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hospital discharge

"Quick Stop resignation Patients
Supreme Court: the risk manslaughter
The discharge of patients from hospitals must only be decided based on assessments of "medical" and not according to economic criteria in the guidelines of these health facilities to contain health care costs. And 'as determined by the Supreme Court that overturned the acquittal of a doctor from the charge of manslaughter of a patient discharged, according to the guidelines, after 9 days of open heart surgery.


To get rid of any responsibility, a doctor is not enough, then, to say that he "scrupulously adhered to the guidelines" provided for professionals. The case was born

Hospital of Busto Arsizio, near Milan. Dr. Robert G. the patient was discharged Romildo B. after a hospitalization of nine days after surgery anterior artery angioplasty to treat a large myocardial infarction. A few hours after Mr. Romildo was dead. The doctor had been called to answer for manslaughter for hasty resignation. The legal expertise had established that if the man had not been discharged, would have survived the rapids that he would receive treatment in the ward.

At first instance the doctor who signed the resignation was sentenced to 8 months imprisonment and to pay moral damages to the families. On appeal, however, was acquitted "because the offense is not" because the doctor had followed the guidelines on the subject of resignation. Thesis is not shared by the Supreme Court which upheld the claim of attorney and family members.

For The supreme Judges guidelines are not clear, nothing is known of their content, nor by what authority they come from, nor of what their level of science. I doubt that stipendiary are nothing but "an instrument for the economicitàdella management of the hospital." "No one - goes to the Supreme Court - is allowed to precede the economic logic of the logic of protecting public health."

The judges then remind physicians that first of all have to conform to their code of conduct under which the duty "of placing the health of the patient to any other requirement." So I am not obliged "to respect those guidelines if they are in conflict with the needs of care the patient, and can not go free from blame if they leave if condition, giving up their goals and degrading its professionalism and its mission in accountancy.

Now for the hasty resignation of the doctor opens a new trial. I Judges should also enter into the details of a patient who, besides being struck by a heart attack, also had a clinical picture that counseled caution, as were smokers and obese. perhaps even to be considered for the guidelines.