Serious workplace violence against health-care workers in China: synthesising a profile of evidence from national judgment documents

Cai, Ruilie; Tang, Jian; Deng, Cheng; Lv, Guofan; Pan, Jay

doi:10.1016/s0140-6736(18)32675-8

Cited by 3 publications

(2 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In total, 2 Chinese studies [62,63] found that 23% to 43% of medical lawsuits involved incomplete consent notification for patients. Owing to the information asymmetry between physicians and patients, coupled with the tense relationship between physicians and patients in China [18], patients' doubts will trigger medical malpractice once medical staff are insufficient in risk notification. In addition, errors related to medical records were particularly prominent among nontechnical errors.…”

Section: Principal Findingsmentioning

confidence: 99%

“…However, in Denmark and Sweden, medical litigation cases resulting from insufficient quality of care accounted for only approximately 50% of medical lawsuits [15,16]. The frequent occurrence of such cases will not ease the current tense physician-patient relationship [17,18] and could induce defensive medical behavior. It is believed that defensive medicine either promotes the rise of medical costs or reduces care quality.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

The Application of Graph Theoretical Analysis to Complex Networks in Medical Malpractice in China: Qualitative Study

Dong¹,

Shi²,

Zeng³

et al. 2022

JMIR Med Inform

View full text Add to dashboard Cite

Background Studies have shown that hospitals or physicians with multiple malpractice claims are more likely to be involved in new claims. This finding indicates that medical malpractice may be clustered by institutions. Objective We aimed to identify the underlying mechanisms of medical malpractice that, in the long term, may contribute to developing interventions to reduce future claims and patient harm. Methods This study extracted the semantic network in 6610 medical litigation records (unstructured data) obtained from a public judicial database in China. They represented the most serious cases of malpractice in the country. The medical malpractice network of China was presented as a knowledge graph based on the complex network theory; it uses the International Classification of Patient Safety from the World Health Organization as a reference. Results We found that the medical malpractice network of China was a scale-free network—the occurrence of medical malpractice in litigation cases was not random, but traceable. The results of the hub nodes revealed that orthopedics, obstetrics and gynecology, and the emergency department were the 3 most frequent specialties that incurred malpractice; inadequate informed consent work constituted the most errors. Nontechnical errors (eg, inadequate informed consent) showed a higher centrality than technical errors. Conclusions Hospitals and medical boards could apply our approach to detect hub nodes that are likely to benefit from interventions; doing so could effectively control medical risks.

show abstract

Section: Principal Findingsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The Application of Graph Theoretical Analysis to Complex Networks in Medical Malpractice in China: Qualitative Study

Dong¹,

Shi²,

Zeng³

et al. 2022

JMIR Med Inform

View full text Add to dashboard Cite

show abstract

The application of graph theoretical analysis to complex networks in medical malpractice: Lessons learned from China (Preprint)

Dong¹,

Shi²,

Jia³

et al. 2021

Preprint

View full text Add to dashboard Cite

BACKGROUND Studies have shown that hospitals or physicians with multiple malpractice claims are more likely to be involved in new claims; this finding indicates that medical malpractice may be clustered by institutions. OBJECTIVE We aimed to identify common factors that contribute to developing interventions to reduce future claims and patient harm. METHODS This study implemented a null hypothesis whereby malpractice claims are random events—attributable to bad luck with random frequency. As medical malpractice is a complex issue, thus, this study applied the complex network theory, which provided the methodological support for understanding interactive behavior in medical malpractice. Specifically, this study extracted the semantic network in 6610 medical litigation records (unstructured data) obtained from a public judicial database in China; they represented the most serious cases of malpractice in the country. The medical malpractice network of China (MMNC) was presented as a knowledge graph; it employs the International Classification of Patient Safety from the World Health Organization as a reference. RESULTS We found that the MMNC was a scale-free network: the occurrence of medical malpractice in litigation cases was not random, but traceable. The results of the hub nodes revealed that orthopedics, obstetrics and gynecology, and emergency department were the three most frequent specialties that incurred malpractice; inadequate informed consent work constituted the most errors. Non-technical errors (e.g. inadequate informed consent) showed a higher centrality than technical errors. CONCLUSIONS Hospitals and medical boards could apply our approach to detect hub nodes that are likely to benefit from interventions; doing so could effectively control medical risks. CLINICALTRIAL Not applicable

show abstract

Improving surgical quality of care: learning from 8,331 surgical medical malpractice cases

Chen,

Liu,

Liu

et al. 2024

Front. Med.

View full text Add to dashboard Cite

ObjectiveThis study aimed to analyze the characteristics of surgical litigation cases and the risk factors that contribute to catastrophic compensation.MethodsWe downloaded and retrieved all cases related to surgical litigation cases from the China Jufaanli Database between 2008 and 2023. Multivariate logistic regression analysis was employed to identify independent risk factors that may contribute to catastrophic compensation.ResultsThis study included a total of 8,331 successfully resolved surgical litigation cases. Of these, 5,114 hospitals were defendants, with 25.34% of them involved in two or more lawsuits, thereby categorized as “repeat defendants.” The total compensation amount was $269,163,545, with the highest compensation reaching $540,008. Most surgical litigation cases were concentrated in the eastern regions of China, with tertiary hospitals being the most frequently involved. The most common type of injury outcome was patient death. Compensation amounts and high compensation rates for severe disability exceeded those for death (p < 0.05). Independent risk factors associated with catastrophic compensation in surgical medical liability disputes included: Eastern region (OR = 1.462, 95% CI 1.038–2.060), secondary liability (OR = 2.457, 95% CI 1.633–3.696), main liability (OR = 9.353, 95% CI 6.195–14.121), major or full liability (OR = 10.878, 95% CI 7.152–16.546), severe disability (OR = 24.605, 95% CI 3.395–178.337), neurosurgery (OR = 3.488, 95% CI 2.265–5.373), thoracic surgery (OR = 1.810, 95% CI 1.017–3.219), general surgery (OR = 2.465, 95% CI 1.593–3.816), hepatobiliary surgery (OR = 3.251, 95% CI 1.980–5.338), gastrointestinal surgery (OR = 2.260, 95% CI 1.391–3.671), cardiovascular surgery (OR = 2.544, 95% CI 1.367–4.733), vascular surgery (OR = 2.916, 95% CI 1.246–6.827), and spinal surgery (OR = 2.921, 95% CI 1.763–4.841).ConclusionThis study analyzes the characteristics of surgical medical malpractice disputes in China from multiple perspectives and identifies independent risk factors for catastrophic compensation in surgical malpractice litigation. Our research has the potential to aid medical institutions in preventing and reducing surgical malpractice disputes, while also contributing to the provision of improved surgical care and nursing services for patients.

show abstract

Serious workplace violence against health-care workers in China: synthesising a profile of evidence from national judgment documents

Cited by 3 publications

References 0 publications

The Application of Graph Theoretical Analysis to Complex Networks in Medical Malpractice in China: Qualitative Study

The Application of Graph Theoretical Analysis to Complex Networks in Medical Malpractice in China: Qualitative Study

The application of graph theoretical analysis to complex networks in medical malpractice: Lessons learned from China (Preprint)

Improving surgical quality of care: learning from 8,331 surgical medical malpractice cases

Contact Info

Product

Resources

About