{"id":31758,"date":"2022-05-06T13:00:40","date_gmt":"2022-05-06T10:00:40","guid":{"rendered":"https:\/\/tatd.org.tr\/?p=31758"},"modified":"2022-05-25T15:16:09","modified_gmt":"2022-05-25T12:16:09","slug":"saglikta-siddetin-onlenmesi-ve-tibbi-malpraktise-iliskin-kanun-teklifi","status":"publish","type":"post","link":"https:\/\/tatd.org.tr\/en\/genel\/saglikta-siddetin-onlenmesi-ve-tibbi-malpraktise-iliskin-kanun-teklifi\/","title":{"rendered":"Sa\u011fl\u0131kta \u015fiddetin \u00f6nlenmesi ve t\u0131bbi malpraktise ili\u015fkin kanun teklifi"},"content":{"rendered":"<p class=\"qtranxs-available-languages-message qtranxs-available-languages-message-en\">Sorry, this entry is only available in <a href=\"https:\/\/tatd.org.tr\/tr\/wp-json\/wp\/v2\/posts\/31758\" class=\"qtranxs-available-language-link qtranxs-available-language-link-tr\" title=\"Turkish\">Turkish<\/a>.<\/p><p><\/p>\n<hr \/>\n<p class=\"s3\">Kamuoyunda uzun zamand\u0131r g\u00fcndemde tutulan Kad\u0131na ve Sa\u011fl\u0131k \u00c7al\u0131\u015fanlar\u0131na y\u00f6nelik \u015fiddetin \u00f6nlenmesine ili\u015fkind\u00fczenlemeler i\u00e7eren \u201cT\u00fcrk Ceza Kanunu ve Baz\u0131 Kanunlarda De\u011fi\u015fiklik Yap\u0131lmas\u0131na Dair Kanun Teklifi\u201d TBMM AdaletKomisyonu\u2019nda kabul edildi. Kabul edilen kanun teklifinde hekim, di\u015f hekimi ve di\u011fer sa\u011fl\u0131k \u00e7al\u0131\u015fanlar\u0131 i\u00e7in sa\u011fl\u0131kta \u015fiddettin \u00f6nlenmesi ve t\u0131bbi <span class=\"s4\">malpraktis<\/span> sorununa \u00e7\u00f6z\u00fcm i\u00e7in maddeler bulunmaktad\u0131r.<\/p>\n<p class=\"s5\"><strong><span style=\"text-decoration: underline;\"><span class=\"s6\">Sa\u011fl\u0131kta \u015fiddete ili\u015fkin d\u00fczenlemeler:<\/span><\/span><\/strong><\/p>\n<p class=\"s5\">Sa\u011fl\u0131kta \u015fiddetin \u00f6nlenmesi ile ilgili d\u00fczenleme \u201c\u2026madde 9: 4\/12\/2004 tarihli ve 5271 say\u0131l\u0131 Ceza Muhakemesi Kanunun 100\u2019\u00fcnc\u00fc maddesinin \u00fc\u00e7\u00fcnc\u00fc f\u0131kras\u0131n\u0131n (a) bendinin (4) numaral\u0131 alt bendinde yer alan \u201csilahla i\u015flenmi\u015f kasten yaralama (madde 86, f\u0131kra3, bent e)\u201d ibaresi \u201cKasten yaralama(madde 86, f\u0131kra 3, bent b, e, f)\u201d \u015feklinde de\u011fi\u015ftirilmi\u015f ve f\u0131kraya a\u015fa\u011f\u0131daki bentler eklenmi\u015ftir.<\/p>\n<p class=\"s7\"><strong><span class=\"s2\">i)<\/span> <span class=\"s2\">Kad\u0131na kar\u015f\u0131 <\/span><span class=\"s2\">i\u015flenen<\/span><span class=\"s2\"> kasten yaralama su\u00e7u <\/span><\/strong><\/p>\n<p class=\"s7\"><strong><span class=\"s2\">j) Sa\u011fl\u0131k kurum ve kurulu\u015flar\u0131nda g\u00f6rev yapan personele kar\u015f\u0131 g\u00f6revleri s\u0131ras\u0131nda veya g\u00f6revleri dolay\u0131s\u0131yla i\u015flenen kasten yaralama <\/span><span class=\"s2\">su\u00e7u<\/span><\/strong> \u015feklinde olmu\u015ftur.<\/p>\n<p class=\"s5\">Kanun teklifinin bu maddeye ili\u015fkin gerek\u00e7esinde sa\u011fl\u0131k kurum ve kurulu\u015flar\u0131nda g\u00f6rev yapan personele kar\u015f\u0131 g\u00f6revleri s\u0131ras\u0131nda ve g\u00f6revleri dolay\u0131s\u0131yla i\u015flenen kasten yaralama su\u00e7lar\u0131 tutuklamaya ili\u015fkin katalog su\u00e7lar aras\u0131na al\u0131nmaktad\u0131r denmektedir. Ancak bilinmektedir ki ayn\u0131 Ceza Muhakemesi Kanununda katalog su\u00e7lar olarak tan\u0131mlanan su\u00e7lara eklenen madde 3359 say\u0131l\u0131 Sa\u011fl\u0131k Hizmetlerinin Temel Kanununa 2\/1\/2014 y\u0131l\u0131nda ek madde 12 olarak eklenmi\u015f ancak pratiktebu h\u00fck\u00fcm uygulanmad\u0131\u011f\u0131 gibi uygulay\u0131c\u0131lar\u0131n bu kanundan haberdar olduklar\u0131 konusunda ciddi \u015f\u00fcpheler vard\u0131r. Bu y\u00f6n\u00fcyle bak\u0131ld\u0131\u011f\u0131nda sa\u011fl\u0131kta \u015fiddet olaylar\u0131n\u0131n 2014 y\u0131l\u0131ndan g\u00fcn\u00fcm\u00fcze artarak devam etti\u011fi ger\u00e7e\u011fine, yeni d\u00fczenlemekanunun g\u00f6r\u00fcn\u00fcr bir yerde olmas\u0131 d\u0131\u015f\u0131nda \u015fiddeti engellemek ad\u0131na yeni bir \u015fey s\u00f6ylememektedir.<\/p>\n<p class=\"s5\">E\u011fer bu kanun teklifindeki ama\u00e7lardan biri de cezan\u0131n cayd\u0131r\u0131c\u0131l\u0131\u011f\u0131 a\u00e7\u0131s\u0131ndan ilgili kanun maddelerinin uygulay\u0131c\u0131lara daha da g\u00f6r\u00fcn\u00fcr k\u0131l\u0131nmas\u0131 ise, yine Sa\u011fl\u0131k Hizmetlerinin Temel Kanunun i\u00e7inde yer alan \u201cEk f\u0131kra: 15\/4\/2020-7243\/28 md\u201d kanun maddesinin de 5237 say\u0131l\u0131 T\u00fcrk Ceza Kanunu\u2019na eklenmesinin etkili olaca\u011f\u0131 g\u00f6r\u00fc\u015f\u00fcndeyiz.\u00a0 <strong><em><span class=\"s4\">Acil servis hekimleri olarak \u00e7al\u0131\u015fma bar\u0131\u015f\u0131m\u0131z\u0131 ve motivasyonumuzu bozan \u015fiddet olay\u0131 sadece fiziksel \u015fiddet de\u011fil daha da fazla olarak maruz kald\u0131\u011f\u0131m\u0131z hakaret ve tehdit i\u00e7eren psikolojik \u015fiddettir<\/span>.<\/em><\/strong> Ancak kanun teklifinde bu konuda bir d\u00fczenlemenin olmamas\u0131 <strong><span style=\"text-decoration: underline;\"><span class=\"s6\">kanun<\/span><span class=\"s6\"> teklifinin <\/span><span class=\"s6\">\u015fiddeti \u00f6nleme konusunda yetersiz kalaca\u011f\u0131 a\u015fikard\u0131r. <\/span><\/span><\/strong><\/p>\n<p class=\"s5\"><strong><span class=\"s6\">T\u0131bbi m<\/span><span class=\"s6\">alpraktise<\/span><span class=\"s6\"> ili\u015fkin d\u00fczenleme:<\/span><\/strong><\/p>\n<p class=\"s5\">Kanun teklifi ile getirilen bir di\u011fer d\u00fczenleme t\u0131bbi k\u00f6t\u00fc mesleki uygulama (t\u0131bbi malpraktis) konusundad\u0131r. <strong><em><span class=\"s4\">Kanun teklifinden \u00f6nceki durumda adli soru\u015fturma a\u00e7\u0131labilmesi kamuda <\/span><span class=\"s4\">\u00e7al\u0131\u015fan hekim, di\u015f hekimi ve di\u011fer sa\u011fl\u0131k \u00e7al\u0131\u015fanlar\u0131 <\/span><span class=\"s4\">4483 say\u0131l\u0131 kanun \u00e7er\u00e7evesinde yetkili merciinin iznine ba\u011fl\u0131 idi.<\/span><\/em><\/strong> Vak\u0131f \u00fcniversiteleri ve \u00f6zel hastanelerde \u00e7al\u0131\u015fan hekim, di\u015f hekimi ve di\u011fer sa\u011fl\u0131k \u00e7al\u0131\u015fanlar\u0131 i\u00e7in ise soru\u015fturma izni al\u0131nmas\u0131na gerek yoktu.<\/p>\n<p class=\"s5\"><strong><span class=\"s2\">Yeni kanun teklifi ile \u00f6zel hastane ve vak\u0131f \u00fcniversitelerinde \u00e7al\u0131\u015fan hekim, di\u015f hekimi ve di\u011fer sa\u011fl\u0131k \u00e7al\u0131\u015fanlar\u0131 i\u00e7in de soru\u015fturma izni al\u0131nmas\u0131 \u015fart\u0131 getirilmektedir.<\/span> <\/strong>Soru\u015fturmaya izin verecek yetkili mercii hem kamuda \u00e7al\u0131\u015fan sa\u011fl\u0131k personelleri i\u00e7in hem de \u00f6zel hastane ve vak\u0131f \u00fcniversitesinde \u00e7al\u0131\u015fan sa\u011fl\u0131k personelleri i\u00e7in yeni olu\u015fturulan <strong><span class=\"s2\">Mesleki Sorumluluk Kurulu <\/span><\/strong>olmaktad\u0131r. \u00d6nceki uygulama dikkate al\u0131nd\u0131\u011f\u0131nda yeni getirilen d\u00fczenleme ile hekim, di\u015f hekimleri ve di\u011fer sa\u011fl\u0131k \u00e7al\u0131\u015fanlar\u0131n\u0131n yapm\u0131\u015f oldu\u011fu bir uygulamadan dolay\u0131 \u015fikayet halinde, <span style=\"text-decoration: underline;\"><strong><span class=\"s6\">soru\u015fturma izni veren merciinin <\/span><span class=\"s6\">sa\u011fl\u0131\u011f\u0131 bilen ve sahadan gelen ki\u015filerden olu\u015fmas\u0131 olumlu bir geli\u015fmedir. <\/span><\/strong><\/span><\/p>\n<p class=\"s5\">Kanun teklifinde \u201cKamu kurum ve kurulu\u015flar\u0131 ve devlet \u00fcniversitelerinde g\u00f6rev yapan hekim ve di\u015f hekimleri ve di\u011fer sa\u011fl\u0131k mensuplar\u0131n\u0131n sa\u011fl\u0131k mesle\u011finin icra kapsam\u0131nda yapt\u0131klar\u0131 muayene te\u015fhis ve tedaviye \u00a0ili\u015fkin t\u0131bbi i\u015flem ve uygulamalar nedeniyle idare taraf\u0131ndan \u00f6denen tazminattan dolay\u0131 ilgilisine r\u00fccu edilip edilmeyece\u011fine ve r\u00fccu miktar\u0131na, ilgilinin g\u00f6revinin gereklerine ayk\u0131r\u0131 hareket etmek suretiyle g\u00f6revini k\u00f6t\u00fcye kullan\u0131p kullanmad\u0131\u011f\u0131 ve kusur kurumu g\u00f6zetilerek Mesleki Sorumluluk Kurulu taraf\u0131ndan bir y\u0131l i\u00e7inde karar verilir\u201d demektedir. <strong><span class=\"s2\">R\u00fccu i\u015flemi i\u00e7in eyleme ge\u00e7meden <\/span><span class=\"s2\">Mesleki Sorumluluk Kurulunun <\/span><span class=\"s2\">bir kontrol mekanizmas\u0131 olarak bulunmas\u0131 m\u00fcspet bir durumdur<\/span>.<\/strong> Ancak t\u0131bbi i\u015flem ve uygulamalar sebebi ile idare taraf\u0131ndan \u00f6denen tazminatlar\u0131n kas\u0131t olmad\u0131\u011f\u0131 s\u00fcrece devletin \u00fcstlenece\u011fine dair bir ifade kanun maddesinde bulunmamaktad\u0131r.<\/p>\n<p class=\"s5\">T\u0131bbi Malpraktis kasten olabilece\u011fi gibi bilgisizlik, deneyimsizlik ya da ilgisizlik nedeni ile hastan\u0131n zarar g\u00f6rmesidir. T\u0131bbi malpraktis davalar\u0131nda kusur sorumlulu\u011fu\u00e7o\u011funlukla taksirle olmaktad\u0131r. Kas\u0131t ile olu\u015fanlar \u00e7ok daha azd\u0131r. Bizim de temennimiz kas\u0131t d\u0131\u015f\u0131nda olu\u015fan t\u0131bbi malpraktis kaynakl\u0131 tazminatlar\u0131n r\u00fccu edilmemesidir ancak kanunda bunu destekler bir madde bulunmamaktad\u0131r.<\/p>\n<p class=\"s5\">Sonu\u00e7 olarak getirilen kanun teklifi ile sa\u011fl\u0131kta \u015fiddeti\u00f6nlemek i\u00e7in getirilen d\u00fczenlemeler ge\u00e7mi\u015f uygulamalar ve yukar\u0131da anlat\u0131lan sebeplerden dolay\u0131 hekim, di\u015f hekimi ve di\u011fer sa\u011fl\u0131k \u00e7al\u0131\u015fanlar\u0131n\u0131n beklentilerinin uza\u011f\u0131ndad\u0131r. <strong><span class=\"s2\">Sa\u011fl\u0131kta \u015fiddetin \u00f6nlenmesi ve sa\u011fl\u0131k <\/span><span class=\"s2\">sisteminin di\u011fer\u00a0<\/span><span class=\"s2\">problemlerinin \u00e7\u00f6z\u00fcm\u00fc i\u00e7in daha geni\u015f kat\u0131l\u0131ml\u0131, sahada problemleri bilenlerinde s\u00fcrece dahil edilerek \u00e7\u00f6z\u00fcm \u00f6nerilerinin arand\u0131\u011f\u0131 toplant\u0131lar<\/span><span class=\"s2\">a <\/span><span class=\"s2\">olan ihtiya\u00e7<\/span> <span class=\"s2\">bir kez daha kendini g\u00f6stermi\u015ftir.<\/span><\/strong><\/p>\n<p class=\"s5\">T\u00fcrkiye Acil T\u0131p Derne\u011fi Hukuk Komisyonu<\/p>\n<p><\/p>","protected":false},"excerpt":{"rendered":"<p>Sorry, this entry is only available in Turkish. Kamuoyunda uzun zamand\u0131r g\u00fcndemde tutulan Kad\u0131na ve Sa\u011fl\u0131k \u00c7al\u0131\u015fanlar\u0131na y\u00f6nelik \u015fiddetin \u00f6nlenmesine ili\u015fkind\u00fczenlemeler i\u00e7eren \u201cT\u00fcrk Ceza Kanunu ve Baz\u0131 Kanunlarda De\u011fi\u015fiklik Yap\u0131lmas\u0131na&hellip;<\/p>\n","protected":false},"author":883,"featured_media":31759,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"inline_featured_image":false,"_angie_page":false,"_lmt_disableupdate":"","_lmt_disable":"","_tatd_show_on_main_site":"","page_builder":"","footnotes":""},"categories":[1,10011],"tags":[10236,10237,10201],"class_list":["post-31758","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-genel","category-haber-ve-duyuru","tag-hukuk","tag-malpraktis","tag-saglikta-siddet"],"acf":[],"_links":{"self":[{"href":"https:\/\/tatd.org.tr\/en\/wp-json\/wp\/v2\/posts\/31758","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/tatd.org.tr\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/tatd.org.tr\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/tatd.org.tr\/en\/wp-json\/wp\/v2\/users\/883"}],"replies":[{"embeddable":true,"href":"https:\/\/tatd.org.tr\/en\/wp-json\/wp\/v2\/comments?post=31758"}],"version-history":[{"count":0,"href":"https:\/\/tatd.org.tr\/en\/wp-json\/wp\/v2\/posts\/31758\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/tatd.org.tr\/en\/wp-json\/wp\/v2\/media\/31759"}],"wp:attachment":[{"href":"https:\/\/tatd.org.tr\/en\/wp-json\/wp\/v2\/media?parent=31758"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/tatd.org.tr\/en\/wp-json\/wp\/v2\/categories?post=31758"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/tatd.org.tr\/en\/wp-json\/wp\/v2\/tags?post=31758"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}