Sunday, September 6

MEDICO LEGAL CASE MANAGEMENT: 2020

Apart from his routine and usual “clinical” cases, a doctor will come across certain cases one time or the other during the practice of his profession, which at that given time or subsequently, would be labeled as “medico-legal”.

The general belief that only the doctors working in the government hospitals would be involved with such responsibilities has now been dispelled by the recent decisions of the Hon’ble courts, particularly the Supreme Court. As such under circumstances, all practitioners of medicine will be liable to face a medico-legal case.

Many practitioners are usually apprehensive in dealing with such cases as they feel, attending an MLC (Medico-legal Case) means inviting trouble such as

  1. ‘entangling’  in police cases

  2. ‘indefinite hours’ to be spent in the court, 

  3. facing ‘unrelenting’ defense counsels to reply. 

Because of this “fear-factor”, many either try to avoid the cases or try to manipulate them as non-MLC.

The best way to deal with these cases is to understand them clearly, analyze them thoroughly, and then act according to your conscience

A good working knowledge of the law in this regard, coupled with a thorough understanding of the correct method of dealing with such cases helps one to build confidence overriding the fear of MLC.

An attempt has been made to simplify the procedure in the following presentation.



Regards 
 
Hospital Administration Made Easy
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Tuesday, September 1

DOCTOR-PATIENT RELATIONSHIP AND MEDICAL NEGLIGENCE: 2020

Regards 
 
Hospital Administration Made Easy
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LEGAL ASPECTS OF MEDICAL CARE: 2020


Apart from his routine and usual “clinical” duty, a doctor come across certain ‘Medico-legal’ issues at one time or the other during the practice of his profession. Every doctor under law bound by a contract to serve its patient and cannot refuse treatment. Every doctor has to fulfill certain legal requirements in service by compulsion or voluntarily as defined under law. 
A good working knowledge of the law relating to medical care, coupled with a thorough understanding of the correct method of dealing with legal issues helps one to build confidence over riding the fear of LAW. The Legal aspects of medical practice broadly covers two areas of medical laws:
  1. Medical Jurisprudence : It deals with legal aspects of medical practice.
  2. Forensic Medicine : It deals with medical aspects of law.
SOURCES OF LAWS:
PRIMARY SOURCES:
  • Laws passed by the Parliament or the State Legislative
  • Ordinances passed by the President and the Governor
  • Subordinate legislation: Rules and regulations made by the executive through the power delegated to them by the Acts.  
2.    SECONDARY SOURCES:
  • Judgments of the Supreme Court, High Court and Tribunals (The ratio decedendi  is a binding precedent)
  • Judicial legislation
  • Judgment of Foreign Courts
  • International Treaty
The objective of this presentation is to make you aware of issues which are generally confronted during medical practice. Hope this learning will help you in day to day practice as a hospital administrator . 


Regards 
 
Hospital Administration Made Easy
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PLANNING AMD MANAGEMENT OF HOSPITAL MORTURY : 2020


Mortuary or Morgue is the place where dead bodies are preserved for a period before post mortem or cremation. All hospital death cases both MLC and Non-MLC ,  and all brought dead cases  brought to Hospital are kept in hospital morgue. While natural death occurring at home are kept in mortury which are usually operated by cremation ground authorities or NGOs.
Hospital morgue is a very important component of hospital as death of a patient occurring at odd hours cannot be taken home as they come far from areas. Further:-
  • It is the moral duty of authority or relative to ensure proper respect and proper handling of the dead body after the soul leaves. 
  • Mortuary services are provided by the hospitals only to preserve the dead bodies in case of hospital death. 
  • It also keeps all Medico legal death cases on request of investing officer before a post mortem/ autopsy is carried out. 
  • The mortuary comes under Control of Deptt. of Forensic Medicine where post mortem service is available. 
  • Where an autopsy is advised to ascertain cause of death it is under control of pathology department. 
There is also a difference between Postmortem and Autopsy. Postmortem is carried out on the request of investigating officer/ police/SDM for investigating the cause of death. Autopsy is done by hospital to find out clinical cause of death. 
For autopsy consent of relatives are required where as for postmortem no consent of relative is required being medico legal case. The presentation describes the organisation and management of  mortuary in a Hospital. 

    


Regards 
 
Hospital Administration Made Easy
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