and pressure from patients' families or the media seeking compensation. Unless changes are made, such as differentiating between errors and complications or expediting litigation decisions, the fear of lawsuits may compromise patient care as doctors practice defensive medicine. Overall, growing medical litigations pose a looming threat to Saudi Arabia's healthcare if left unaddressed.
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Medical malpratice
1. MEDICAL
LITIGATIONS; the next
unforeseen crisis
Dr AHMED ZAKI- MD,MRCOG
Head of OB/GYN Department
Chairman of scientific committee
Member of JCI accreditation committee
Dr Bakhsh Hospital, Jeddah
2. HEALTH SYSTEM IN SAUDI ARABIA
Main Health Providers
Health Facilities
3. Sources of Medical Litigations
Medical 1
2
Patients &
Staff 3
Relatives
4
Media
4. Why do Patients Sue their
Doctors?
Injury or death
Anger
Child with bad future
Poor communication
High charges
Intimidation (relatives, media, lawyers)
revenge
Seeking compensation
6. MEDICAL STAFF
UNPROFESSIONAL p ec
t NEGLIGANCE
res an
ATTITUDES No ge
r
rd
NO
anda
Subs re
con me
COMMUNICATION
ca
info no
t
se n d
r
t
Undefendable
case
POOR RECORDS
LACK OF ADHERENCE TO
GUIDELINES
7. Forgetfulness and medical
malpractice
The operation was successful. We found a scissors
inside your tummy. But we do not know whether we
forgot it or you swallowed it
8. I have bad news & good news for you. The bad news is a lost my watch
inside your tummy while I was doing your operation & good news is I have
another one exactly the same
11. Who Gets Sued Most
Anesthesiologists
Obstetricians
Emergency Medical Docs
Surgeons
12. We have to admit that there is a
difference between medical errors and
recognized complication
How long does it take to decide?
13. Why litigations crisis
Increasing number
Delay in decision
Pressure on staff
Financial burden
descrimination
Hospitals are full of staff sued
14. Litigations as a Barrier to
patients care
Physicians overestimate the risk of
being sued
Less likely to report errors as a result
Routinely practice defensive medicine
Exhaustion of finance
15. Bad News
Be careful, your patient can
be a potential enemy
18. Perspective
Medical sectors do not have the same
standards but treated with the same
law
No rapid decision to diff. between
errors & complications.
Discrimination
Overwhelming fear of litigations that
compromises patients care
19. There is an over exaggeration of
compensation in some cases
The media is putting high pressure on
medical staff as well as patients