Hasta dosyas\u0131 tutma zorunlulu\u011fu ve dosyan\u0131n i\u00e7eri\u011fi, Yatarak Tedavi Kurumlar\u0131 \u0130\u015fletme Y\u00f6netmeli\u011finde belirlenmi\u015ftir. \u201cYatakl\u0131 tedavi kurumu\u201d ifadesinden yaln\u0131zca hastaneleri anlamamak gerekir. Y\u00f6netmelikte ilgili sa\u011fl\u0131k kurumlar\u0131 \u015fu \u015fekilde belirtilmi\u015ftir:<\/p>\n
Madde 4<\/em><\/strong>\u00a0\u2013 Yatakl\u0131 Tedavi Kurumlar\u0131 :<\/em><\/p>\n Hasta ve yaral\u0131lar\u0131n, hastal\u0131ktan \u015f\u00fcphe edenlerin ve sa\u011fl\u0131k durumlar\u0131n\u0131 kontrol ettirmek isteyenlerin, ayaktan veya yatarak m\u00fc\u015fahade, muayene, te\u015fhis, tedavi ve rehabilite edildikleri, ayn\u0131 zamanda do\u011fum yap\u0131lan kurumlard\u0131r.<\/em><\/p>\n Hasta dosyas\u0131n\u0131n do\u011fru ve eksiksiz tutulmas\u0131, do\u011fru tedavinin tespiti ve uygulanmas\u0131 i\u00e7in zaruridir. Bu kay\u0131tlar, tedavi s\u00fcrecinde olabilecek aksakl\u0131klardan kimin ve neden sorumlu oldu\u011funun tespitini de m\u00fcmk\u00fcn k\u0131lar.<\/p>\n Hasta dosyalar\u0131n\u0131n tutulmas\u0131yla ilgili pek \u00e7ok pozitif kural bulunuyorsa da uygulamada maalesef bu dosyalar\u0131n s\u0131kl\u0131kla gere\u011fi gibi tutulmad\u0131\u011f\u0131 bilinmektedir. \u00d6rne\u011fin hastaya hangi i\u015flemi ve kimin yapt\u0131\u011f\u0131 hasta dosyalar\u0131nda her zaman bulunmamaktad\u0131r. Oysaki hastan\u0131n sa\u011fl\u0131k kurumuna m\u00fcracaat\u0131ndan itibaren ona yap\u0131lacak her t\u00fcrl\u00fc i\u015flemin, i\u015flemi yapan\u0131n ve yap\u0131lma zaman\u0131n\u0131n teker teker yaz\u0131lmas\u0131 gerekir.<\/p>\n Yine uygulamada, sa\u011fl\u0131k \u00e7al\u0131\u015fanlar\u0131n\u0131n sorumlulu\u011fu \u00e7ok s\u0131k g\u00fcndeme gelmektedir. Kay\u0131tlar eksik tutuldu\u011fu takdirde bu sorumlulu\u011fun tayini son derece g\u00fc\u00e7 olmaktad\u0131r. Sorumlunun tespit edilememesi ise o kurumdaki sa\u011fl\u0131k \u00e7al\u0131\u015fanlar\u0131n\u0131n tamam\u0131n\u0131 ve hatta kurumun kendisini dahi zan alt\u0131nda b\u0131rakmaktad\u0131r.<\/p>\n Anayasa Mahkemesi, 16.06.2021 tarih 2018\/11847 ba\u015fvuru numaral\u0131 karar\u0131nda tam da buna ili\u015fkin esaslar\u0131 belirlemi\u015ftir. Karara g\u00f6re, i\u015flemi yapan \u00e7al\u0131\u015fan\u0131n dosyada belirtilmemesi, sa\u011fl\u0131k kurumunu ve dolay\u0131s\u0131yla i\u015flemi yapan \u00e7al\u0131\u015fan\u0131 sorumluluktan kurtarmaya yetmez<\/a>[1]<\/span><\/a>.<\/strong><\/p>\n Somut olayda hasta, 01.04.2014 tarihinde so\u011fuk alg\u0131nl\u0131\u011f\u0131 ve y\u00fcksek ate\u015f \u015fikayetiyle devlet hastanesine gider. Kendisine antibiyotik i\u00e7erikli bir i\u011fne re\u00e7ete edilir. Bu i\u011fne ayn\u0131 hastanede \u00e7al\u0131\u015fan bir hem\u015fire taraf\u0131ndan hastaya uygulan\u0131r.<\/p>\n Hasta 07.04.2014\u2019te bu kez i\u011fne sonras\u0131nda olu\u015fan kal\u00e7a a\u011fr\u0131s\u0131n\u0131n ge\u00e7memesi sebebiyle hastaneye gelir. Muayenede, sa\u011f ayak siyatik sinirinde hasar olu\u015ftu\u011fu tespit edilir. Fizik tedaviden sonu\u00e7 alamayan hastada %46 oran\u0131nda \u00e7al\u0131\u015fma g\u00fcc\u00fc kayb\u0131 olu\u015fmu\u015ftur.<\/p>\n Hastan\u0131n bunun \u00fczerine maddi ve manevi tazminat davas\u0131 a\u00e7ar. Yarg\u0131lamada, hastan\u0131n \u015fikayetinin ve re\u00e7etesinin kay\u0131tl\u0131 oldu\u011fu fakat enjeksiyonla ilgili bir kayd\u0131n bulunmad\u0131\u011f\u0131 anla\u015f\u0131l\u0131r.<\/p>\n Hastan\u0131n manevi tazminat talebi ilk derece mahkemesinde k\u0131smen kabul edilir fakat istinaf incelemesin yapan B\u00f6lge Adliye Mahkemesi, manevi tazminat da dahil, hastan\u0131n b\u00fct\u00fcn taleplerini reddeder. Ret gerek\u00e7esi \u00f6zetle, enjeksiyonun yap\u0131l\u0131p yap\u0131lmad\u0131\u011f\u0131 hasta dosyas\u0131ndan anla\u015f\u0131lmad\u0131\u011f\u0131 i\u00e7in, olu\u015fan zarar\u0131n bundan kaynakland\u0131\u011f\u0131n\u0131n kesin olarak bilinemeyece\u011fidir. Ba\u015fka bir ifadeyle, ortadaki belirsizlik sebebiyle hastanenin hizmet kusuru tespit edilebilmi\u015f de\u011fildir.<\/p>\n Hasta bu kez Anayasa Mahkemesine ba\u015fvurur. Mahkeme s\u00fcrecinde hastane kay\u0131tlar\u0131yla ilgili bir ara\u015ft\u0131rma yap\u0131lmad\u0131\u011f\u0131n\u0131 ve enjeksiyonun yap\u0131l\u0131p yap\u0131lmad\u0131\u011f\u0131yla ilgili bir muayeneden ge\u00e7medi\u011fini belirterek, maddi ve manevi varl\u0131\u011f\u0131n\u0131 koruma hakk\u0131n\u0131n ihlal edildi\u011fini \u00f6ne s\u00fcrer.<\/p>\n Anayasa Mahkemesi karar\u0131n\u0131n ilgili paragraflar\u0131 a\u015fa\u011f\u0131daki gibidir:<\/p>\n \u201c\u2026 T\u0131bbi kay\u0131tlar\u0131n tutulmas\u0131, saklanmas\u0131 ve gerekti\u011finde yarg\u0131 mercilerine ibraz edilmesi b\u00fcy\u00fck \u00f6nem ta\u015f\u0131maktad\u0131r. Te\u015fhis ve tedavi s\u00fcrecindeki verilerin kaydedilmesi ve makul bir s\u00fcre saklanmas\u0131 sorumlulu\u011fu, t\u0131bbi m\u00fcdahaleyi ger\u00e7ekle\u015ftiren sa\u011fl\u0131k kurulu\u015funa aittir.<\/strong><\/em>\u00a0<\/em><\/p>\n \u2026 Hastane kay\u0131tlar\u0131nda ba\u015fvurucuya uygulanan tedavi ve saati ile tedaviyi uygulayan\u0131n ad\u0131 ve soyad\u0131 b\u00f6l\u00fcm\u00fcn\u00fcn bo\u015f b\u0131rak\u0131ld\u0131\u011f\u0131, hatta sonraki hasta kayd\u0131nda da hi\u00e7bir bilginin yer almad\u0131\u011f\u0131 g\u00f6r\u00fclmektedir. Dolay\u0131s\u0131yla t\u0131bbi kay\u0131tlar\u0131n ba\u015fvurucu hakk\u0131nda hangi tedavinin uyguland\u0131\u011f\u0131, bu tedavinin ehil ki\u015filer taraf\u0131ndan yap\u0131l\u0131p yap\u0131lmad\u0131\u011f\u0131n\u0131 tespite elveri\u015fli nitelik ta\u015f\u0131mad\u0131\u011f\u0131 de\u011ferlendirilmi\u015ftir. <\/em><\/p>\n \u2026 Sonu\u00e7 olarak ba\u015fvurucuya uygulanan enjeksiyonun hatal\u0131 olup olmad\u0131\u011f\u0131 konusunda hasta dosyas\u0131n\u0131n tutulmas\u0131 y\u00fck\u00fcml\u00fcl\u00fc\u011f\u00fcn\u00fcn idareye ait oldu\u011fu hususu da g\u00f6zetilerek somut bulgulara dayal\u0131 gerek\u00e7e sunulmad\u0131\u011f\u0131 ve ba\u015fvurucunun buna ili\u015fkin itirazlar\u0131n\u0131n kar\u015f\u0131lanmad\u0131\u011f\u0131 kanaatine var\u0131lm\u0131\u015ft\u0131r. Bu durumda kamu makamlar\u0131n\u0131n ba\u015fvuru konusu olaydaki pozitif y\u00fck\u00fcml\u00fcl\u00fcklerini yerine getirmedi\u011fi sonucuna ula\u015f\u0131lm\u0131\u015ft\u0131r.<\/strong><\/em><\/p>\n A\u00e7\u0131klanan gerek\u00e7elerle Anayasa\u2019n\u0131n 17. Maddesinde g\u00fcvence at\u0131na al\u0131nan, ki\u015finin maddi ve manevi varl\u0131\u011f\u0131n\u0131 koruma hakk\u0131n\u0131n ihlal edildi\u011fine karar verilmesi gerekir.\u201d <\/em><\/p>\n Anayasa Mahkemesi, bu tespitlerden sonra dava dosyas\u0131n\u0131 yeniden yarg\u0131lama yap\u0131lmak \u00fczere ilgili mahkemeye geri g\u00f6ndermi\u015ftir.<\/p>\n Sonu\u00e7 olarak, belki yo\u011funluktan, belki ihmalden, belki de sorumluluk almamak ad\u0131na tutulan eksik kay\u0131tlar, sa\u011fl\u0131k meslek mensuplar\u0131n\u0131 ve ilgili sa\u011fl\u0131k kurulu\u015flar\u0131n\u0131 sorumluluktan kurtarmamaktad\u0131r.<\/p>\n ————————————————————————————————————————————————-<\/p>\n [1]<\/span><\/a> https:\/\/www.resmigazete.gov.tr\/eskiler\/2021\/09\/20210917-6.pdf<\/a><\/p>\n","protected":false},"excerpt":{"rendered":" Hasta dosyas\u0131 tutma zorunlulu\u011fu ve dosyan\u0131n i\u00e7eri\u011fi, Yatarak Tedavi Kurumlar\u0131 \u0130\u015fletme Y\u00f6netmeli\u011finde belirlenmi\u015ftir. \u201cYatakl\u0131 tedavi kurumu\u201d ifadesinden yaln\u0131zca hastaneleri anlamamak gerekir. Y\u00f6netmelikte ilgili sa\u011fl\u0131k kurumlar\u0131 \u015fu \u015fekilde belirtilmi\u015ftir: Madde 4\u00a0\u2013 Yatakl\u0131 Tedavi Kurumlar\u0131 : Hasta ve yaral\u0131lar\u0131n, hastal\u0131ktan \u015f\u00fcphe edenlerin ve sa\u011fl\u0131k durumlar\u0131n\u0131 kontrol ettirmek isteyenlerin, ayaktan veya yatarak m\u00fc\u015fahade, […]<\/p>\n","protected":false},"author":38637310,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_feature_clip_id":0,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2},"_wpas_customize_per_network":false,"jetpack_post_was_ever_published":false},"categories":[128074],"tags":[128148,128146,128147,128149],"class_list":["post-999","post","type-post","status-publish","format-standard","hentry","category-saglik-hukuku","tag-anayasa-mahkemesi","tag-hasta","tag-saglik","tag-teshis-ve-tedavi"],"aioseo_notices":[],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"","jetpack_likes_enabled":true,"jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/pbjDyL-g7","amp_enabled":true,"_links":{"self":[{"href":"https:\/\/yazhukuk.com\/index.php?rest_route=\/wp\/v2\/posts\/999","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/yazhukuk.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/yazhukuk.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/yazhukuk.com\/index.php?rest_route=\/wp\/v2\/users\/38637310"}],"replies":[{"embeddable":true,"href":"https:\/\/yazhukuk.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=999"}],"version-history":[{"count":2,"href":"https:\/\/yazhukuk.com\/index.php?rest_route=\/wp\/v2\/posts\/999\/revisions"}],"predecessor-version":[{"id":1001,"href":"https:\/\/yazhukuk.com\/index.php?rest_route=\/wp\/v2\/posts\/999\/revisions\/1001"}],"wp:attachment":[{"href":"https:\/\/yazhukuk.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=999"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/yazhukuk.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=999"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/yazhukuk.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=999"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}