Professional Liability Claims in Vascular Surgery Practice

Roche, E.; Gómez‐Durán, Esperanza L.; Benet-Travé, Josep; Martín-Fumadó, Carles; Arimany–Manso, Josep

doi:10.1016/j.avsg.2012.11.015

Cited by 17 publications

(8 citation statements)

References 21 publications

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“…Most claims related to surgical specialties, as thromboembolic prophylaxis may have more relevance in certain areas of this field than in medical specialties. 13 Traumatology and Orthopaedic Surgery was the specialty most frequently involved (42% of the claims), which is consistent with previous literature. 4,5 VTE-prophylaxis protocols as well as compliance studies are common in this specialty.…”

Section: Discussionsupporting

confidence: 91%

“…However, a 25.3% of PL is higher than the mean rate of 17.32% of our general sample, 13 so one should state that VTE shows a high rate of payments in our environment. Criminal jurisdiction showed the lowest rate of conviction (15.4%, p = 0.009), as demands are greater to condemn someone in this jurisdiction in which individual’s freedom and disqualification are at stake.…”

Section: Discussionmentioning

confidence: 52%

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Professional liability and patient safety in thromboembolic disease

et al. 2019

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Objectives As a potentially preventable severe event, venous thromboembolism can lead to malpractice claims. We aim to identify characteristics of claimed events and to assess possible association between guidelines compliance and professional liability. Methods We analyzed every claim of alleged medical negligence following venous thromboembolism registered at the Catalan Council of Medical Colleges from 1986 to 2014. Results A total of 100 claims related to venous thromboembolism were identified. In 24 cases, out of 95 closed-claims, medical professional liability was the outcome. The specialty with more complaints was Orthopaedic Surgery. In 43 cases, venous thromboembolism occurred in low-risk patients with no prophylaxis prescribed. Professionals’ conduct followed the official guidelines in 73 cases but still 11 of them ended up in professional liability. Nevertheless, liability outcome was significantly associated with non-compliance of guidelines, as well as the absence of a prophylaxis ( p < 0.001). Conclusions Guidelines should be considered not only a patient safety measure but also a relevant issue towards determining the standard of care required in law. However, guidelines compliance does not qualify automatically as an affirmative defense in claims. It is individualized prophylaxis and protocols compliance that makes clinical practice safe and at the same time avoids medical professional liability.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 52%

Professional liability and patient safety in thromboembolic disease

et al. 2019

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“…This is a historical cohort study of 1395 consecutive patients who were intubated for the purpose of a vascular surgery procedure at a tertiary referral center in Halifax, Nova Scotia, Canada, between January 1, 2007, and December 31,2009.…”

Section: Methodsmentioning

confidence: 99%

“…Patients requiring a vascular surgery procedure were targeted as this patient population has been demonstrated to be at high risk of adverse events during anesthesia. 26,27,30,31 Three databases were used to identify patients who were eligible to participate in the study: the QEII HSC patient admission/discharge/transfer system (STAR v.15), the Dalhousie University Department of Anesthesia electronic information management system (Saturn; Dräger Medical, Telford, Pennsylvania), and the QEII HSC Division of Vascular Surgery database (which is a subset of the Saturn database). A Microsoft 1 Access 2003 (Redmond, Washington) database was created for data collation by one of the investigators (MB).…”

Section: Patient Populationmentioning

confidence: 99%

Postintubation Hypotension in General Anesthesia

Green

Butler

2016

J Intensive Care Med

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“…17 In Catalonia, 53.8% of claims in vascular surgery from 1986 to 2009 involved varicose veins and 43.5% of these claims were accepted. 18…”

Section: Discussionmentioning

confidence: 99%

Patient injuries in the treatment of superficial venous insufficiency registered in Finland between 2004 and 2017

et al. 2020

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Objectives This study aimed to identify the unintended incidents that led to patient injuries (PIs) in the treatment of superficial venous insufficiency (SVI). Methods PI claims filed with the Finnish Patient Insurance Centre between 2004 and 2017 involving SVI were reviewed. Factors contributing to PI were identified and classified. Results Eighteen (13.2%) of 136 compensated PIs in the specialty of vascular surgery were related to SVI. Only 4.7% of 383 SVI claims were compensated. The incidence of PIs was 9.9 per 100 000 patients. Fifteen patients had open surgery (83.3%) and three (16.7%) endovenous treatment. Two (11.1%) patients had necrotising fasciitis, four (22.1%) had deep vein injuries and two (11.1%) had a permanent nerve injury. Two (11.1%) patients had retained endovenous material that required surgical removal. Conclusions PIs were identifiable during all stages of care, perioperative injuries related to open surgery being the most common.

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Professional Liability Claims in Vascular Surgery Practice

Cited by 17 publications

References 21 publications

Professional liability and patient safety in thromboembolic disease

Professional liability and patient safety in thromboembolic disease

Postintubation Hypotension in General Anesthesia

Patient injuries in the treatment of superficial venous insufficiency registered in Finland between 2004 and 2017

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