Rates and Characteristics of Paid Malpractice Claims Among US Physicians by Specialty, 1992-2014

Schaffer, Adam C.; Jena, Anupam B.; Seabury, Seth A.; Singh, Harnam; Chalasani, V. Saikumar; Kachalia, Allen

doi:10.1001/jamainternmed.2017.0311

Cited by 173 publications

(149 citation statements)

References 37 publications

Supporting

Mentioning

141

Contrasting

Order By: Relevance

“…A recent analysis of all paid malpractice claims in the US National Practitioner Data Bank (NPDB) between 1992 and 2014 found that diagnostic error was the most common type of allegation 4. In a study published in 2013, Saber Tehrani et al summarised 25 years of diagnostic error claims in ambulatory and hospital settings, and concluded that diagnostic errors were the most common, costly and dangerous type of medical mistake 5.…”

Section: Introductionmentioning

confidence: 99%

Malpractice claims related to diagnostic errors in the hospital

et al. 2017

Self Cite

View full text Add to dashboard Cite

show abstract

Section: Introductionmentioning

confidence: 99%

Malpractice claims related to diagnostic errors in the hospital

et al. 2017

Self Cite

View full text Add to dashboard Cite

show abstract

“…Annual malpractice from the beginning of 2006 to the end of 2016 varied between 0 and 5% generally, while the rate of the annual complaints in the same period varied between 0 and 45%, in which in contrast to the results of Studdert et al's study in USA (Studdert et al, 2006). This rate indicates that the complaints of patients against physicians and therapeutic staff are ascending annually, but the percentage of physician accusations and also paid malpractice payment amount have not significantly increased (Schaffer et al, 2017) (Fig. 3).…”

Section: Discussionmentioning

confidence: 65%

A 10-year retrospective descriptive study of internists’ complaints referred to Fars Legal Medicine Center

Keshavarz

Dehghani

Malekpour

et al. 2019

Egypt J Forensic Sci

View full text Add to dashboard Cite

The high rate of medical errors, malpractice payments, legal issues, and complaints from physicians leads to waste of the physician's time and energy as well as high costs for related individuals and organizations. Patients and methods: We analyzed the outcomes of 275 medical malpractice cases reported in the Department of Forensic Medicine in Fars Province from January 2006 to December 2016. The study population included all the internists as defendants and the patients who had filed a complaint against them. Results: Based on the plaintiffs' gender in the investigated cases, the maximum age of patients with complaints by gender among males ranged between 30-39 and 50-59 years (22.4%) and among females it was 30-39 years (22. 8%). The degrees of physicians who had been accused of medical commission were recognized as follows: 5 (1.8%) medical students, 36 (13.1%) GPs (general practitioners), 126 (45.8%) internists, 6 (2.2%) pulmonologists, 6 (2.2%) nephrologists, 4 (1.5%) hematologists, 2 (0.7%) rheumatologists, and 38 (13.9%) gastroenterologists. Conclusions: Annual malpractice from the beginning of 2006 to the end of 2016 varied from 0 to 5%, while the rate of annual complaints in the same period varied from 0 to 45%. Maximum malpractice payment belonged to gynecology which is about 50,358,000 Rials equivalent to US$11,990 involving malpractice and complaint concurrent with internists. Specially fields of general surgery(9.4%), gynecology (9.1%), subspecialty fields of thoracic cardiovascular surgery (6.9%), and family general practice (13.1%) were the fields of most complaints parallel with those of internists.

show abstract

“…When we analyzed the causes of medical error in surgery it was observed that the typification of the most frequent errors according to the perception of the surgical team are errors due to negligence and recklessness as it is also described by authors as (Schaffer et al, 2017;Tingle, 2016;López Ordoñez et al, 2004;Tempelaar, 1997;Dewees et al, 1991). Even these authors propose the paradox that the greater the clinical experience, the greater the probability of making mistakes, perhaps due to overconfidence, which increases the impact of lawsuits on hospital costs (Pérez, 2019;Tingle, 2016;López Ordoñez et al, 2004).…”

Section: Discussionmentioning

confidence: 99%

“…This same study mentions that the most predominant processes are: The penal ones, followed by the ethical and civil ones, although it can originate that all the processes are activated simultaneously, without forgetting that a process can begin up to 20 years after the attention, whereas the levels of complexity more compromised in processes of medical responsibility are the II and III respectively (López Ordoñez et al, 2004). In the United States 40% of physicians are involved in responsibility processes during their professional practice as described by Daley J. Harrington J., cited by (López Ordoñez et al, 2004), but the actual national data on the rate of claims paid on behalf of U.S. physicians by specialty is still unknown (Schaffer et al, 2017) In Colombia, the most frequent sanctions are those applied for violation of Law 23 of 1981 on medical ethics, which includes issues such as dedication of sufficient time to the patient, the quality of the medical history and submission to unjustified risks in which while it is true that to err is human, it is also the fact of adopting measures and precautions so that mistakes do not occur in which the principle of non-maleficence is applied from the Hippocratic oath of Primum Non Nocere: above all, do no harm! (Smith, 2005)…”

Section: Introductionmentioning

confidence: 99%

Legal Implications for Actions Considered Iatrogenic: Knowledge and Practices of the Surgical Team, Valledupar, Cesar/Colombia

Anderson¹,

Peralta²,

Montero³

et al. 2020

GJHS

View full text Add to dashboard Cite

Introduction:The errors considered iatrogenic are caused by different causes that are mostly considered foreseeable, including inaccuracy, recklessness and ignorance, all these actions with ethical-legal repercussions. In Colombia, despite not having studies that position iatrogeny as one of the main causes of death. It is estimated that in Colombia 180,000 people die each year for this reason. Iatrogeny is described in the USA as the third leading cause of death. Objective: To evaluate the knowledge and aspects related to negligence, inexperience, recklessness, that the surgical team has in regard to its ethical-legal responsibilities. Methodology:Descriptive cross-sectional study. A total of 93 professionals were surveyed who are part of the surgical team of two health-care institutions in the department of Cesar, Colombia during 2019. Results:Surveyed professionals showed a 100% ignorance about the process to follow during an adverse event. It was identified that 32 % of the professionals and technicians surveyed do not have insurance to back them up legally. In addition, 31% said that errors such as negligence, recklessness and inexperience can occur in parallel with criminal and civil repercussions. The surgical team considers that the most frequent error are elements and instruments left in the cavity (oblites) in 64%. Conclusions:For surgical personnel, negligence is the error with the greatest penal repercussion if it is related to the death of the patient, surgery on the wrong patient and wrong side of the body, in addition to oblites or foreign bodies left in the cavity.

show abstract

Rates and Characteristics of Paid Malpractice Claims Among US Physicians by Specialty, 1992-2014

Abstract: IMPORTANCEAlthough physician concerns about medical malpractice are substantial, national data are lacking on the rate of claims paid on behalf of US physicians by specialty.OBJECTIVE To characterize paid malpractice claims by specialty.

Cited by 173 publications

References 37 publications

Malpractice claims related to diagnostic errors in the hospital

Malpractice claims related to diagnostic errors in the hospital

A 10-year retrospective descriptive study of internists’ complaints referred to Fars Legal Medicine Center

Legal Implications for Actions Considered Iatrogenic: Knowledge and Practices of the Surgical Team, Valledupar, Cesar/Colombia

Contact Info

Product

Resources

About