Review of Ophthalmology Medical Professional Liability Claims in the United States from 2006 through 2015

Parikh, Parul Divya; Lad, Eleonora M.

doi:10.1016/j.ophtha.2017.11.018

Cited by 17 publications

(20 citation statements)

References 29 publications

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“…Thus, it is important to improve diagnostic skills to differentiate between life-threatening conditions and an innocuous upper respiratory tract infection [16] or common gastrointestinal disease. [17] Although several studies have examined final diagnoses involving malpractice claims within each clinical specialty, [18][19][20][21][22][23][24][25][26] few have examined initial inaccurate diagnoses that were later identified as incorrect diagnoses.…”

Section: Discussionmentioning

confidence: 99%

Factors and impact of physicians’ diagnostic errors in malpractice claims in Japan

et al. 2020

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Background Diagnostic errors are prevalent and associated with increased economic burden; however, little is known about their characteristics at the national level in Japan. This study aimed to investigate clinical outcomes and indemnity payment in cases of diagnostic errors using Japan's largest database of national claims. Methods We analyzed characteristics of diagnostic error cases closed between 1961 and 2017, accessed through the national Japanese malpractice claims database. We compared diagnostic error-related claims (DERC) with non-diagnostic error-related claims (non-DERC) in terms of indemnity, clinical outcomes, and factors underlying physicians' diagnostic errors. Results All 1,802 malpractice claims were included in the analysis. The median patient age was 33 years (interquartile range = 10-54), and 54.2% were men. Deaths were the most common outcome of claims (939/1747; 53.8%). In total, 709 (39.3%, 95% CI: 37.0%-41.6%) DERC cases were observed. The adjusted total billing amount, acceptance rate, adjusted median claims payments, and proportion of deaths were significantly higher in DERC than non-DERC cases. Departments of internal medicine and surgery were 1.42 and 1.55 times more likely, respectively, to have DERC cases than others. Claims involving the emergency room (adjusted odds ratio [OR] = 5.88) and outpatient office (adjusted OR = 2.87) were more likely to be DERC than other cases. The initial diagnoses most likely to lead to diagnostic error were upper respiratory tract infection, non-bleeding digestive tract disease, and "no abnormality." Conclusions Cases of diagnostic errors produced severe patient outcomes and were associated with high indemnity. These cases were frequently noted in general exam and emergency rooms

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Section: Discussionmentioning

confidence: 99%

Factors and impact of physicians’ diagnostic errors in malpractice claims in Japan

et al. 2020

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“…In a retrospective analysis of medical professional liability (MPL) claims in the US from 2006 to 2015, 2.6% out of the 90,743 closed malpractice claims were filed against ophthalmologists, with 50% being accountable to cataract and corneal surgery [110]. Even though this study concluded that compared with other specialties, ophthalmology had a relative low number of malpractice claims (ranked 12th out of 29 specialties in a 10-year period), it should be reminded that study results on this topic probably represent the tip of the iceberg as many medical errors might be unreported [106,111,112].…”

Section: Most Frequent Errors: Safety Practices and Implementation Stmentioning

confidence: 99%

“…For example, two different studies made across the UK showed that one third of malpractice claims filed against ophthalmologists were accountable to cataract surgeons [113,122]. Moreover, socioeconomic consequences of cataract malpractice are considerable [110]. Therefore, young ophthalmologists must be well prepared regarding legal aspect when starting their surgical training especially in cataract surgery.…”

Section: Introductionmentioning

confidence: 99%

Patient Safety in Ophthalmology

Lippera

Bijon

Eandi

et al. 2020

Textbook of Patient Safety and Clinical Risk Management

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Modern ophthalmic surgery has reached very high safety standards. Yet, given the large number of ophthalmic procedures, medical errors are common in eye care. This chapter presents general safety issues in ophthalmic surgery and focuses on the most common procedures: cataract surgery and intravitreal injection therapy. The literature on the translation of safety strategies to ophthalmology is summarized alongside with guidance elaborated by professional and regulatory bodies that are of greatest importance in eye care. The perspective adopted in this chapter is largely that of ophthalmology trainees, who are asked to guide the progression of ophthalmology toward safer care.

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“…Ophthalmology is a large specialty, managing nine million outpatient appointments a year and 6% of all surgery in the NHS. 1 Ophthalmology makes up 2.5% of claims in the NHS, 2 roughly the same as the USA, 3 and whilst there is a great deal of literature in the USA there is a dearth of UK ophthalmic litigation information. Litigation is an unpleasant process for those involved, but awareness of common causes can help prevent future failings and improve patient safety.…”

Section: Introductionmentioning

confidence: 99%

Litigation in ophthalmology: An overview

McMaster

Tucker

2019

Med Leg J

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Through a series of Freedom of Information requests to NHS Resolution on claims made from 2005/2006 to 2017/2018 we have analysed trends of UK litigation in ophthalmology, identifying the most common causes and primary injuries for closed (settled) claims resulting in payment of damages during this 13-year period. We assess the most common causes of litigation in ophthalmology with respect to previous rulings in clinical negligence and provide a case example for discussion.

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Review of Ophthalmology Medical Professional Liability Claims in the United States from 2006 through 2015

Cited by 17 publications

References 29 publications

Factors and impact of physicians’ diagnostic errors in malpractice claims in Japan

Factors and impact of physicians’ diagnostic errors in malpractice claims in Japan

Patient Safety in Ophthalmology

Litigation in ophthalmology: An overview

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