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Source: South African Medical Journal
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Total 14761 results found since Jan 2013.
Liability of doctors based on negligence for culpable homicide: No need to change the law concerning medical negligence or to establish special medical malpractice courts - use mediation and medical assessors instead
S Afr Med J. 2022 Jan 27;112(3):216-218.ABSTRACTDoctors' organisations have called for special legislation regarding the criminal charging of doctors for culpable homicide, and the need for special medical malpractice courts to deal with the huge increase in the number of medical malpractice cases. However, there are very few criminal prosecutions, because the prosecuting authorities generally accept that doctors do not intend to kill their patients, and are only likely to charge them for intentional or very serious deviations from the standard of a reasonably competent doctor in their profession. Doctors are also generall...
Source: South African Medical Journal - April 5, 2022 Category: African Health Authors: D J McQuoid-Mason Source Type: research
Impressions of defensive medical practice and medical litigation among South African neurosurgeons.
Authors: Roytowski D, Smith TR, Fieggen AG, Taylor A
Abstract
From a litigation perspective, neurosurgery is considered a 'super high-risk' field, and this has been associated with rapidly increasing malpractice cover costs. In 2013 the annual Medical Protection Society fee for cover was R250,900. We wished to determine whether high malpractice cover was influencing how neurosurgeons managed patients. A 40-question online survey asking questions on defensive medicine was distributed to determine perceptions around liability risk and whether these influenced how patients were managed. Eighty-four per cent of respond...
Source: South African Medical Journal - June 3, 2015 Category: African Health Tags: S Afr Med J Source Type: research
SAMA pitches in to help victims of medical negligence.
Authors: Bateman C
Abstract
The South African Medical Association, (SAMA), is investigating setting up a fund to compensate patients who fall victim to unavoidable adverse events (through no fault of their treating physician), while working with government to improve the overall quality of care in both public and private sectors.SAMA Chairperson, Dr Mzukisi Grootboom, emphasized that this would in no way affect legitimate medical negligence claims but form part of an overall strategy to address a crisis that threatened the very existence of higher-risk specialist care in South Africa - something that would negative...
Source: South African Medical Journal - August 7, 2015 Category: African Health Tags: S Afr Med J Source Type: research
Traditional health practitioners and the authority to issue medical certificates.
Authors: Tshehla B
Abstract
The Interim Traditional Health Practitioners Council was inaugurated in February 2013 and in May 2014 the sections of the Traditional Health Practitioners Act that give it full powers came into effect. The Council, as a professional body established by Parliament, gives traditional health practitioners registered with it the authority to issue medical certificates in line with the provisions of the Basic Conditions of Employment Act. However, the Council does not seem to be in a position to perform this function yet. Moreover, the field itself seems almost impossible to regulate because ...
Source: South African Medical Journal - August 22, 2015 Category: African Health Tags: S Afr Med J Source Type: research
Short-term treatment outcomes of children starting antiretroviral therapy in the intensive care unit, general medical wards and outpatient HIV clinics at Red Cross War Memorial Children's Hospital, Cape Town, South Africa: A retrospective cohort study.
CONCLUSION: These results highlight the importance of understanding the context in which children initiate ART, when comparing outcomes in different settings.
PMID: 26294831 [PubMed - as supplied by publisher]
Source: South African Medical Journal - August 22, 2015 Category: African Health Tags: S Afr Med J Source Type: research
The appropriateness of emergency medical service responses in the eThekwini district of KwaZulu-Natal, South Africa.
CONCLUSION: There is a significant mismatch between the dispatch of EMS resources and actual patient need in the eThekwini district, with significantly high levels of inappropriate emergency responses.
PMID: 26428590 [PubMed - in process]
Source: South African Medical Journal - October 4, 2015 Category: African Health Tags: S Afr Med J Source Type: research
Meeting national response time targets for priority 1 incidents in an urban emergency medical services system in South Africa: More ambulances won't help.
CONCLUSION: The addition of emergency vehicles to an urban EMS system improves response times in priority 1 incidents, but alone is not capable of the magnitude of response time improvement needed to meet the national response time targets.
PMID: 26428589 [PubMed - in process]
Source: South African Medical Journal - October 4, 2015 Category: African Health Tags: S Afr Med J Source Type: research
Focus areas of cardiovascular medical device research in South Africa.
Authors: Chimhundu C, De Jager K, Douglas T
Abstract
We investigated the focus of cardiovascular medical device research in South Africa over the 15-year period 2000 - 2014. Information drawn from journal articles was used for the analysis, with attention to articles describing a contribution to the development of a cardiovascular medical device, or a new application of an existing device. The findings suggest that research has focused on diagnostic and monitoring as well as prosthetic cardiovascular medical devices, with specific emphasis on vascular and valvular heart diseases.
PMID: 26792307 [PubMed - in process]
Source: South African Medical Journal - January 24, 2016 Category: African Health Tags: S Afr Med J Source Type: research
An analysis of patients transported by a private helicopter emergency medical service in South Africa.
CONCLUSION: The study findings provided valuable information that may have an impact on the current staffing and authorisation criteria of SA HEMS operations.
PMID: 26821904 [PubMed - in process]
Source: South African Medical Journal - January 31, 2016 Category: African Health Tags: S Afr Med J Source Type: research
Favourable outcomes for the first 10 years of kidney and pancreas transplantation at Wits Donald Gordon Medical Centre, Johannesburg, South Africa.
CONCLUSION: Outcomes of the first 10 years of kidney and pancreas transplantation at WDGMC compare favourably with local and international survival data.
PMID: 26821897 [PubMed - in process]
Source: South African Medical Journal - January 31, 2016 Category: African Health Tags: S Afr Med J Source Type: research
Autoimmune progesterone dermatitis: Case report with history of urticaria, petechiae and palpable pinpoint purpura triggered by medical abortion.
Authors: Mbonile L
Abstract
Autoimmune progesterone dermatitis (APD) is a rare autoimmune response to raised endogenous progesterone levels that occur during the luteal phase of the menstrual cycle. Cutaneous, mucosal lesions and other systemic manifestations develop cyclically during the luteal phase of the menstrual cycle when progesterone levels are elevated. APD symptoms usually start 3 - 10 days before menstruation and resolve 1 - 2 days after menstruation ceases. A 30-year-old woman presented with urticaria, petechiae and palpable pinpoint purpura lesions of the legs, forearms, neck and buttocks 1 week prior ...
Source: South African Medical Journal - April 3, 2016 Category: African Health Tags: S Afr Med J Source Type: research
Strengthening rural health placements for medical students: Lessons for South Africa from international experience.
CONCLUSIONS: Faculties seeking to expand rural placements should locate their vision within new health system developments, start off small and create voluntary rural tracks, apply preferential admission for rural students, set up a rural training centre, find practical ways of working with communities, and evaluate the educational and clinical achievements of rural health placements.
PMID: 27138676 [PubMed - as supplied by publisher]
Source: South African Medical Journal - May 5, 2016 Category: African Health Tags: S Afr Med J Source Type: research
Academic staff recruitment and retention challenges at the University of Botswana medical school.
CONCLUSION: The authors suggest that multilevel change in management was one of the most likely contributors to the school's recruitment and retention challenges. The University of Botswana must comprehensively address these.
PMID: 27384371 [PubMed - as supplied by publisher]
Source: South African Medical Journal - July 8, 2016 Category: African Health Tags: S Afr Med J Source Type: research
Antibiotic prescription patterns of South African general medical practitioners for treatment of acute bronchitis.
CONCLUSIONS: Prescription rates of antibiotics for acute bronchitis by SA general medical practitioners are high. There is an urgent need to follow the guidelines for antibiotic use for acute bronchitis to reduce the likelihood of increasing resistance to available antibiotics.
PMID: 28220736 [PubMed - in process]
Source: South African Medical Journal - February 23, 2017 Category: African Health Tags: S Afr Med J Source Type: research
