The impact of litigation on obstetricians and gynaecologists

Vincent, Charles; Bark, P; Jones, Angela; Olivieri, Laura

doi:10.3109/01443619409027617

Cited by 16 publications

(16 citation statements)

References 13 publications

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“…The detrimental effects of CCs in human medicine include feelings of anger, guilt, shame, a loss of confidence and thoughts of leaving their profession (Vincent et al . ). A study evaluating physicians in New Zealand showed that one in 10 of those surveyed had persistent negative emotions and that, in the immediate time period after a CC was made, doctors reported that they had a “loss of joy of practice” with their career (Cunningham ).…”

Section: Discussionmentioning

confidence: 97%

Effect of client complaints on small animal veterinary internists

Bryce¹,

Rossi²,

Tansey³

et al. 2018

J of Small Animal Practice

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Objectives: To investigate the effect of client complaints on small animal veterinary internists' welfare, job satisfaction and medical practices. Materials and MethOds: Cross-sectional anonymous survey study. Between February 1 and March 31, 2017, a web-based questionnaire was made available through the American College Veterinary Internal Medicine sub-specialty Small Animal Internal Medicine E-mail List Serve. results: A total of 92 completed surveys were available for review. Fifty-nine (64•1%) respondents received a client complaint during the previous 6 months with cost of care the most common reason (53•3%). Eighty-nine (96•7%) respondents worry about client complaints being made against them with 33 (35•8%) stating they worry "most of the time" or "all of the time." Thirty-two (34•8%) reported being verbally assaulted by a client in the previous 6 months and 27 (29•4%) reported being threatened with litigation during the previous 6 months. Sixty-six (71•7%) have reported changing the way they practice medicine to avoid a client complaint and 40 (43•5%) have considered changing their career because of complaints made against them. clinical relevance: Client complaints are a frequent problem among small animal veterinary internists that have detrimental effects on job satisfaction, psychological distress and medical practices.

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Section: Discussionmentioning

confidence: 97%

Effect of client complaints on small animal veterinary internists

Bryce¹,

Rossi²,

Tansey³

et al. 2018

J of Small Animal Practice

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“…Vincent et al have found that the majority of obstetrics complaints resulting in litigation were associated with inexperienced junior staff providing the care without supervision by a senior specialist 16 17. A similar study shows that most of the complaints reported to the Medical Council Organization of Tehran were against middle-aged doctors 18…”

Section: Discussionmentioning

confidence: 97%

Study of patient complaints reported over 30 months at a large heart centre in Tehran

Moghadam

Ibrahimipour

Akbari

et al. 2010

BMJ Quality & Safety

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Objectives To determine the rate and nature of complaints and the outcomes of the complaint management at a large heart centre in Tehran. Results A total of 1642 (5.2 per 1000) complaints were received, of which 1457 (4.64 per 1000) were verbal, and 185 (0.56 per 1000) were in written format. 34.7% of the complaints were related to admission procedures, followed by 34.1% communication, 13.8% waiting time, 6.8% delay and 4.1% ignoring the standards of clinical care. Over 90% of complaints were resolved by explanation or verbal apology, 2.1% of them led to a change in the process or procedure, and 4.8% were deemed disapproved claims. Conclusions The majority of patient complaints in Tehran Heart Centre are related to admission procedures or communication; most of them are verbal and resolved in the early stage as an explanation or apology. The hospital complaint management system has the potential to resolve the majority of such complaints in an early stage.

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“…Vincent et al (22) have found that the majority of obstetrics complaints resulting in litigation were associated with inexperienced junior staff providing the care without supervision by a senior specialist (23). A similar study shows that most of the complaints reported to the Medical Council Organization of Tehran were against middle-aged doctors (24).…”

Section: Discussionmentioning

confidence: 86%

The Complaints of Patients and Their Relatives About Emergency Service

Al¹,

Yıldırım²,

Yarbil³

et al. 2012

JAEM

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ÖzetAmaç: Bu çalışmada hasta ve yakınlarının acil servis çalışanları hakkındaki şikâyetlerini değerlendirmeyi amaçladık. Gereç ve Yöntemler: Ekim 2009 ve Ocak 2011 tarihleri arasında Gaziantep Üniversitesi Tıp Fakültesi, Acil Tıp Anabilim Dalı'na resmi olarak bildirilen şikâyet dilekçeleri prospektif olarak incelendi. Müştekilerin cinsi, meslekleri, acile başvuru zamanı ve başvurma nedenleri, memnuniyetsizlikleri, şikâyetçi olduğu kişiler, yapılan tedaviler, şikâyetin nereye yapıldığı, hastanın akıbeti, açılan soruşturmalar ve alınan cezalar değerlendirmeye alındı. Bulgular: Müştekilerin %47.6'sı (n=10) erkek, %52.4'ü (n=11) kadın idi. En çok şikâyetçi olanlar (%28.6) ev hanımları idi. Hastaların %23.8'i aynı gün içinde ikinci kez acile başvurmuştu. En çok şikâyete neden olan hasta grubu karın ağrısı (%23.8) ile gelenler oluşturmuştur. Memnuniyetsizliklerin en önemli nedeni bakım yetersizliği (%23.8) idi. Müştekiler şikâyet dilekçelerinde %47.6 oranında şikâyetçi oldukları kişinin adını belirtmişlerdi. Şikâyet mercilerinin çoğunluğu (%62) başhekimlik makamına yapılmıştı ve en çok (%47.6) asistanlardan şikâyetçi olmuşlardı. İki soruşturma açılmış, sadece bir şikâyetten dolayı acil servis çalışanları "dikkat çekildi" cezasını almışlardır. Sonuç: Acil servis çalışanları en çok "basit denilip muayenesi ve tedavileri geciktirilen hastalar ve yakınları" tarafından şikâyet edilmektedir. AbstractObjective: We aimed to evaluate the complaints of patients and their relatives concerning emergency service staff in the present study. were studied prospectively. In the present study, the gender and jobs of complainants, admission time and reason for admission to the emergency department, the complainants' dissatisfactions, the staff who were complained of, treatments, and the office where the complaints were applied to, the result of complaints, and the punishment that was approved were evaluated. Results: Of the complainants, 47.6% were male (n=10), and 52.4% (n=11) were female. Housewives complained most (28.6%). Of the patients, 23.8% applied a second time to the emergency department in the same day. The patient group that complained most (23.8%) had stomach trouble. Insufficient care was the major (23.8%) cause of dissatisfaction. The complainants gave the name of staff in 47% of cases that they complained of in their complaint application. The majority of (62%) complaints were delivered to the complained department dependent on the chief of staff and the assistants were complained of most (47.6%). Two investigations were opened on all doctors, and a "warning punishment" was given to them for just r one complaint. Conclusion: The emergency staffs are complained about by the patients and their relatives whose examinations and treatments were delayed due to the condition being considered simple. (JAEM 2012; 11: 141-5)

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The impact of litigation on obstetricians and gynaecologists

Cited by 16 publications

References 13 publications

Effect of client complaints on small animal veterinary internists

Effect of client complaints on small animal veterinary internists

Study of patient complaints reported over 30 months at a large heart centre in Tehran

The Complaints of Patients and Their Relatives About Emergency Service

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