﻿{"id":219479,"date":"2015-12-24T10:49:15","date_gmt":"2015-12-24T08:49:15","guid":{"rendered":"http:\/\/www.erzurumflas.com\/tibbi-uygulama-hatalarina-guncel-bakis\/"},"modified":"2015-12-24T10:49:17","modified_gmt":"2015-12-24T08:49:17","slug":"tibbi-uygulama-hatalarina-guncel-bakis","status":"publish","type":"post","link":"https:\/\/www.erzhaber.com.tr\/?p=219479","title":{"rendered":"T\u0131bbi Uygulama Hatalar\u0131na G\u00fcncel Bak\u0131\u015f"},"content":{"rendered":"<p><img decoding=\"async\" src=\"http:\/\/www.erzurumflas.com\/wp-content\/uploads\/2015\/12\/tibbi-uygulama-hatalarina-guncel-bakis_9fca60b.jpg\" width=\"600\">Hukuk\u00e7u Hekim Prof. Dr. Hasan Tahsin Ke\u00e7eligil, hasta ve hasta yak\u0131nlar\u0131n\u0131n, \u00f6zellikle dava a\u00e7ma yoluna gitmeden, \u00f6teki hak arama yollar\u0131n\u0131 kullanmalar\u0131n\u0131 tavsiye ettiklerini s\u00f6yledi.<\/p>\n<p>T\u0131bbi uygulama hatalar\u0131, hasta ve yak\u0131nlar\u0131 i\u00e7in hak arama yollar\u0131 konusunda a\u00e7\u0131klamalarda bulunan Ondokuz May\u0131s \u00dcniversitesi(OM\u00dc) T\u0131p Fak\u00fcltesi Kalp ve Damar Cerrahisi \u00d6\u011fretim \u00dcyesi Prof. Dr. Hasan Tahsin Ke\u00e7eligil, T\u00fcrkiye\u2019de t\u0131bbi uygulama hatalar\u0131 konusu \u00fczerinde son y\u0131llarda daha \u00e7ok duruldu\u011funu ifade etti. T\u0131bbi uygulama hatalar\u0131n\u0131n, kimi zaman hekim ya da di\u011fer bir sa\u011fl\u0131k personelinin hatas\u0131, kimi zaman sa\u011fl\u0131k ekibinin hatas\u0131 oldu\u011funu s\u00f6yleyen Ke\u00e7eligil, pek \u00e7ok defa ise organizasyon kusuru olarak kar\u015f\u0131la\u015f\u0131lan bir durum oldu\u011funu belirtti.<\/p>\n<p>\u201c\u00d6ZEL OLARAK D\u00dcZENLENM\u0130\u015e B\u0130R KANUN YOKTUR\u201d<\/p>\n<p>T\u0131bbi uygulama hatalar\u0131nda temel sebeplerin; dikkatsizlik, tedbirsizlik, meslekte acemilik, emir ve nizamlara uymamak \u015feklinde ifade edilebilece\u011fine s\u00f6yleyen Ke\u00e7eligil, &#8220;T\u00fcrk Ceza Kanunu, \u00e7o\u011fu defa kasta dayal\u0131 olmayan bu tip sorumlulu\u011fu \u2018taksir\u2019 sorumlulu\u011fu olarak kabul etmekte ve \u2018\u00f6zen y\u00fck\u00fcml\u00fcl\u00fc\u011f\u00fcne ayk\u0131r\u0131l\u0131k\u2019 olarak a\u00e7\u0131klamaktad\u0131r. \u00dclkemizde, t\u0131bbi uygulama hatalar\u0131 bak\u0131m\u0131ndan \u00f6zel olarak d\u00fczenlenmi\u015f bir kanun yoktur. Bu vakalar, ceza hukuku ve \u00f6zel hukuk bak\u0131m\u0131ndan, genel h\u00fck\u00fcmler dahilinde de\u011ferlendirilir\u201d dedi.<\/p>\n<p>&#8220;BAZI DURUMLARDA SA\u011eLIK PERSONEL\u0130NE SORUMLULUK Y\u00dcKLENEMEZ&#8221;<\/p>\n<p>Sa\u011fl\u0131k hizmetlerinin y\u00fcksek riskli i\u015fler aras\u0131nda yer ald\u0131\u011f\u0131n\u0131 ifade eden Prof. Dr. Ke\u00e7eligil, \u201cBa\u015fka bir ifadeyle, her t\u0131bbi m\u00fcdahalenin az ya da \u00e7ok bir riski vard\u0131r. Risksiz bir t\u0131bbi uygulama m\u00fcmk\u00fcn de\u011fildir. Normal \u015fartlarda, sa\u011fl\u0131k hizmetleri, hastan\u0131n ayd\u0131nlat\u0131lm\u0131\u015f r\u0131zas\u0131 dahilinde ve \u2018izin verilen risk\u2019 dedi\u011fimiz kavram kapsam\u0131nda y\u00fcr\u00fct\u00fcl\u00fcr. Bu noktada, \u2018ayd\u0131nlat\u0131lm\u0131\u015f onam\u2019 kavram\u0131na de\u011finmeliyiz. Anayasam\u0131z\u0131n 17. maddesine ve Hasta Haklar\u0131 Y\u00f6netmeli\u011fi\u2019nin 5., 15. ve 24. maddelerine g\u00f6re, \u2018T\u0131bbi zorunluluklar ve kanunlarda yaz\u0131l\u0131 haller d\u0131\u015f\u0131nda, r\u0131zas\u0131 olmaks\u0131z\u0131n ki\u015finin v\u00fccut b\u00fct\u00fcnl\u00fc\u011f\u00fcne ve di\u011fer ki\u015filik haklar\u0131na dokunulamaz. Hastan\u0131n bilgilendirilmek suretiyle r\u0131zas\u0131n\u0131n al\u0131nmas\u0131 esast\u0131r\u2019. T\u0131pta, \u00f6ng\u00f6r\u00fclebilen ancak \u00f6nlenemeyen kimi durumlar vard\u0131r ki, bunlar \u2018komplikasyon\u2019 olarak adland\u0131r\u0131l\u0131rlar ve bunlar nedeniyle sa\u011fl\u0131k personeline bir sorumluluk y\u00fcklenemez. Buna kar\u015f\u0131l\u0131k, \u00f6ng\u00f6r\u00fclebilen ve \u00f6nlenebilen baz\u0131 istenmeyen durumlar vard\u0131r ki, bu zararl\u0131 sonucun ger\u00e7ekle\u015fmesi halinde t\u0131bbi uygulama hatas\u0131ndan s\u00f6z edilir ve sa\u011fl\u0131k personeli bundan sorumlu tutulabilir. Burada, esas \u00f6nemli olan \u015fey, gerekli tedbirler al\u0131narak \u00f6nlenmesi m\u00fcmk\u00fcn olan bir zararl\u0131 durumun, yeterli \u00f6nlem al\u0131nmad\u0131\u011f\u0131 i\u00e7in ger\u00e7ekle\u015fmi\u015f olmas\u0131d\u0131r. Mesela, bir ameliyatta, gerekli dikkat ve \u00f6zen g\u00f6sterilmedi\u011fi i\u00e7in hastan\u0131n v\u00fccudunda yabanc\u0131 cisim unutulmu\u015f ise veya hastan\u0131n sa\u011f dizi yerine sol dizi ameliyat edilmi\u015f ise, bu durumda a\u00e7\u0131k bir t\u0131bbi uygulama hatas\u0131 vard\u0131r. Buna kar\u015f\u0131n, her t\u00fcrl\u00fc tedbirin al\u0131nm\u0131\u015f oldu\u011fu bir ameliyattan sonra o b\u00f6lgede enfeksiyon geli\u015fmi\u015f ise, burada \u00f6zen y\u00fck\u00fcml\u00fcl\u00fc\u011f\u00fc yerine getirildi\u011fi i\u00e7in bir kusur s\u00f6z konusu olmayacakt\u0131r\u201d diye konu\u015ftu.<\/p>\n<p>\u201cDAVA A\u015eAMASINDA UZMANLARDAN G\u00d6R\u00dc\u015e ALINMASI YARARLI OLACAKTIR\u201d<\/p>\n<p>Her insan\u0131n b\u00fcnyesinin farkl\u0131 oldu\u011funu belirten Ke\u00e7eligil, \u201cBuna ba\u011fl\u0131 olarak, t\u0131bbi uygulamalarda matematikte oldu\u011fu gibi sonu\u00e7 kesin bi\u00e7imde garanti edilemez. Her hasta b\u00fcnyesinin bir ilaca ya da bir uygulamaya yan\u0131t\u0131 farkl\u0131 olabilir. Dolay\u0131s\u0131yla, t\u0131bbi uygulama hatalar\u0131na bak\u0131ld\u0131\u011f\u0131nda, hastan\u0131n ayd\u0131nlat\u0131lm\u0131\u015f olmas\u0131n\u0131n varl\u0131\u011f\u0131, dikkat ve \u00f6zen y\u00fck\u00fcml\u00fcl\u00fc\u011f\u00fcne uygun i\u015flem, organizasyonun i\u015fleyi\u015f \u015fekli, hasta kay\u0131tlar\u0131n\u0131n tam ve g\u00fcvenilir olu\u015fu gibi \u00e7ok say\u0131da parametre ele al\u0131nmal\u0131d\u0131r. \u0130\u015fte, bu durumda, t\u0131bbi uygulama hatas\u0131n\u0131n olup-olmad\u0131\u011f\u0131 sorusunun yan\u0131t\u0131n\u0131 alabilmek i\u00e7in, yarg\u0131 makamlar\u0131 \u2018bilirki\u015fi\u2019 g\u00f6r\u00fc\u015f\u00fcnden faydalan\u0131rlar. \u00dclkemizde, kanuni bilirki\u015filer olarak, Adli T\u0131p Kurumu, Y\u00fcksek Sa\u011fl\u0131k \u015euras\u0131 ve \u00fcniversite klinikleri bulunmaktad\u0131r. Hasta veya hasta yak\u0131n\u0131, bir t\u0131bbi uygulama hatas\u0131na maruz kald\u0131\u011f\u0131n\u0131 d\u00fc\u015f\u00fcn\u00fcyorsa, kanun ve y\u00f6netmelikler ona \u00e7ok \u00e7e\u015fitli haklar sa\u011flamaktad\u0131r. Hastan\u0131n ve hasta ile ilgili bulunanlar\u0131n, hasta haklar\u0131n\u0131n ihlali halinde, mevzuat \u00e7er\u00e7evesinde her t\u00fcrl\u00fc m\u00fcracaat, \u015fikayet ve dava haklar\u0131 vard\u0131r. Hasta ve hasta yak\u0131nlar\u0131n\u0131n, \u00f6zellikle dava a\u00e7ma yoluna gitmeden, \u00f6teki hak arama yollar\u0131n\u0131 kullanmas\u0131n\u0131 tavsiye edebiliriz. Dava a\u00e7ma a\u015famas\u0131na gelindi\u011finde ise, muhakkak surette, T\u0131p ve Sa\u011fl\u0131k Hukuku konusunda deneyimli bir uzmandan g\u00f6r\u00fc\u015f al\u0131narak hareket edilmesi yararl\u0131 olacakt\u0131r\u201d \u015feklinde konu\u015ftu.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>HASTA VE HASTA YAKINLARININ, HASTA HAKLARININ \u0130HLAL\u0130 HAL\u0130NDE, MEVZUAT \u00c7ER\u00c7EVES\u0130NDE HER T\u00dcRL\u00dc M\u00dcRACAAT, \u015e\u0130KAYET VE DAVA HAKLARININ OLDU\u011eUNU \u0130FADE EDEN HUKUK\u00c7U HEK\u0130M PROF. DR. HASAN TAHS\u0130N KE\u00c7EL\u0130G\u0130L, HASTA VE HASTA YAKINLARININ, \u00d6ZELL\u0130KLE DAVA A\u00c7MA YOLUNA G\u0130TMEDEN, \u00d6TEK\u0130 HAK ARAMA YOLLARINI KULLANMALARINI TAVS\u0130YE ETT\u0130KLER\u0130N\u0130 S\u00d6YLED\u0130.<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[14,20],"tags":[9872,8455,37719,19041,1834],"class_list":["post-219479","post","type-post","status-publish","format-standard","hentry","category-saglik","category-turkiye","tag-bakis","tag-guncel","tag-hatalarina","tag-tibbi","tag-uygulama"],"_links":{"self":[{"href":"https:\/\/www.erzhaber.com.tr\/index.php?rest_route=\/wp\/v2\/posts\/219479","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.erzhaber.com.tr\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.erzhaber.com.tr\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.erzhaber.com.tr\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.erzhaber.com.tr\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=219479"}],"version-history":[{"count":0,"href":"https:\/\/www.erzhaber.com.tr\/index.php?rest_route=\/wp\/v2\/posts\/219479\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.erzhaber.com.tr\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=219479"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.erzhaber.com.tr\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=219479"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.erzhaber.com.tr\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=219479"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}