Learning from lawsuits: Ten-years of NHS litigation authority claims against 11 surgical specialities in England

Ford, Kathryn; Cooper, Lilli

doi:10.1016/j.surge.2016.03.009

Cited by 31 publications

(28 citation statements)

References 34 publications

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“…Clinical negligence costs continue to rise and add an enormous pressure on the NHS. In 2017 to 2018, 10 673 new clinical negligence claims were received by the NHSLA, of which 40% of are associated with surgical speciality . Surgical specialities received the greatest number of clinical negligence claims were orthopaedics surgery (12%), obstetrics (10%), general surgery (9%) and urology (4%).…”

Section: Discussionmentioning

confidence: 99%

“…However, when cases end up to proceedings, claimant are more likely to received damages (23.9% vs 5.8%). Average time from case notification to NHSLA to settlement was 25.5 months (ranging from 17.8 months for oral and maxillofacial surgery to 35 months for paediatric surgery) . Settling time for cardiothoracic surgery cases are similar, 26 and 19 months for successful and unsuccessful claims, respectively.…”

Section: Discussionmentioning

confidence: 99%

“…There were 44 cases of wrong site surgery and 176 retains foreign body cases from 2004‐2014. This was less common in cardiothoracic surgery with only one and nine cases, respectively …”

Section: Discussionmentioning

confidence: 99%

“…The leading primary causes of successful claims was Intra‐operative problem followed by fail/delay in treatment. Compared with previous study by Ford et al, intraoperative problem has now become the most common causes than fail/delay in treatment. While fail to warn/informed consent became the third leading causes than inappropriate treatment.…”

Section: Discussionmentioning

confidence: 99%

“…Claims resolved outside court, including cases defended by the medical defence organisation in the United Kingdom, for instance, the Medical Protection Society (MPS) Medical Defence Union (MDU) were not included in this study. Therefore, this does not truly reflect the actual number of claims and money required to settle all cases …”

Section: Limitationmentioning

confidence: 99%

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Fourteen years of litigation claims in cardiothoracic surgery in the United Kingdom National Health Service

Chan

Oo²

2019

J Card Surg

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Approximately 36 400 cardiac and 23 100 thoracic operations are carried out in the United Kingdom between 2006 and 2015. National Health Service (NHS) resolution, as known as the NHS litigation authority, is one of the essential bodies of the Department of Health. Its purpose is to provide NHS expertise to resolve concerns fair and square share learning for improvement. We aim to evaluate and increase awareness of medicolegal cases in cardiothoracic surgery. Total numbers and details of claims coded by NHS resolution in cardiothoracic surgery from 2004 to 2017 were requested under the Freedom of Information Act 2000. The data provided in successful claims is further breakdown into damages paid to the claimant, defence cost, claimant cost paid and the sum of the three. In contrast, unsuccessful claims only include the defence cost. Moreover, data provided also includes further analysis of primary causes and primary injuries for Claims Closed/Settled with damages paid. There were 753 claims recorded from 2004 to 2017, of which 415 (55.11%) were successful. The number of claims has been steadily increasing since 2004, with two significant raises from 2009/10 to 2010/11 (37‐55, 48.64% raise) and 2012/13 to 2013/14 (49‐69, 40.82% raise). The mean successful claim ratio was 69.58% (range, 47.56%‐ 83.33%) There is also a steady increase in the successful ratio from 2004 to 2017. In summary, this is the first study published in relation to litigation claims on cardiothoracic surgery in the United Kingdom. The results have provided insight on claims made against cardiothoracic surgery.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…There were 44 cases of wrong site surgery and 176 retains foreign body cases from 2004‐2014. This was less common in cardiothoracic surgery with only one and nine cases, respectively …”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Limitationmentioning

confidence: 99%

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Fourteen years of litigation claims in cardiothoracic surgery in the United Kingdom National Health Service

Chan

Oo²

2019

J Card Surg

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Does spatial awareness training affect anatomy learning in medical students?

Gonzales

Ferns

Vorstenbosch

et al. 2020

Anatomical Sciences Ed

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Spatial ability (SA) is the cognitive capacity to understand and mentally manipulate concepts of objects, remembering relationships among their parts and those of their surroundings. Spatial ability provides a learning advantage in science and may be useful in anatomy and technical skills in health care. This study aimed to assess the relationship between SA and anatomy scores in first‐ and second‐year medical students. The training sessions focused on the analysis of the spatial component of objects' structure and their interaction as applied to medicine; SA was tested using the Visualization of Rotation (ROT) test. The intervention group (n = 29) received training and their pre‐ and post‐training scores for the SA tests were compared to a control group (n = 75). Both groups improved their mean scores in the follow‐up SA test (P < 0.010). There was no significant difference in SA scores between the groups for either SA test (P = 0.31, P = 0.90). The SA scores for female students were significantly lower than for male students, both at baseline and follow‐up (P < 0.010). Anatomy training and assessment were administered by the anatomy department of the medical school, and examination scores were not significantly different between the two groups post‐intervention (P = 0.33). However, participants with scores in the bottom quartile for SA performed worse in the anatomy questions (P < 0.001). Spatial awareness training did not improve SA or anatomy scores; however, SA may identify students who may benefit from additional academic support.

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Litigation After Bariatric Surgery

Docimo

Tolone

2020

Emergency Surgery in Obese Patients

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Learning from lawsuits: Ten-years of NHS litigation authority claims against 11 surgical specialities in England

Cited by 31 publications

References 34 publications

Fourteen years of litigation claims in cardiothoracic surgery in the United Kingdom National Health Service

Fourteen years of litigation claims in cardiothoracic surgery in the United Kingdom National Health Service

Does spatial awareness training affect anatomy learning in medical students?

Litigation After Bariatric Surgery

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