Dealing with medical negligence

The Gauteng Department of Health and Social Development has taken strong measures to reduce cases of negligence at its hospitals and improve the quality of care.

An inspectorate, improved training for professionals and dedicated obstetrics ambulances have been introduced in an effort to minimise adverse incidents in hospitals.

The inspectorate has developed new quality control standards and conducts peer evaluation in hospitals to improve quality of care. The peer review system has proved useful as health professionals learn from one another and share experiences.

More than 1 000 health workers have also been trained in obstetrics care and more than 900 in neonatal resuscitation. A total of eleven dedicated obstetrics ambulances were introduced last year to provide pregnant mothers with a service focussed on their needs.

An investigation by the department has shown that medical negligence cases have largely been reported in obstetrics and gynaecology, paediatrics and surgical units. Most of these cases resulted in some s patient suffering permanent disability and scarring and others needing future medical treatment.
The number of medical cases settled in court has decreased from 13 in 2007/08 to six in this financial year.

The total amounts paid have also shown a decline from about R16 million in the 2007/08 financial year to R10 million in the 2009/10 financial year. Close to R3 million was paid in 2008/09.

To alleviate pressure on health professionals and improve working conditions, the department has employed 1 178 nurses of different categories since April this year. A total of 1 084 medical specialists are employed in hospitals and attrition rate of permanent doctors has been reduced from 10 percent to 5.9 percent giving hope that adverse incidents may be reduced further in the coming years.

Enquiries:
Mandla Sidu
Cell: 082 773 9013

Simon Zwane
Cell: 082 551 9892

Issued by: Department of Health and Social Development, Gauteng Provincial Government
14 October 2009

Province

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