Experience of an Italian Hospital Claims Management Committee: A tool for extrajudicial litigations resolution

Gualniera, Patrizia; Mondello, Cristina; Scurria, Serena; Oliva, Antonio; Grassi, Simone; Pizzicannella, Jacopo; Alibrandi, Angela; Sapienza, Daniela; Asmundo, Alessio

doi:10.1016/j.legalmed.2019.101657

Cited by 19 publications

(15 citation statements)

References 16 publications

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“…Despite the high risk of infection for the operators, in the scenario of the COVID-19 pandemic autopsies must be considered essential to ascertain the severity of pulmonary damage and thus to evaluate whether pulmonary impairment could have played a causal role in the death 10 , 11 , 12 , 13 , 14 , 15 .…”

Section: Discussionmentioning

confidence: 99%

Claimed medical malpractice in fatal SARS-CoV-2 infections: the importance of combining ante- and post-mortem radiological data and autopsy findings for correct forensic analysis

et al. 2021

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Section: Discussionmentioning

confidence: 99%

Claimed medical malpractice in fatal SARS-CoV-2 infections: the importance of combining ante- and post-mortem radiological data and autopsy findings for correct forensic analysis

et al. 2021

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“…A simple claim is not necessarily synonymous with the existence of a legally relevant fault. According to a number of Insurance Italian reports, 22.7% to 50.1% of cases do not lead to compensation [15][16][17][18].…”

Section: Sampling and Classification Of Medico-legal Casesmentioning

confidence: 99%

Fear of the COVID-19 and medical liability. Insights from a series of 130 consecutives medico-legal claims evaluated in a single institution during SARS-CoV-2-related pandemic

2021

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Objectives: The aim of the current work was to evaluate the frequency and the type of cases of medical liability from a single center in the first ten months of the pandemic as well as to identify critical issues associated with the organization of public health during the coronavirus disease 2019 pandemic. Methods: We compared 130 cases evaluated for medical liability from March 2020 to January 2021 and compared with 159 cases from March 2019 to January 2020. The cases were divided in four pre-established groups: surgical error, diagnostic/therapeutic errors and nosocomial diseases, delays, and problems related to assistance. Results: Analysis showed a significant increase in cases due to delay in treat-ment/hospitalization and shortages in health care of non-autonomous patients [χ2 (1, N = 289) = 5.6746, p = 0.02]. Conclusions: The work showed an increase in medical/legal cases regarding non-COVID-19 emergencies in which the outcome is related to the time of treatment and/or arrival at the hospital. There was also a rise in complaints of deficits in supervision and care for non-autonomous patients. Despite the persistence of preventive measures for the current pandemic, measures should be taken to improve health care in these categories of patients.

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“…), or identification of sepsis as cause of death in patients with infectious complications arising from different conditions (e.g., burns, immobilization, alcoholism, intravenous drug addiction, big traumas, food intoxication, etc.) [ 4 , 59 , 60 , 61 , 62 , 63 ]. It is thus fundamental to provide a complete forensic analysis of the case in order to perform a certainty diagnosis.…”

Section: Discussionmentioning

confidence: 99%

Post-Mortem Investigations for the Diagnosis of Sepsis: A Review of Literature

et al. 2020

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To date, sepsis is still one of the most important causes of death due to the difficulties concerning the achievement of a correct diagnosis. As well as in a clinical context, also in a medico-legal setting the diagnosis of sepsis can reveal challenging due to the unspecificity of the signs detected during autopsies, especially when no ante-mortem clinical data, laboratory, and cultural results are available. Thus, a systematic review of literature was performed to provide an overview of the main available and updated forensic tools for the post-mortem diagnosis of sepsis. Moreover, the aim of this review was to evaluate whether a marker or a combination of markers exist, specific enough to allow a correct and definite post-mortem diagnosis. The review was conducted searching in PubMed and Scopus databases, and using variable combinations of the keywords “post mortem sepsis diagnosis”, “macroscopic signs”, “morphology”, “histology”, “immunohistochemical markers”, “biochemical markers”, and “forensic microbiology”. The article selection was carried out following specific inclusion and exclusion criteria. A total of 44 works was identified, providing data on morphological aspects of the organs examined, histological findings, immunohistochemical and biochemical markers, and cultural assays. The review findings suggested that the post-mortem diagnosis of sepsis can be achieved by a combination of data obtained from macroscopic and microscopic analysis and microbial investigations, associated with the increased levels of at least two of three biochemical and/or immunohistochemical markers evaluated simultaneously on blood samples.

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Experience of an Italian Hospital Claims Management Committee: A tool for extrajudicial litigations resolution

Cited by 19 publications

References 16 publications

Claimed medical malpractice in fatal SARS-CoV-2 infections: the importance of combining ante- and post-mortem radiological data and autopsy findings for correct forensic analysis

Claimed medical malpractice in fatal SARS-CoV-2 infections: the importance of combining ante- and post-mortem radiological data and autopsy findings for correct forensic analysis

Fear of the COVID-19 and medical liability. Insights from a series of 130 consecutives medico-legal claims evaluated in a single institution during SARS-CoV-2-related pandemic

Post-Mortem Investigations for the Diagnosis of Sepsis: A Review of Literature

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