{
  "abstract": "Background/objectives\n\nPrevious obstetric and gynaecological malpractice reviews identify recurring concerns but do not specify a sequence for examining conduct before deviation, causation and attribution. We developed a context-sensitive conceptual framework.Methods\n\nA structured critical narrative review of PubMed/MEDLINE, Scopus and Web of Science Core Collection was combined with analysis of Romanian legal and professional sources. The broad searches yielded 1785 database records before deduplication. The team's legal specialist manually screened the overlapping thematic searches 2A-2D using her subject expertise; duplicates were removed and 223 unique publications were retained. The 347 records reported for thematic search 2A alone are not the input denominator for that corpus. She extracted the information for 40 selected anchor publications, mapping them to eight broad themes. The thirteen-domain Context-Sensitive Liability Assessment Framework for Obstetrics and Gynaecology (CSLAF-OG) was illustrated using three principal Romanian judicial cases and one additional case.Results\n\nThe framework orders context, professional standards, autonomy, communication, documentation and organisational conditions before harm, deviation, causation and attribution.Conclusions\n\nCSLAF-OG is a conceptual aid for retrospective analysis, not a validated instrument or legal test. Independent evaluation remains necessary.",
  "abstract_shown": true,
  "affiliations": [
    "Department 9, Faculty of Medicine, University of Medicine and Pharmacy of Craiova, 200349 Craiova, Romania.",
    "Department of Anatomy, Faculty of Medicine, University of Medicine and Pharmacy of Craiova, 200349 Craiova, Romania.",
    "Department of Histology, Faculty of Dentistry, University of Medicine and Pharmacy of Craiova, 200349 Craiova, Romania.",
    "Research Centre for Microscopic Morphology and Immunology, University of Medicine and Pharmacy of Craiova, 200349 Craiova, Romania.",
    "Dental Medicine Research Center, University of Medicine and Pharmacy of Craiova, 200349 Craiova, Romania.",
    "Department of Foreign Languages, University of Medicine and Pharmacy of Craiova, 200349 Craiova, Romania.",
    "Department 8 Mother and Child, University of Medicine and Pharmacy of Craiova, 200349 Craiova, Romania."
  ],
  "article_type": "review article",
  "arxiv": null,
  "author_total": 6,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Larisa Pătru",
      "orcid": "0000-0002-6897-3381"
    },
    {
      "affs": [
        1
      ],
      "name": "Maria Cristina Comănescu"
    },
    {
      "affs": [
        2,
        3,
        4
      ],
      "name": "Elena Cristina Andrei",
      "orcid": "0009-0008-1581-8928"
    },
    {
      "affs": [
        5
      ],
      "name": "Daniela-Maria Micu"
    },
    {
      "affs": [
        6
      ],
      "name": "Răzvan Grigoraș Capitanescu",
      "orcid": "0009-0005-8535-6640"
    },
    {
      "affs": [
        6
      ],
      "name": "Ciprian Laurențiu Pătru",
      "orcid": "0000-0003-3672-5989"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/83kvz12dnxj55.bib",
  "cited_by": 0,
  "doi": "10.3390/healthcare14203531",
  "fulltext_url": "https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13704618/?tool=EBI",
  "id": "83kvz12dnxj55",
  "issns": [
    "2227-9032"
  ],
  "landing_url": "https://europepmc.org/article/PMC/PMC13704618",
  "language": "eng",
  "licence": "CC-BY",
  "licence_label": "CC BY",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "openalex",
      "3611|Medical Malpractice and Liability Issues"
    ]
  ],
  "openalex": "W7222997946",
  "pdf_url": "https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13704618/pdf/?tool=EBI",
  "pmcid": "PMC13704618",
  "pmid": "42940576",
  "published": "2026-10-01",
  "publisher": null,
  "ris": "https://research.draconitic.com/paper/83kvz12dnxj55.ris",
  "sources": [
    {
      "first_seen": "2026-10-30T12:21:34Z",
      "native_id": "PMC:PMC13704618",
      "source": "europepmc",
      "url": "https://europepmc.org/article/PMC/PMC13704618"
    },
    {
      "first_seen": "2026-10-30T12:22:12Z",
      "native_id": "MED:42940576",
      "source": "europepmc",
      "url": "https://europepmc.org/article/MED/42940576"
    }
  ],
  "subjects": [],
  "title": "Beyond Individual Fault: A Context-Sensitive Framework for Assessing Medical Liability in Obstetrics and Gynaecology",
  "title_text": "Beyond Individual Fault: A Context-Sensitive Framework for Assessing Medical Liability in Obstetrics and Gynaecology",
  "type": "peer-reviewed",
  "updated_at": "2026-10-30T12:22:12Z",
  "url": "https://research.draconitic.com/paper/83kvz12dnxj55",
  "venue": "Healthcare (Basel, Switzerland)",
  "versions": []
}