La faute medicale dans la responsabilite hospitaliere. Evolution de la jurisprudence
Institution:
Paris 11Disciplines:
Directors:
Abstract EN:
The administrative jurisprudency concerning the damages due to medical malpractice was based on the notion of"serious fault" for the medical acts. The decision of the conseil d'etat on april 10 th, 1992 put an end to this principle and recognize the administrative liability for the "medical fault" without a qualification. Our survey presents the elements of the "serious fault" and also the other conditions used by the courts for administrative liability in the previous jurisprudency, that is : - the qualification of a simple fault in the organization or in the functionning of the service, instead of the "serious fault" in medical acts, - or sometimes, the presumption of the service fault when the fault cannot be found in some medical acts. Even if several plans have proposed to indemnify for medical maloccurence, the elements used to qualify the medical fault are still determining to select the kind of indemnification, because the medical fault, or the service fault will always have to be excluded before any indemnification for medical maloccurence.
Abstract FR:
La jurisprudence administrative concernant les dommanges consecutifs aux soins medicaux etait fondee sur la faute lourde pour les actes medicaux. L'arret du conseil d'etat du 10 avril 1992 met fin a ce fondement sur la faute lourde medicale et ne retient desormais qu'une faute medicale sans qualification. Notre etude presente l'ensemble de la jurisprudence anterieure sur la faute lourde et les autres moyens utilises par les tribunaux administratifs pour retenir la responsabilite, tels que la dequalificaton de l'acte medical, et presomption de faute de service, quand la faute medicale ne peut etre prouvee. Meme s'il existe plusieurs projets d'indemnisation de l'alea therapeutique, les criteres de qualification de la faute medicale restent determinants pour choisir le mode d'indemnisation, puisqu'il faudra toujours exclure la faute medicale ou de service avant d'indemniser l'alea therapeutique.