Death during or following surgical procedure and the allegation of medical negligence: An overview

Sharma, B.R.

doi:10.1016/j.jcfm.2006.07.008

Cited by 5 publications

(4 citation statements)

References 47 publications

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“…With regard to strengths of the study, VerdictSearch represents a reliable database encompassing nearly 180,000 data claims that has been used to assess litigation after many surgical procedures in the United States. 22 , 26 Finally, this study represents the first to examine the most common causes of litigation after ACL reconstruction and the factors that predispose to successful lawsuits, although future research is required.…”

Section: Discussionmentioning

confidence: 99%

Factors Associated With Physician Loss in Anterior Cruciate Ligament Reconstruction Malpractice Lawsuits

Bokshan

Ruttiman

Eltorai

et al. 2017

Orthopaedic Journal of Sports Medicine

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Background:Anterior cruciate ligament (ACL) reconstruction is among the most common orthopaedic procedures, with its incidence doubling over the past decade. To date, no studies have analyzed litigation after ACL reconstruction.Purpose:To characterize the causes of malpractice litigation after ACL reconstruction.Study Design:Cross-sectional study.Methods:A retrospective review of malpractice lawsuits after ACL reconstruction was performed using VerdictSearch, a large legal claims database encompassing nearly 180,000 legal cases, from February 1988 to May 2015. Settlement rates and physician loss rates were calculated along with 95% CIs for each complication type, and analysis of variance was used to compare all indemnity payments.Results:Of a total 30 lawsuits, 5 (16.7%) settled out of court. The 3 most common complications leading to litigation were prolonged pain (n = 5, 16.7%), infection (n = 5, 16.7%), and malpositioned graft (n = 5, 16.7%). Of the 25 cases that went to court, 8 (32.0%) ended in favor of the plaintiff (physician loss). Damage to a neurovascular structure resulted in the highest indemnity payment (mean, $2,012,926 ± $1,076,530; P = .021). Lawsuits for which pain or loss of range of motion was the only complication were significantly more likely to end in a physician victory (P = .04) and lower indemnity payments ($87,500 vs $678,715, respectively). Cases that involved a surgical technical error were more likely to result in a physician loss (P = .01), with malpositioned grafts having a significantly higher loss rate than average (75% vs 32%, respectively).Conclusion:After ACL reconstruction, physicians are more likely to win malpractice suits if pain or limited range of motion is the only complaint and less likely to win if a surgical error was alleged. These findings may help to set patient expectations and provide adequate guidance during the informed consent process.

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Section: Discussionmentioning

confidence: 99%

Factors Associated With Physician Loss in Anterior Cruciate Ligament Reconstruction Malpractice Lawsuits

Bokshan

Ruttiman

Eltorai

et al. 2017

Orthopaedic Journal of Sports Medicine

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“…45 Almost all inhalational anesthetic agents cause some degree of peripheral vasodilation and cardiac depression, which may cause myocardial ischemia. 46 Unsurprisingly, patient death is a major aspect of litigation brought against neurosurgeons. In a recent analysis by Elsamadicy et al, 11 17.4% of claims brought against neurosurgeons involved patient death.…”

Section: Deathmentioning

confidence: 99%

Medical malpractice in spine surgery: a review

Medress¹,

Jin²,

Feng³

et al. 2020

Neurosurgical Focus

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Medical malpractice is an important but often underappreciated topic within neurosurgery, particularly for surgeons in the early phases of practice. The practice of spinal neurosurgery involves substantial risk for litigation, as both the natural history of the conditions being treated and the operations being performed almost always carry the risk of permanent damage to the spinal cord or nerve roots, a cardiopulmonary event, death, or other dire outcomes. In this review, the authors discuss important topics related to medical malpractice in spine surgery, including tort reform, trends and frequency of litigation claims in spine surgery, wrong-level and wrong-site surgery, catastrophic outcomes including spinal cord injury and death, and ethical considerations.

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“…Entre éstos se han señalado los siguientes 24 : toda muerte acontecida en los 30 días siguientes a un procedimiento invasivo, o anestesia general o local; muertes en lista de espera; muertes maternales posparto y perinatales. Algunos han propuesto extender el criterio de inclusión a todas las muertes producidas en un entorno asistencial, en concreto aquellas que se producen en medio hospitalario.…”

Section: Criterios De Inclusiónunclassified

Líneas guía en autopsias por sospecha de mala praxis asistencial

Escario

2011

Cuad. med. forense

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ResumenEl presente trabajo revisa las líneas seguidas en casos de autopsia por sospecha de mala praxis. Se revisan las indicaciones, propósitos generales, técnicas de disección, exámenes complementarios, junto con los problemas éticos, de acuerdo con la experiencia del autor y la literatura. Un grado significativo de entrenamiento y experiencia tanto clínica como patológica es requerido en estos casos. Esta necesidad puede contrastar con la relativa falta de expertizatión de los médicos forenses en España, y con las limitaciones de la autopsia médico-legal. Algunas guías para solucionar este problema, como consulta con especialistas independientes, o con los comités de las especialidades médicas, son consideradas. Existen importantes problemas éticos en estos fallecimientos. En consecuencia, hay una necesidad de enfoque correcto de estos problemas. Se consideran algunas orientaciones en este sentido.Palabras clave: Autopsia. Forense. Malpraxis. Líneas guía. Ética. AbstractThe present paper reviews the guidelines for autopsy in cases of suspected clinical malpractice. Indications, general purposes, dissection techniques, laboratory and complementary examinations, as well as ethical problems are revised, according to the author's experience and literature review. A significant degree of training and skill, both clinical and pathologically, are required. This needing can contrast with the relative lack of specialization of Forensic Pathologists in Spain, and limitations of the judicial autopsy in these cases. Some guidelines to solve this problem, like independent expert consultation or advise by the Specialties Boards, are considered. Important ethical issues can arise from these deaths, therefore, a needing of correct address of these issues is perceived. Some orientations in this subject are considered.

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Death during or following surgical procedure and the allegation of medical negligence: An overview

Cited by 5 publications

References 47 publications

Factors Associated With Physician Loss in Anterior Cruciate Ligament Reconstruction Malpractice Lawsuits

Factors Associated With Physician Loss in Anterior Cruciate Ligament Reconstruction Malpractice Lawsuits

Medical malpractice in spine surgery: a review

Líneas guía en autopsias por sospecha de mala praxis asistencial

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