Sinistralité liée à une erreur de coté, d’organe ou de personne : données SHAM

Theissen, A.; Fuz, Frédéric; Follet, Alain; Trouiller, Pierre; Vaumas, C. de; Jobard, J. M.; Arzalier-Daret, Ségolène; Maurice, Guillaume de Saint; Niccolai, P.; Sfar, Comité analyse et maîtrise des risques

doi:10.1016/j.annfar.2014.07.253

Cited by 4 publications

(3 citation statements)

References 2 publications

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“…This study described the claims in France related to wrong-side, wrong-organ, or wrong-person surgical errors during a period of 11 years based on insurance data. Another preliminary study found results that are consistent with our present data in terms of type consequence frequency 8 . In Spain, there seems to have a similar description of these medical errors 9 .…”

Section: Discussionsupporting

confidence: 92%

“…Another preliminary study found results that are consistent with our present data in terms of type consequence frequency. 8 In Spain, there seems to have a similar description of these medical errors. 9 The present Results are expressed as the number of patients (n) and percentage (%) or median and interquartile range.…”

Section: Discussionmentioning

confidence: 94%

“…Another preliminary study found results that are consistent with our present data in terms of type consequence frequency. 8 In Spain, there seems to have a similar description of these medical errors. 9 The present study is the first French report of “never events” surgical procedure errors, accurately described using the ALARM protocol.…”

Section: Discussionmentioning

confidence: 94%

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Insurance Claims for Wrong-Side, Wrong-Organ, Wrong-Procedure, or Wrong-Person Surgical Errors: A Retrospective Study for 10 Years

Vacheron¹,

Acker

Autran³

et al. 2022

J Patient Saf

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Objective: Serious adverse events, such as wrong-side, wrong-organ, wrong-procedure, or wrong-person errors, still occur despite the implementation of preventative measures. In France, we describe the claims related to such errors based on the database from one of the main insurance companies.Methods: A retrospective analysis of claims declared between January 2007 and December 2017 to Relyens, a medical liability insurance company (Sham), was performed. Their database was queried using the following keywords: "wrong side," "wrong organ," and "wrong person."Results: We collected 219 claims (0.4% of the total claims). The main specialties involved were orthopedics (34% of cases), neurosurgery (14%), and dentistry (14%). The claims were related to wrong organ (44%), side (39%), identity (13%), or procedure (4%). Juridical entity involved were mainly public facility (69%), followed by private facility (19%) or private physician (10%). The mean number of annual claims made has decreased of 20% since the mandatory implementation of the checklist in 2010 (22 versus 17.5 events per year). The main risk factors identified according to the ALARM protocol were factor related to the team (87%) or to the task to accomplish (78%). A direct causal factor was involved in 20% of the files, the main one being the organization (43%) closely related to the medical file (36%). The settlement was performed by conciliation in 69% of the claim and in court in 30%. The compensation was higher during a court settlement.Conclusions: Wrong-side, wrong-organ, wrong-procedure, or wrongperson surgical errors are rare but fully preventable by the implementation of a safety culture.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 94%

“…Another preliminary study found results that are consistent with our present data in terms of type consequence frequency. 8 In Spain, there seems to have a similar description of these medical errors. 9 The present study is the first French report of “never events” surgical procedure errors, accurately described using the ALARM protocol.…”

Section: Discussionmentioning

confidence: 94%

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