Skip to main content

Medical Responsibility and Liability in German-Speaking Countries: Austria, Germany, and Switzerland

  • Chapter
  • First Online:
Malpractice and Medical Liability

Abstract

The first section of the chapter analyses the judicial and normative situation of medical liability in German-speaking countries (Austria, Germany, Switzerland), along with the institutions involved and their operative roles. The ascertainment methodology in both living individuals and cadavers is presented, with special emphasis on the differences between penal and civil procedures. The core part of this chapter examines the evaluation criteria adopted in German-speaking Countries for identifying the injury, dysfunction and invalidity, reconstructing the medical conduct (both real and ideal), identifying any potential medical error, and evaluating the causal value of the identified errors using both the equivalency and adequacy theories. A classification of the most common types of medical errors encountered in Austria, Germany, and Switzerland and the typical structure of a medical expert’s report are provided. This chapter ends with a discussion of future perspectives and the probable reformations that could occur in the regulations and procedures adopted in extra-judicial ascertainments.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 169.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 219.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 219.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Notes

  1. 1.

    Municipal authorities are responsible to organize the external examination of a corpse. These authorities nominate MDs to do the investigation on behalf of these authorities.

References

  • Aigner G, Kierein M, Kopetzki C (2001) Ärztegesetz 1998, 2nd edn. Manz, Wien

    Google Scholar 

  • Ärztekammer Nordrhein (2004) Aus der Arbeit der Gutachterkommission für ärztliche Behandlungsfehler bei der Ärztekammer Nordrhein. Ärztekammer Nordrhein Düsseldorf

    Google Scholar 

  • AWMF (2001a) Guide line to perform a first external examination of a corpse. http://www.awmf.org/leitlinien/detail/ll/054-002.html. Accessed 13 May 2011

  • AWMF (2001b) Guideline to perform a forensic autopsy. http://www.awmf.org/leitlinien/detail/ll/054-001.html. Accessed 13 May 2011

  • AWMF (2011) List of guidelines. http://www.awmf.org/leitlinien/leitlinien-suche.html. Accessed 13 May 2011

  • Bauer G, Pollak S (2007) Medizinisch relevante Rechtsvorschriften in Österreich. In: Madea B (ed) Praxis Rechtsmedizin, 2nd edn. Springer, New York, pp 637–656

    Google Scholar 

  • Brennan TA, Leape LL, Laird NM, Hebert L, Localio AR, Lawthers AG, Newhouse JP, Weiler PC, Hiatt HH (1991) Incidence of adverse events and negligence in hospitalized patients-results of the Harvard medical practise study I. N Engl J Med 324:370–376

    Article  PubMed  CAS  Google Scholar 

  • Bundesärztekammer (2006) Berufsordnung für die deutschen Ärztinnen und Ärzte. http://www.bundesaerztekammer.de/downloads/MBOStand20061124.pdf

  • Council of Europe, Committee of Ministers. Recommendation Rec (2006) 7 of the Committee of Ministers to member states on management of patient safety and prevention of adverse events in health care. https://wcd.coe.int/wcd/ViewDoc.jsp?id=1005439&Site=CMAccessed 13 May 2011

  • DAkkS (2011) List of institutions with registered quality management system. http://www.dakks.de/node/338. Accessed 13 May 2011

  • Dettmeyer R, Madea B (1999) Rechtsmedizinische Gutachten im arztstrafrechtlichen Ermittlungsverfahren. Medizinrecht, pp 533–539

    Google Scholar 

  • Dettmeyer R, Madea B (2007a) Der Arzt als zeuge und Sachverständiger. In: Madea B (ed) Praxis Rechtsmedizin, 2nd edn. Springer, New York, pp 599–607

    Google Scholar 

  • Dettmeyer R, Madea B (2007b) Haftpflicht und Behandlungsfehler. In: Madea B (ed) Praxis Rechtsmedizin, 2nd edn. Springer, New York, pp 577–581

    Google Scholar 

  • Dettmeyer R, Madea B (2007c) der Arzt als Sachverständiger. In: Madea B (ed) Praxis Rechtsmedizin, 2nd edn. Springer, New York, pp 599–607

    Google Scholar 

  • Dettmeyer R, Preuß J, Madea B (2007) Zur Häufigkeit begutachteter letaler Behandlungsfehler in der Rechtsmedizin. In: Madea B (ed) Praxis Rechtsmedizin, 2nd edn. Springer, New York, pp 65–85

    Google Scholar 

  • Fischer G, Fetters MD, Munro AP, Goldman EB (1997) Adverse events in primary care identified from a risk-management database. J Fam Pract 45:40–46

    PubMed  CAS  Google Scholar 

  • Hofer T, Herr E, Hayward R (2000) What is an error? Eff Clin Pract 6:261–269

    Google Scholar 

  • Jansen C (2010) Behandlungsfehler. In: Rieger H-J, Dahm F-J, Steinhilper G (eds) Heidelberger Kommentar Arztrecht, Krankenhausrecht, Medizinrecht 1, 30. Aktualisierung, CF Müller Heidelberg München Landsberg Frechen Hamburg, vol 750, pp 1–22

    Google Scholar 

  • McGuire HH Jr, Horsley JS 3rd, Salter DR, Sobel M (1992) Measuring and managing quality of surgery. Statistical vs incidental approaches. Arch Surg 127:733–737

    Article  PubMed  Google Scholar 

  • Mierzewski P, Pennanaen P (2007) Health for All, Human rights for All, Patient safety for All. In: Madea B, Dettmeyer R (eds) Medizinschadensfälle und Patientensicherheit. Deutscher Ärzte-Verlag Köln, pp 1–10

    Google Scholar 

  • O’Neil AC, Petersen LA, Cook EF, Bates DW, Lee TH, Brennan TA (1993) Physician reporting compared with medical-record review to identify adverse medical events. Ann Intern Med 119:370–376

    PubMed  Google Scholar 

  • Rieger HJ, Krieger G (2010) Gutachten. In: Rieger H-J, Dahm F-J, Steinhilper G (eds) Heidelberger Kommentar Arztrecht, Krankenhausrecht, Medizinrecht 1, 30, vol 2270. Aktualisierung, CF Müller Heidelberg München Landsberg Frechen Hamburg number, pp 1–9

    Google Scholar 

  • Romano RS (2007) Selecting indicators for patient safety at the health systems level in OECD countries. http://www.oecd.org/dataoecd/44/29/39495326.pdf. Accessed 15 May 2011

  • Scobie S, Thomson R, McNeil JJ, Phillips PA (2006) Measurements of the safety and quality of health care. Med J Aust 184: S51–S55

    Google Scholar 

  • Statuten der Gutachterkommission für ärztliche Behandlungsfehler bei der Ärztekammer Nordrhein (1981) Rheinisches Ärzteblatt 4/1981, p 94, MBl NW 1981 p 198

    Google Scholar 

  • Thomas EJ, Studdert DM, Burstin HR, Orav EJ, Zeena T, Williams EJ, Howard KM, Weiler PC, Brennan TA (2000) Incidence and types of adverse events and negligent care in Utah and Colorado. Med Care 38:261–271

    Article  PubMed  CAS  Google Scholar 

  • Thomeczek C, Rohe J, Ollenschläger G (2007a) Das unerwünschte Ereignis in der Medizin. In: Madea B, Dettmeyer R (eds) Medizinschadensfälle und Patientensicherheit. Deutscher Ärzte-Verlag Köln, pp 13–20

    Google Scholar 

  • Thomeczek C, Rohe J, Ollenschläger G (2007b) Wie messe ich Qualität? Konzepte zur Messung von Sicherheit und Sicherheitskultur. In: Madea B, Dettmeyer R (eds) Medizinschadensfälle und Patientensicherheit. Deutscher Ärzte-Verlag Köln, pp 287–296

    Google Scholar 

  • Vincent C, Neale G, Woloshynowych M (2001) Adverse events in British hospitals: preliminary retrospective record reviews. BMJ 322:517–519

    Article  PubMed  CAS  Google Scholar 

  • Von Laue NC, Schwappach DLB, Koeck CM (2003) The epidemiology of medical errors: a review of the literature. Wien Klin Wochenschr 115:318–325

    Article  Google Scholar 

  • Weltrich H (2004) Einleitung. Über die Arbeit der Gutachterkommission. In: Ärztekammer Nordrhein (ed) Aus der Arbeit der Gutachterkommission für ärztliche Behandlungsfehler bei der Ärztekammer Nordrhein. Ärztekammer Nordrhein Düsseldorf, p 7

    Google Scholar 

  • WHO (2004) World alliance for patent safety: WHO draft guidelines for adverse reporting and learning systems. http://who.int/patientsafety/events/05/Reporting_Guidelines.pdf. Accessed 13 May 2011

  • Wilson RM, Runciman WB, Gibberd RW, Harrison BT, Newby L, Hamilton JD (1995) The quality in Australian health care study. Med J Aust 163:458–471

    PubMed  CAS  Google Scholar 

  • Zollinger U (2007) Rechtsvorschriften in der Schweiz. In: Madea B (ed) Praxis Rechtsmedizin, 2nd edn. Springer, New York, pp 630–637

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Thomas Bajanowski .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2013 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Bajanowski, T., Rabl, W., Fracasso, T. (2013). Medical Responsibility and Liability in German-Speaking Countries: Austria, Germany, and Switzerland. In: Ferrara, S., Boscolo-Berto, R., Viel, G. (eds) Malpractice and Medical Liability. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-35831-9_6

Download citation

Publish with us

Policies and ethics