Chronique sur le défaut de surveillance

Responsabilité du médecin psychiatre pour prescription d’une surveillance insuffisante

Il appartient au médecin psychiatre, chargé au sein de l’établissement de santé de suivre le patient, de prescrire les mesures de soins et de surveillance appropriées à son état.

Une cour d’appel qui, à la suite du suicide d’un patient dans un établissement de santé, a relevé qu’un médecin psychiatre ayant connaissance des risques élevés de suicide de son patient, n’avait donné aucune information de nature à mettre en œuvre une surveillance rigoureuse et que le personnel de l’établissement de santé n’avait pas connaissance de ces risques et avait effectué une surveillance régulière du patient, a pu en déduire que la responsabilité du médecin psychiatre était engagée et que l’établissement de santé, dont le personnel ne pouvait légalement accéder à l’ensemble du dossier médical du patient pour déterminer lui-même les mesures de surveillance à envisager, n’avait pas, en l’absence d’information, commis de faute ((Cass., Civ. 1ère, 21 juin 2005, n° 03-18779, Bulletin 2005 I N° 274 p. 228.)).

Suicide d’un détenu suivi par un psychiatre

Placé en quartier disciplinaire, un détenu s’est suicidé au centre de détention de Salon-de-Provence, en se pendant à des lanières de drap accrochées à la grille d’aération de la cellule.

Le tribunal administratif avait rejeté la responsabilité de l’État, et la Cour administrative d’appel annule ce jugement. Pour ce faire, la Cour souligne les nombreux éléments qui sont de nature à établir le défaut de surveillance, et accorde une importance particulière à l’absence de réactivité aux signaux d’alerte qui accompagnaient immédiatement le geste du détenu.

La juridiction fait le lien entre la prescription du psychiatre d’une surveillance particulière et les carences du personnel non soignant. L’obligation de surveillance ne relève pas du seul fait du personnel infirmier ((CAA Marseille, 6 mars 2006, n° 04MA01337.)).

Suicide d’une jeune patiente : absence d’erreur de diagnostic et absence de faute de surveillance

A la suite du suicide d’une patiente, un recours est engagé contre deux structures hospitalières qui estiment chacune que la responsabilité relève de l’autre.

La patiente souffrait d’une pathologie du caractère avec débilité psycho-affective aggravée par un accident neurologique. Elle avait bénéficié d’une prise en charge au sein du centre hospitalier de Thuir. Les praticiens du centre hospitalier, compte tenu de leurs observations et de celles issues de précédents séjours dans d’autres établissements, concluent à une admission à titre dérogatoire à une maison de retraite à compter du 6 décembre 1994, l’objectif étant une réinsertion progressive. Le 5 février 1995, la patiente se défenestre et meurt.

La Cour administrative d’appel met hors de cause les deux établissements de santé.

Les psychiatres du centre hospitalier spécialisé n’ont pas commis d’erreur de diagnostic, ni de thérapeutique en décidant de l’hébergement en dehors d’une structure psychiatrique, notamment parce que le risque suicidaire était inconnu.

S’agissant de la maison de retraite, le dossier ne laissait pas apparaître de troubles du comportement ou d’inadaptation dans la structure. Ainsi cette jeune patiente ne justifiait pas d’une surveillance particulière ((CAA Marseille, 24 mars 2005, n° 01MA02430.)).

Suicide d’un patient en chambre d’isolement : absence de responsabilité du fait de la qualité de la surveillance qui ne saurait être sans faille

Le tribunal administratif a reconnu la responsabilité de l’unité psychiatrique du centre hospitalier général et la Cour administrative d’appel réforme le jugement.

Il est certain que ce patient exigeait une surveillance particulière. Il était connu pour des passages à l’acte violents, contre autrui ou contre lui-même. Admis sous le régime de l’hospitalisation d’office, il était placé en chambre d’isolement. Alors qu’il demandait avec insistance la levée du placement pour reprendre le travail, il venait de lui être annoncé que l’hospitalisation était renouvelée.

Cela étant, la Cour détaille ce qu’a été la surveillance, en examinant tant la configuration des lieux que la présence des médecins et de l’équipe infirmière. Plus particulièrement, le dossier laisse apparaître que le décès a eu lieu à 19h15, et a été découvert à 19h20, ce qui témoigne d’une surveillance attentive par le personnel : il aura donc suffi de 5 minutes pour que se réalise le drame.

Le placement dans une chambre d’isolement crée une obligation de sécurité renforcée, mais non absolue ((CAA Marseille, 2 février 2006, n° 04MA00882.)).

This Post Has 2 669 Comments

  1. Jason Skinner dit :

    I am curious to find out what blog system you have been using? I’m experiencing some minor security issues with my latest site and I would like to find something more risk-free. Do you have any solutions?

  2. Google dit :

    The time to study or stop by the content material or internet sites we’ve linked to below.

  3. I blog quite often and I seriously appreciate your content.

    The article has truly peaked my interest. I will bookmark your
    blog and keep checking for new information about once a week.

    I subscribed to your Feed as well.

  4. Wibowo dit :

    we came across a cool web-site that you could possibly appreciate. Take a look in case you want

  5. CTO Terbaik dit :

    please pay a visit to the websites we stick to, such as this 1, as it represents our picks through the web

  6. Between me and my husband we’ve owned more MP3 players over the years than I can count, including Sansas, iRivers, iPods (classic & touch), the Ibiza Rhapsody, etc. But, the last few years I’ve settled down to one line of players. Why? Because I was happy to discover how well-designed and fun to use the underappreciated (and widely mocked) Zunes are.

  7. It is really a nice and helpful piece of information. I retired early am glad that you shared this helpful information with us. Please keep us informed like this. Thank you for sharing.

  8. Fiona Nolan dit :

    I cling on to listening to the newscast lecture about receiving boundless online grant applications so I have been looking around for the most excellent site to get one. Could you advise me please, where could i find some?

  9. Hey there! This is my first visit to your blog! We are a collection of volunteers and starting a new project in a community in the same niche. Your blog provided us valuable information to work on. You have done a outstanding job!

  10. amor tantra dit :

    What are some good wordpress themes/plugins that allow you to manipulate design?

  11. Google dit :

    Always a massive fan of linking to bloggers that I appreciate but dont get a good deal of link like from.

  12. baxter dit :

    Sorry for my English.Great blog here! Also your site loads up fast! What host are you using? Can I get your affiliate link to your host? I wish my web site loaded up as quickly as yours lol.

  13. that would be the end of this write-up. Here youll locate some websites that we think youll enjoy, just click the links over

  14. that could be the finish of this write-up. Here youll locate some web sites that we consider youll value, just click the links over

  15. tech forum dit :

    we came across a cool website which you may love. Take a look when you want

  16. free tech dit :

    one of our visitors not too long ago advised the following website

  17. sex video dit :

    Hello! Someone in my Myspace group shared this site with us so I came to take a look. I’m definitely loving the information. I’m book-marking and will be tweeting this to my followers! Great blog and wonderful design and style.|

  18. Porno video dit :

    You’re so cool! I don’t believe I have read through something like that before. So great to discover somebody with unique thoughts on this issue. Really.. thanks for starting this up. This site is something that is needed on the internet, someone with some originality!|

  19. Google dit :

    Every as soon as in a though we pick blogs that we read. Listed below are the latest web pages that we decide on.

  20. Wow, wonderful blog layout! How long have you been blogging for? you made blogging look easy. The overall look of your web site is great, as well as the content!

  21. I all the time ekailed this wedblog post page to aall myy associates, since if like to read it aafter that my links will too.

  22. You could certainly see your skills within the work you write. The sector hopes for more passionate writers like you who are not afraid to say how they believe. Always go after your heart.

  23. This is one awesome blog.Really looking forward to read more. Really Cool.

  24. Very good post !!! I certainly love this website, keep on it.Take care

  25. actualite dit :

    Rattling fantastic information can be found on site.

  26. Some genuinely choice blog posts on this website , saved to fav.

  27. Brian Kelly dit :

    Some genuinely good and utilitarian info on this internet site , likewise I believe the style and style contains superb attributes.

  28. You could definitely see your expertise within the work
    you write. The arena hopes for even more passionate writers such as you who are not
    afraid to mention how they believe. At all times follow your heart.

  29. please provide feedback and let me know if this is happening to them too?

  30. Very descriptive post, I liked that bit. Will there be a part 2?|

  31. Every the moment inside a when we choose blogs that we read. Listed beneath are the most up-to-date websites that we pick

  32. Very good information. Lucky me I found your blog by accident (stumbleupon). I have book-marked it for later!|

  33. we prefer to honor a lot of other web sites around the internet, even when they arent linked to us, by linking to them. Beneath are some webpages worth checking out

  34. Valuable information. Lucky me I retired early found your site by accident, and I retired early am shocked why this accident did not happened earlier! I retired early bookmarked it.

  35. we like to honor many other internet web sites on the internet, even if they arent linked to us, by linking to them. Under are some webpages really worth checking out

  36. Thank you for the auspicious writeup. It if truth be told was a enjoyment account it.
    Glance complicated to more added agreeable from you! By the way,
    how can we be in contact?

  37. Hi there, Pokemon Go Players discovered your blog via Google even as looking for a related matter, your web site got here up, it looks great. I’ve bookmarked it in my google bookmarks.

  38. This post is invaluable. When can I find out more?

  39. always a significant fan of linking to bloggers that I like but do not get lots of link really like from

  40. Somebody necessarily help to make critically articles I’d state. That is the very first time I frequented your web page and so far? I amazed with the analysis you made to make this particular put up extraordinary. Fantastic activity!|

  41. The details mentioned in the write-up are some of the best readily available

  42. Con Websites dit :

    Hi, did you know you are listed on this website scamwarners.com, and scamadviser.comscamadviser.com they say they warn of scamming sites, but on closer inspection you can see that they are scamming people, they want you to register, but DO NOT, you will be flooded with SPAM in your inbox. Just a warning to all the good people out there, which is why I am telling you here as your website is great.

  43. very handful of web sites that come about to become detailed beneath, from our point of view are undoubtedly properly really worth checking out

  44. This website definitely has all the info I wanted concerning this
    subject and didn’t know who to ask.

  45. Your blog is amazing dude. i love to visit it everyday. very nice layout and content .    

  46. very handful of websites that occur to be detailed beneath, from our point of view are undoubtedly properly worth checking out

  47. WOW just what I was looking for. Came here by searching for meta_keyword|

  48. The information and facts talked about in the report are some of the most effective readily available

  49. Alan Watson dit :

    hi!,I like your writing so much! proportion we keep in touch more approximately your article on AOL? I require an expert in this space to unravel my problem. Maybe that’s you! Looking ahead to look you.

  50. below you will locate the link to some internet sites that we believe you need to visit

  51. below you will find the link to some sites that we consider you ought to visit

  52. please go to the web-sites we stick to, like this 1, as it represents our picks in the web

  53. sarms dit :

    Thanks for some other fantastic post. Where else may anyone get that kind of information in such an ideal method of writing? I have a presentation next week, and I am at the search for such info.

  54. best sex doll dit :

    just beneath, are many totally not associated sites to ours, on the other hand, they may be surely really worth going over

  55. usuwanie filtra czastek stalych

    […]we prefer to honor lots of other world wide web internet sites on the web, even if they aren’t linked to us, by linking to them. Underneath are some webpages really worth checking out[…]

  56. You have good info on the site. But it won’t load on Safari for some reason.

  57. I am constantly browsing online for ideas that can benefit me. Thanks!

  58. we came across a cool internet site that you just could get pleasure from. Take a appear when you want

  59. Very great post. I just stumbled upon your blog and wished to say
    that I’ve truly loved surfing around your weblog posts. In any case I will be
    subscribing in your rss feed and I’m hoping you write once more soon!

  60. Alison Butler dit :

    Hey! I could have sworn I’ve been to this site before but after reading through some of the post I realized it’s new to me. Anyhow, I’m definitely happy I found it and I’ll be bookmarking and checking back frequently!

  61. new sex toys dit :

    Here are several of the web-sites we advise for our visitors

Leave A Reply