A trend of Medical Negligence in Laser Therapy in the Capital City: A Nine-Year Survey
Journal of Lasers in Medical Sciences,
Vol. 13 (2022),
10 January 2022
Background: the purpose of the present study is to investigate the common causes of injuries, claims, and decisions related to laser therapy medical malpractice during a nine-year survey.
Study design: This study is a retrospective descriptive study.
Methods: The legal documents in the coroner’s Office of Forensic Medicine were investigated in a national database from 2012 to 2020 in Tehran, Iran. The frequency and nature of the cases, including the year of litigation, the location and certificate of the provider, the injury sustained, the cause of legal action and judgment were collected.
Results: Three hundred and eighty-three cases related to injury from laser therapy were registered in the coroner’s Office of Forensic Medicine during the study period. The incidence of litigation related to laser surgery showed an increasing trend, with a peak occurrence in 2020.
Laser hair removal was the most common (51.2%) litigated procedure. General practice operators (48%) recorded the highest rate of laser-related medical complaints. lack of skill was the most common reason for failure. Among 383 cases with public decisions, 62.4% of them were fault liability in paid judgment.
Conclusions: Medical claims related to laser application are increasing. However, as it is clear, the growth of laser technology and the increasing demand for lasers in medical science require more surveillance to avoid probable injuries and improve patient safety, especially surveillance of the physicians who work outside the scope of their specialty.
- Malpractice, laser therapy, forensic medicine
How to Cite
2. Harbitz MB, Stensland PS, Abelsen B. Medical malpractice in Norway: frequency and distribution of disciplinary actions for medical doctors 2011–2018. BMC Health Services Research. 2021;21(1):1-9.
3. Goldberg DJ. Legal issues in laser operation. Clinics in dermatology. 2006;24(1):56-9.
4. Raeissi P. Medical malpractice in Iran: A systematic review. Medical journal of the Islamic Republic of Iran. 2019;33:110.
5. [Van Dael J, Reader TW, Gillespie A, Neves AL, Darzi A, Mayer EK. Learning from complaints in healthcare: a realist review of academic literature, policy evidence and front-line insights. BMJ quality & safety. 2020;29(8):684-95.
6. Khara A. Descriptive Analysis of Medical Malpractice Complaints from General Surgeons in Tehran 2012–2013; a Short Report. Journal of Police Medicine. 2016;5(1):1-6.
7. Pandit M, Pandit S. Medical negligence: Coverage of the profession, duties, ethics, case law, and enlightened defense-A legal perspective. Indian journal of urology: IJU: journal of the Urological Society of India. 2009;25(3):372.
8. Stylianou A, Talias MA. The ‘Magic Light’: A Discussion on Laser Ethics. Science and engineering ethics. 2015;21(4):979-98.
9. Lin J-T. Progress of medical lasers: fundamentals and applications. Med Devices Diagn Eng. 2016;2(10.15761).
10. Gianfaldoni S, Tchernev G, Wollina U, Fioranelli M, Roccia M, Gianfaldoni R, et al. An Overview of Laser in Dermatology: The Past, the Present and… the Future (?). Open Access Maced J Med Sci. 2017.
11. Tanzi EL, Lupton JR, Alster TS. Lasers in dermatology: four decades of progress. Journal of the American Academy of Dermatology. 2003;49(1):1-34.
12. Khalkhal E, Rezaei-Tavirani M, Zali MR, Akbari Z. The evaluation of laser application in surgery: a review article. Journal of lasers in medical sciences. 2019;10(Suppl 1):S104.
13. Jalian HR, Jalian CA, Avram MM. Common causes of injury and legal action in laser surgery. JAMA dermatology. 2013;149(2):188-93.
14. Bonetti M, Cirillo P, Musile Tanzi P, Trinchero E. An analysis of the number of medical malpractice claims and their amounts. Plos one. 2016;11(4):e0153362.
15. Ong S, Coulson I. Legal claims in English dermatological practice. British Journal of Dermatology. 2011;164(1):217-9.
16. Svider PF, Carron MA, Zuliani GF, Eloy JA, Setzen M, Folbe AJ. Lasers and losers in the eyes of the law: liability for head and neck procedures. JAMA facial plastic surgery. 2014;16(4):277-83.
17. Jalian HR, Jalian CA, Avram MM. Increased risk of litigation associated with laser surgery by nonphysician operators. JAMA dermatology. 2014;150(4):407-11.
18. Caspard H, Chan AK, Walker AM. Compliance with a statin treatment in a usual-care setting: retrospective database analysis over 3 years after treatment initiation in health maintenance organization enrollees with dyslipidemia. Clinical therapeutics. 2005;27(10):1639-46.
19. Lacasse Y, Archibald H, Ernst P, Boulet L-P. Patterns and determinants of compliance with inhaled steroids in adults with asthma. Canadian respiratory journal. 2005;12(4):211-7.
20. Jin J, Sklar G, Oh M, Li S. Factors affecting therapeutic compliance: A review from the patient’s perspective. Ther. Clin. 2008.
21. Alster TS. Manual of cutaneous laser techniques: Lippincott Williams & Wilkins; 2000.
22. Surgery ASfAP. 15th Annual Cosmetic Surgery National Data Bank Statistics. American Society for Aesthetic Plastic Surgery New York; 2011.
23. Vano-Galvan S, Jaen P. Complications of nonphysician-supervised laser hair removal: case report and literature review. Canadian Family Physician. 2009;55(1):50-2.
24. Patil U. Overview of lasers. Indian Journal of Plastic Surgery. 2008;41(S 01):101-13.
25. Lovgren ML, McCrae L, Drummond A. Legal claims in Scottish National Health Service dermatology departments, 2002–2013. Clinical and experimental dermatology. 2016;4(41):436-7.
26. Goldberg DJ. Hair Removal. Lasers and Non-surgical Rejuvenation. 2009:69.
27. Cummins DL, Cummins JM, Pantle H, Silverman MA, Leonard AL, Chanmugam A. Cutaneous malignant melanoma. InMayo clinic proceedings 2006; 81: 500-507. Elsevier
28. Cordero I. Understanding and safely using ophthalmic lasers. Community eye health. 2015;28(92):76.
29. Saha R, Kabanovski A, Klejman S, Margolin E, Buys YM. Patients’ complaints involving ophthalmologists in the province of Ontario, Canada: a 5-year review. Canadian Journal of Ophthalmology. 2020;55(3):22-6.
30. Song J. Complications of selective laser trabeculoplasty: a review. Clinical Ophthalmology (Auckland, NZ). 2016;10:137.
31. Sugar A, Rapuano CJ, Culbertson WW, Huang D, Varley GA, Agapitos PJ, et al. Laser in situ keratomileusis for myopia and astigmatism: safety and efficacy: a report by the American Academy of Ophthalmology. Ophthalmology. 2002;109(1):175-87.
32. Radhakrishnan S, Chen PP, Junk AK, Nouri-Mahdavi K, Chen TC. Laser peripheral iridotomy in primary angle closure: a report by the American Academy of Ophthalmology. Ophthalmology. 2018;125(7):1110-20.
33. Nuwagaba J, Olum R, Bananyiza A, Wekha G, Rutayisire M, Agaba KK, et al. Patients’ Involvement in Decision-Making During Healthcare in a Developing Country: A Cross-Sectional Study. Patient preference and adherence. 2021;15:1133.
- Abstract Viewed: 210 times
- PDF Downloaded: 213 times