New approaches in education and health sciences management

New approaches in education and health sciences management

Physician's Criminal Liability for Medical Error: The Contrast Between Fault and Negligence

Document Type : Original Article

Authors
1 Department of Private Law, Behshahr Branch, Islamic Azad University, Behshahr, Iran
2 Faculty member, Law Department, Behshahr Branch, Islamic Azad University, Behshahr, Iran.
Abstract
Background and Aim: In the medical profession, where saving lives and preserving human health are the ultimate goals, the phenomenon of medical error has become one of the most controversial and complex intersections of law and medicine. This issue becomes even more sensitive when a physician’s potential error not only may cause irreparable harm to the patient but also affects the physician’s professional reputation and the public’s trust in the healthcare system. Therefore, the aim of this article was to examine the criminal liability of physicians in relation to therapeutic error, with a focus on the distinction between fault and negligence.
Methods: This study employed a descriptive–analytical research method. Data were collected through library research by reviewing statutory laws, judicial precedents, reputable articles, and specialized textbooks.
Findings: In medical law, medical error is defined as a deviation from accepted standards. The distinction between fault (conscious deviation) and negligence (unintentional mistake) is decisive in determining the physician’s criminal liability. This differentiation directly influences both the legal outcome for the physician and the compensation of the patient, and it requires a precise examination of the circumstances of each case using the “reasonable physician” standard.
Conclusion: The findings of this study indicate that although criteria such as the “reasonable physician” standard exist, distinguishing between these two concepts in practice faces significant challenges, including the lack of clear definitions of standards, complexities in proving causation, and inconsistencies in expert opinions.
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  1. Król-Całkowska J, Szymański W, Wallner G. Changes within the scope of criminal liability of healthcare professional as introduced during the COVID-19 pandemic. Pol Przegl Chir. 2022 ;94(1):1-5. doi: 10.5604/01.3001.0015.7095
  2. Faisant M, Papin-Lefebvre F, Rerolle C, Saint-Martin P, Rougé-Maillart C. Twenty-five years of French jurisprudence in criminal medical liability. Med Sci Law. 2018;58(1):39-46. doi: 10.1177/0025802417737402
  3. Willis S, Slattery A, King W, Benner K. Therapeutic Error Calls Among Older Adults Reported to a Regional Poison Control Center in Alabama. South Med J. 2016;109(6):356-62. doi: 10.14423/SMJ.0000000000000467
  4. Leonard JB, Klein-Schwartz W. The others: characterizing "other" therapeutic errors reported to a poison center. Clin Toxicol (Phila). 2019 Jul;57(7):652-656. doi: 10.1080/15563650.2018.1538520
  5. Montanari Vergallo G, Zaami S, Di Luca NM, Bersani G, Rinaldi R. Italian law n. 24/2017 on physicians’ criminal liability: a reform that does not solve the problems of the psychiatric practice. Riv Psichiatr. 2017;52(6):213-219. English. doi: 10.1708/2846.28724
  6. Yang NY, Pomerleau AC, Shieffelbien LM, Kunac DL, Braund R. Therapeutic errors captured by the New Zealand National Poisons Centre: a retrospective audit. J Prim Health Care. 2021;13(1):63-69. doi: 10.1071/HC20066
  7. Dertadian GC. Is non-medical use normal? Normalisation, medicalisation and pharmaceutical consumption. Int J Drug Policy. 2023;119:104123. doi: 10.1016/j.drugpo.2023.104123
  8. Aaron DG. Contesting Deregulation and Medicalization to Revitalize Public Health. Am J Public Health. 2024;114(10):968-970. doi: 10.1016/j.drugpo.2023.104123

9.         Mohseni, F., Ansari, R. Reciprocal impact of criminal responsibility And civil liability. Legal Research Quarterly, 2019; 22(86): 353-381. doi:10.29252/lawresearch.22.86.353

Volume 1, Issue 4
January 2025
Winter 2025
Pages 10-20

  • Receive Date 24 September 2024
  • Revise Date 11 November 2024
  • Accept Date 07 December 2024
  • First Publish Date 01 January 2025
  • Publish Date 01 January 2025