On some special conditions of the civil process, regarding medical establishments in their capacity as debtors

Лечебните заведения като едни от участниците в гражданския оборот са поставени в сложна икономическа среда. В качеството им на длъжници спрямо тях се прилагат механизмите на гражданския процес, според който обезпечаването, осъществяването и удовлетворяването на признатите със съдебно решение граждански субективни права става чрез правилата на обезпечителното и изпълнително производство.Настоящата статия е опит да се посочат някои основни моменти, свързани с прилагането на правилата на ГПК, като се акцентира на спецификите и новите моменти, касаещи лечебните заведения.Medical establishments as one of the participants in civilian turnover are placed in a complex economic environment. In their capacity as debtors, the mechanisms of the civil procedure have been applied to them, according to which the safeguard, fulfillment and satisfaction of the civil subjective rights recognized by court decision are done through the rules of the civils safeguards and executives procedures.This article is an attempt to point out some basic points related to the application of the rules of the Civil Procedure Code, focusing on the specifics and the new points concerning the medical institutions

On some matters concerning the concept „Adverse event` in medicine and its relation to existing legal concepts

Рискът е неизменна част от медицинската дейност. Поради това световен приоритет е подобряването сигурността на пациента. Разбирането за качество на медицинските грижи все повече корелира с обезпечаване на сигурността на пациентите и редуциране на рисковете, съпътстващи медицинската дейност. Рискът е една потенциална опасност, чието настъпване води до неблагоприятни последици. В тази връзка особено значение придоби понятието „нежелано събитие` в медицината. Неговото изследване от юридическа гледна точка ще съдейства на практиката в процеса на анализиране и класифициране на т.нар. нежелани събития в медицината.Risk is an integral part of medical practice. Therefore the global priority is to improve patient safety in medicine. Understanding the quality of care correlates with ensuring patient`s safety and reducing the risks that comes with medical care. The risk is a potential danger, the occurence of which leads to adverse consequences for the patient. In such a context the term „adverse event` has acquired a special importance in medicine. The research of this term legally will assist the process of analyzing and classifying the so-called adverse events in medicine

The need to obtain written informed consent for invasive nursing procedures with a view of Bulgarian legislation

INTRODUCTION: The study on the need to obtain written informed consent for invasive nursing procedures has important scientific and practical importance in meeting the patients‘ rights and achieving professional nursing security.AIM: To examine the need to obtain written informed consent for invasive nursing manipulations with a view to the current Bulgarian legislation.MATERIALS AND METHODS: We have conducted an analysis of the literature and used a documentary method (due diligence). The legal regulation of public relations was analyzed and was linked to the nurse`s par­ticipation in the process of obtaining informed consent from the patient and in particular to the need to obtain written informed consent for invasive nursing procedures. The study is part of a complex, targeted and thor­ough study of the possibilities to optimize the participation of nurses in the process of obtaining informed con­sent from patients, conducted in the period January 2008 - September 2015.RESULTS: As result of the legal analysis of the primary and secondary legislation of the Republic of Bulgaria on the researched problem, it was found that an essential part of the medical activities performed by the nurses belong to the so-called invasive methods. At the same time the law requires informing and obtaining consent for the aforementioned medical activities to be carried out in writing. Moreover, it is a condition regarding the reality and validity of the consent. In this case, we performed a detailed analysis on issues concerning the indi­vidual that is obliged to provide the consent when performing the invasive procedures that are written above.CONCLUSIONS: Based on a thorough analysis of the primary and secondary legislation of the Republic of Bulgaria and also an analysis of the available scientific literature on the issue, the conclusion is that not the doctor, but the nurse is the one to inform and to obtain written consent from the patient before performing the invasive procedures for which the nurse is responsible

Study of legal framework of involvement of nurses in the process of patient`s informed consent in the republic of Bulgaria and other countries

Introduction: Essential in providing medical assistance to patients is achieving clarity and legal certainty in the work of medical professionals. To this end, a clear and uniform approach in regulation of involvement of nurses in the process of patient`s informed consent, which is currently lacking in the legislation of the Republic of Bulgaria, is to be adopted.Objective: To examine the legal framework of the involvement of nurses in the process of patients` informed consent in the Republic of Bulgaria and other countries.Materials and methods: We have applied a documentary method. A comparative legal analysis of the legislation on the involvement of nurses in the process of patients` informed consent in the Republic of Bulgaria and other countries within the period January 2014 - May 2015 has been made.Deliverables: Based on the comparative legal analysis of the legislation of the Republic of Bulgaria and the countries studied, it was found that there is no single approach to the regulations of the involvement of nurses in the process of patients` informed consent in the country unlike the laws of other countries where it is clearly and systematically arranged.Discussion: In the laws that have been reviewed the liability to inform patients lies on all health professionals. According to the analyzed legal definitions in the legal sources compared, a nurse is a health professional and as such, she has certain obligations in the process of informed consent of patients.Conclusion: It is necessary the current Bulgarian legislation on the involvement of nurses in the process of patients` informed consent to be further developed and refined taking into account the experience of other countries

Adverse events in medicine in the context of the general tort law as a basis for the civil liability of physicians

Медицинската професия е една от най-сложните форми на човешка дейност. Тя предполага специални знания, опит и отговорност. Рискът от възникване на неблагоприятни последици в сферата на пациента обаче, съпътства нейното упражняване. С оглед преодоляване и минимизиране на т. нар. нежелани събития, които водят до вреди за пациента, от съществено значение е тяхното изследване, разбиране и класифициране както от медицинска, така и от юридическа гледна точка.The medical profession is one of the most complex forms of human activity. It implies special knowledge, experience and responsibility. The risk of adverse ef- fects in the patient‘s sphere accompanies its exercise. In order to overcome and minimize the so-called adverse events that cause harm to the patient, it is essential to study, understand and classify them both from a med- ical and a legal point of view

Mandatory treatment of people under the health act and forced medical measures under the penal code - basic situations and distinction

В действащото законодателство са предвидени законодателни механизми, чрез които се въздейства върху лица, страдащи от определени психични заболявания. Това са института на принудителните медицински мерки и задължителното лечение. Тези законови способи обаче имат различно предназначение и функции. С оглед на това, тяхното разграничаване има важно практическо и теоретично значение.In the current Bulgarian legislation, some of the legislative mechanisms envisaged would influence the persons suffering from certain mental illnesses. These are the institute of forced medical measures and compulsory treatment. However, these legal channels have different functions and purposes. In the light of this, their distinction has important practical and theoretical significance

Implementation of protection measures against falsified medicinal products in the context of public health and ensuring the safety of patient - legal framework

An indicator for the proper functioning of the internal market for medicinal products is the protection of public health and the ensuring of the security and safety of the patient. In order for this to be accomplished, pan-European measures for the control and safety of medicinal products are needed. This, in turn, will prevent falsified medicinal products from reaching the patient. This article addresses the legal measures on protection against falsified medicinal products in the context of public health and ensuring patient`s safety.An indicator for the proper functioning of the internal market for medicinal products is the protection of public health and the ensuring of the security and safety of the patient. In order for this to be accomplished, pan-European measures for the control and safety of medicinal products are needed. This, in turn, will prevent falsified medicinal products from reaching the patient. This article addresses the legal measures on protection against falsified medicinal products in the context of public health and ensuring patient`s safety