Risk management for the endoscopy center

Gerstenberger, Patrick D.

doi:10.1016/s1052-5157(01)00016-2

Cited by 8 publications

(2 citation statements)

References 22 publications

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“…Clinical risk management is the process of collecting, evaluating, and applying data to reduce the frequency of preventable patient injuries [8] . Although general risk management information is abundant in the medical and lay literature, published material specific to gastrointestinal endoscopy is limited to editorials and case presentations [8] . The literature describes various adverse events associated with endoscopy.…”

Section: Discussionmentioning

confidence: 99%

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Medical malpractice litigation related to gastrointestinal endoscopy in Japan: A two-decade review of civil court cases

Hiyama

Tanaka²,

Yoshihara³

et al. 2006

WJG

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AIM:To examine the allegations in malpractice litigations related to gastrointestinal endoscopy in Japan. METHODS:A retrospective review of cases tried in the civil court system during the 21-year period from 1985 to 2005, identified in a computerized legal database, was undertaken. RESULTS:Eighteen malpractice litigations and a total of 30 allegations were identified. Of the 18 (44%) malpractice litigations, 8 (44%) were related to esophagogastroduodenoscopy, 4 (22%) to colonoscopy, 4 (22%) to endoscopic sphincterotomy, and 2 (11%) to endoscopic retrograde cholangiopancreatography. Seventeen (94%) cases pertained to complications, and the remaining (6%) case pertained to misdiagnosis. In 10 cases, the patient died of the complications. Allegations were categorized as: (1) performance error during the endoscopic procedure (n = 12, 40%); (2) lack of informed consent (n = 9, 30%); (3) performance error during the treatment after the endoscopic procedure (n = 4, 13%); (4) premedication error (n = 3, 10%); (5) diagnostic error (n = 1, 3%); and (6) indication error for the endoscopic procedure (n = 1, 3%). CONCLUSION:These data may aid in the design of risk prevention strategies to be used by gastrointestinal endoscopists.

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Section: Discussionmentioning

confidence: 99%

“…However, various complications associated with these procedures have been reported [3,4] . Thus, gastrointestinal endoscopy is a field in which malpractice actions frequently occur [1,2,[5][6][7][8][9][10][11][12][13] .…”

Section: Introductionmentioning

confidence: 99%