Medical Malpractice: The Experience in Italy

Traina, Francesco

doi:10.1007/s11999-008-0582-z

Cited by 76 publications

(66 citation statements)

References 25 publications

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“…In Italy, a recent debate concerning medical liability (Motta & Nappi, 2014) and the high costs of the criminal proceedings related to medical malpractice (Traina, 2009) has been prominent in the national arena. The debate has resulted in physicians' increasingly practicing defensive medicine (Traina, 2009).…”

Section: Discussionmentioning

confidence: 99%

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Paid Sick Leave as a Means to Reduce Sickness Presenteeism Among Physicians

Rostad

Fridner

Sendén

et al. 2017

NJWLS

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Section: Discussionmentioning

confidence: 99%

“…The debate has resulted in physicians' increasingly practicing defensive medicine (Traina, 2009). As physicians become more defensive so as to avoid potential litigation, they may also become more cautious of going to work while ill, as this may increase the risk of making mistakes.…”

Section: Discussionmentioning

confidence: 99%

Paid Sick Leave as a Means to Reduce Sickness Presenteeism Among Physicians

Rostad

Fridner

Sendén

et al. 2017

NJWLS

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“…Thus, medical responsibility is not only a legal problem but a wider more complex issue of great social importance [2]. In addition to increased numbers of claims filed against doctors, the size of payments to allegedly injured patients has increased dramatically [10]. Poor and uninsured patients are at risk of injury from poor care.…”

Section: Discussionmentioning

confidence: 99%

“…Also, obstetricians/ gynecologists were the most frequently sued physicians followed by general surgeons in an American study [16]; in a Saudi Arabian study [17] and in a Turkish study [18]. Meanwhile, in Italy, orthopaedics was responsible for the highest number of cases filed relating to alleged malpractice, followed by obstetrics/ gynecology [10,19]. In the same time, Madea B & Preuss J [20] studied autopsied cases of malpractice and found that surgery was the most affected by claims although confirmed cases were below the average.…”

Section: Discussionmentioning

confidence: 99%

Malpractice Claims in Dakhalia and Damietta Governorates: A 10 Year Evaluation Study

El-Azab¹

2015

FRCIJ

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The practice of medicine is becoming increasingly more complex. Physicians and other healthcare providers face increasing administrative and legal challenges. Malpractice Claim puts physician's finances, reputation, professional advancement, personal relationships and health at risk. In Egypt, medical malpractice problem has been magnified during the last few years. The aim of this study was to through light on medical malpractice claims in Dakahlia and Damietta regions. Results of the present study showed that there is annual increment in the number of claims. According to specialty, anesthesia was the highest percentage followed by surgery and gynecology/obstetrics. By locality, most claims were against central hospitals followed by private, general and least was university hospitals. However, claims were proved positive mostly in private hospitals followed by central, general and lastly university hospitals. For private hospitals, the most proven claims were for gynecology/obstetrics, then anesthesia but for central hospitals, anesthesia represented the most proven claims followed by surgery. Good medical practice and a good medical-patient relationship are still the best ways to minimize lawsuits and their repercussions.

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“…In a survey summary issued by the Italian "Court for the Rights of the Patient", between 1996 and 2000, orthopaedic surgery was the highestranked specialty for the number of complaints alleging medical malpractice (22). Today, among European countries, Italy has the highest number of physicians subject to criminal proceedings related to medical malpractice.…”

Section: Discussionmentioning

confidence: 99%

Diagnostic Failure of Ciprofloxacin-Induced Spontaneous Bilateral Achilles Tendon Rupture: Case-Report and Medical-Legal Considerations

Pantalone

Abate

D’Ovidio

et al. 2011

Int J Immunopathol Pharmacol

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Rare side-effects of f1uoroquinolone therapy are tendinitis and tendon rupture. Many reports have demonstrated that the concomitant use of corticosteroids, in patients aged 60 years or older, increase the risk substantially. We present a case of spontaneous bilateral Achilles tendon rupture induced by ciprofloxacin and methylprednisolone. A 61-year-old woman was diagnosed with Bronchiolitis Obliterans with Organizing Pneumonia (BOOP) and was started on oral ciprofloxacin 500 mg twice daily for 3 weeks and on oral methylprednisolone 16 mg twice daily for 2 weeks. The diagnosis was made after doctors, rather than stop drug therapy and advise complete rest, had mistakenly prescribed for the woman to undergo physiotherapy and local NSAIDs, thus favoring the onset of tendon ruptures and resulting in surgical and legal implications. Inspired by this case, we also submit a brief review on professional liability in Orthopaedics.Fluoroquinolones (FQs) represent a major class of antimicrobials that have a high potential as therapeutic agents. The newer generation agents have been demonstrated to be effective in the treatment of upper and lower respiratory tract infections. Although FQs (as ciprofloxacin and levofloxcin) are generally safe for use as antimicrobials, they may induce tendinopathic complications such as tendinitis and tendon rupture (1-4).Severalfactorshave suggestedto predisposea patient ..to tendoninjury:age over 60 years,renalfailure,diabetes mellitus, renal transplantation, hyperparathyroidism, rheumatic disease, trauma and corticosteroidtreatment.In particular,the concomitant use ofcorticosteroidsand fluoroquinolones in elderly patients increasesthe risk of Achilles tendon rupture (5-6). In fact, many reports (5, 7) have shown that oral corticosteroid use was not only an important independent risk factor but, in combination with current exposure to quinolones, it also strongly increased the risk of Achilles tendon rupture in patients over 60 years of age.We present a case ofspontaneous bilateral Achilles tendon rupture which occurred in a 61-year-old woman following ciprofloxacin and methylprednisolone administration for the treatment of Bronchiolitis Obliterans with Organizing Pneumonia (BOOP). CaseReportA 61-year-old woman was diagnosed with

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Medical Malpractice: The Experience in Italy

Cited by 76 publications

References 25 publications

Paid Sick Leave as a Means to Reduce Sickness Presenteeism Among Physicians

Paid Sick Leave as a Means to Reduce Sickness Presenteeism Among Physicians

Malpractice Claims in Dakhalia and Damietta Governorates: A 10 Year Evaluation Study

Diagnostic Failure of Ciprofloxacin-Induced Spontaneous Bilateral Achilles Tendon Rupture: Case-Report and Medical-Legal Considerations

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