Professional Documents
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T4-Case Discussion-2c Recent ML Cases
T4-Case Discussion-2c Recent ML Cases
• Complains
• Ex
Gra2a
• Li2ga2on
2006 425
2007 3,758
2008 5,044
2009 5,602
2010 6,001
2011 6,692
2012 5,614
JUMLAH 33,136
Year Cases
2010 202
2011 285
2012 223
2013 235
*Till September 2014
2014* 186
Sistem SiSPAAA
(penugasan
daripada UKK)
Laporan akhbar/
laporan media
elektronik Aduan bertulis
melalui
surat atau
email
Aduan melalui
Aduan terus pejabat
melalui Menteri / KSU /
telefon atau KPK
datang Aduan yang dipanjangkan
sendiri ke daripada JKN beserta
CML BAP Laporan siasatan awal
Ex
Gra2a
EX
GRATIA
Defini6on:
• Origin
La2n,
‘from
favour’
• adverb
&
adjec2ve
(with
reference
to
payment)
done
from
a
sense
of
moral
obliga1on
rather
than
because
of
any
legal
requirement.
(Compact
Oxford
English
Dic2onary)
PENGURUSAN
KES
EX
§
GRATIA
Ex
Gra6a
Rawatan
Perubatan
Kementerian
Kesihatan
Malaysia
1.
Kes-‐kes
mediko-‐legal
tanpa
writ
saman
2.
Tuntutan
pengadu/waris
pesakit
2dak
melepasi
julat
masa
3
tahun
(Public
Authori1es
Protec1on
Act
1948)
§ Jawatankuasa
Ex
Gra6a
KKM
Pengerusi
(Pengarah
Amalan
Perubatan)
Se2ausaha
(Timbalan
Pengarah)
Wakil
Jabatan
Peguam
Negara
Wakil
Penasihat
Undang-‐Undang
KKM
[Uruse2a
Jawatankuasa
Ex
Gra2a
KKM
–
Cawangan
Mediko
legal]
Case
1
• Pa2ent
is
an
18
Years
Old
Student
came
to
the
Hospital
with
a
complain
of
generalized
body
swelling
for
3
days.
• Pa2ent
was
treated
for
Nephro2c
Syndrome
and
started
on
Prednisolone
(steroids)
• 10
months
later
because
pa2ent
has
failure
to
achieve
remission
he
was
referred
to
another
hospital
for
a
renal
biopsy
to
rule
out
Lupus
Nephri2s
• Pa2ent
was
discharge
well
with
Prednisolone
• 3
weeks
later
pa2ent
came
to
the
A&E
department
with
rashes
over
the
face
and
chest
with
severe
abdominal
pain.
• Pa2ent
passed
away
a`er
3
days
in
the
ward
whilst
in
ICU
Findings
q “For 7 years it went on, months of sitting in court listening to what a
terrible person you are, no one recovers from that. It is on your mind
every day, every minute. It changed the whole way I practiced. The
empathy I had, that I was known for, just wasn’t there anymore.
Every patient was a potential law suit.” - Canadian retired doctor
Silversides, A. “Fault/no fault: bearing the brunt of medical mishaps, CMAJ
News, August 12, 2008, 179(4).
Further….
Medical
negligence – longest to try
compared to other personal injury
claims.
Material
Facts