Lawsuits Associated With Medical Malpractice in Japan: Rate of Lawsuits Was Very Low in Pediatrics, Although Many Children Visit Emergency Rooms

Ehara, Akira

doi:10.1542/peds.2005-0677

Cited by 13 publications

(6 citation statements)

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“…Medical errors giving rise to legal procedures in paediatrics were estimated between 8 and 20.5/100 000 visits (7)(8)(9), and were less frequent in paediatrics compared with others specialities (4,(11)(12)(13)(14)(15)(16). Medical misadventures involved in claims were most often diagnostic errors (18-48%) (4,10), followed by treatment related errors (treatment delay: 18%, treatment errors: 12%) in the analysis of LB (10) ( Table 5) and any treatment errors (21%) in another study (6).…”

Section: Resultsmentioning

confidence: 99%

Epidemiology of malpractice lawsuits in paediatrics

Najaf-Zadeh¹,

Dubos²,

Aurel³

et al. 2008

Acta Paediatrica

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Section: Resultsmentioning

confidence: 99%

Epidemiology of malpractice lawsuits in paediatrics

Najaf-Zadeh¹,

Dubos²,

Aurel³

et al. 2008

Acta Paediatrica

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“…This rate was 0.07 for GPs, and went up to 1.1 when adult cases were included. The average annual incidence of malpractice claims per 100 paediatricians was 6.6 in the USA in 1994,9 and 0.18 in Japan in 2003 10. Paediatricians were ranked 17th among 33 specialties insured by Sou Médical-Groupe MACSF from 2003 to 2007 in terms of number of claims,11 and 10th among 28 specialties insured by PIAA from 1985 to 2005 8…”

Section: Discussionmentioning

confidence: 99%

Epidemiology and aetiology of paediatric malpractice claims in France

Najaf-Zadeh

Dubos

Pruvost

et al. 2010

Archives of Disease in Childhood

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Objective To examine paediatric malpractice claims and identify common characteristics likely to result in malpractice in children in France. Design and materials First, the authors did a retrospective and descriptive analysis of all paediatric malpractice claims involving children aged 1 month to 18 years, in which the defendant was coded as paediatrician or general practitioner, reported to the Sou Médical-groupe MASCF insurance company during a 5-year period (2003)(2004)(2005)(2006)(2007). Then, a comparison of these results with those from the USA was performed. Results The average annual incidence of malpractice claims was 0.8/100 paediatricians. 228 malpractice claims were studied and were more frequent (41%) with more severe outcomes in children younger than 2 years of age (52% deaths or major injuries). Meningitis (n=14) and dehydration (n=13) were the leading causes of claims, with highest mortalities (93% and 92%, respectively). The most common alleged misadventures were diagnosis-related error (47%), and medication error (13%). Malignancy was the most common medical condition incorrectly diagnosed (14%). Conclusions Paediatric malpractice claims are less frequent in France than in the USA, but they share many similarities with those in the USA. These data would enhance the knowledge of high-risk areas in paediatric care that could be targeted to reduce the risk of medical malpractices and to improve patient safety.

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“…Physicians are spending more time getting informed consent from patients or families. Patients do not recognize the risks of medical care, resulting in an increasing number of lawsuits 10) . Nurses and patient care assistants who have close patient contact are often reported to be exposed to violence 1,2,11,12) .…”

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confidence: 99%

An Epidemiological Study of Work‐related Violence Experienced by Physicians who Graduated from a Medical School in Japan

Arimatsu

Wada

Yoshikawa

et al. 2008

Journal of Occupational Health

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An Epidemiological Study of Work‐related Violence Experienced by Physicians who Graduated from a Medical School in Japan: Mayuri Arimatsu, et al. Department of Work Systems and Health, Institute of Industrial Ecological Sciences, University of Occupational and Environmental Health, Japan—Healthcare workers are at high risk of being victim of verbal and physical violence perpetrated by patients. There are only a few studies on work related violence among physicians. The aim of this study was to determine how prevalent work‐related violence against physicians is and whether gender, age, specializations and workplaces are associated with verbal and physical violence against physicians in Japan. A questionnaire was mailed to all the 1,705 physicians who had graduated from one medical school in Japan and had practiced for a minimum of 3 yr by the time of this study. The verbal and physical violence experienced by physicians at the hands of their patients and/or clients in the last 6 months preceding this study were collected. We defined ‘verbal violence’ as ‘any threatening statement or complaint’ while ‘physical violence’ referred to ‘the attempted or actual exercise by persons of any physical force so as to cause injury to a physician’. Multiple logistic regression analysis was used to determine the independent contribution of each factor with violence. A total of 540 men and 158 women responded. The adjusted response rate was 41.8%. Among the participants, 168 (24.1%) physicians had experienced verbal violence and 15 (2.1%) physicians had experienced physical violence in the prior 6 months. Verbal violence was positively associated with physicians who were under 30 yr old (odds ratio [OR] = 2.1; 95% confidence interval [CI], 1.0–4.1 for 27–29 yr old) and, psychiatry (OR, 2.4; 95% CI, 1.1–5.4). Physical violence was significantly associated with women (OR, 3.8; 95% CI, 1.1–13.5), specializations such as emergency and anesthesiology (OR, 18.9; 95% CI, 2.8–126.1), and psychiatry (OR, 7.6; 95% CI, 1.6–35.4). There was a considerable number of physicians exposed to violence. Younger physicians and psychiatrists are likely to be exposed to verbal violence. Female physicians, psychiatrists, and emergency physicians are likely to be exposed to physical violence. Education on avoiding from violence should be provided for physicians early in their career.

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Lawsuits Associated With Medical Malpractice in Japan: Rate of Lawsuits Was Very Low in Pediatrics, Although Many Children Visit Emergency Rooms

Cited by 13 publications

References 1 publication

Epidemiology of malpractice lawsuits in paediatrics

Epidemiology of malpractice lawsuits in paediatrics

Epidemiology and aetiology of paediatric malpractice claims in France

An Epidemiological Study of Work‐related Violence Experienced by Physicians who Graduated from a Medical School in Japan

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