Medical malpractice stress syndrome in theory and practice - a narrative review

This work is available in Open Access model and licensed under a CC BY-NC 3.0 PL license..

Accusations of medical malpractice, increasingly common among healthcare professionals, are a massive source of stress which can lead to the development of medical malpractice stress syndrome (MMSS). The symptoms of this syndrome are often compared to those in post-traumatic stress syndrome (PTSD), and the doctors are referred to as "second victims" of medical mistakes. The aim of the publication is to highlight MMSS, its symptoms, its similarity to PTSD, its consequences, and methods of prevention and management. In addition, attention was paid to the number of medical malpractice lawsuits among medical specialties mostly affected by this problem to illustrate the scale of the phenomenon. The publication is a narrative review. Medical databases (PubMed, ResearchGate, Biblioteka Nauki), termedia and Jurnals.viamedica service from the years 1988-2023 were reviewed. The MMSS manifests itself with symptoms such as anger, frustration, anxiety, guilt, sleeping disorders, loss of self-confidence, and depression. Later, somatic symptoms, such as cardiovascular, also appear. The MMSS may lead to unnecessary ordered examinations, delayed therapeutic processes, or premature retirement from the profession. Recently, patients have become more aware of their rights, resulting in an increase in malpractice lawsuits, particularly in specialties such as gynecology and obstetrics, neurosurgery, and radiology. Concerns about the legal consequences of medical errors may affect future specialization choices. Graduates tend to avoid specialties with a high risk of medical malpractice. Coping with MMSS requires social support and cooperation between doctors and lawyers or psychiatrists. Prevention of MMSS includes awareness of stress reactions and procedures decreasing the risk of committing medical malpractice. The prevalence of MMSS among physicians and the impact of the risk of medical malpractice lawsuits on the choice of medical specialty in Poland require further examinations. Med Pr Work Health Saf. 2023;74(6):513-26.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:74

Enthalten in:

Medycyna pracy - 74(2023), 6 vom: 29. Dez., Seite 513-526

Sprache:

Polnisch

Weiterer Titel:

Zespół stresu związanego z błędem medycznym w teorii i praktyce – przegląd narracyjny

Beteiligte Personen:

Kruczaj, Karolina [VerfasserIn]
Krawczyk, Ewa [VerfasserIn]
Piegza, Magdalena [VerfasserIn]

Links:

Volltext

Themen:

English Abstract
Journal Article
Litigation stress
Medical malpractice
Medical malpractice management
Medical malpractice stress syndrome
Post-traumatic stress disorder
Review
Second victims

Anmerkungen:

Date Completed 03.01.2024

Date Revised 03.01.2024

published: Print-Electronic

Citation Status MEDLINE

doi:

10.13075/mp.5893.01425

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM366510614